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GuardianCath is an antiseptic-coated intermittent hydrophilic urinary catheter developed for the prevention of catheter-associated urinary tract infections (CAUTI), specifically in pediatric patients with neurogenic bladder. The catheter is coated with octenidine chloride (octenidine dihydrochloride), a bispyridine antiseptic with broad-spectrum antimicrobial activity. It works by creating an antimicrobial layer on the catheter surface that inhibits bacterial adhesion and the formation of biofilms by common uropathogens such as *Escherichia coli*, *Pseudomonas aeruginosa*, and *Proteus mirabilis*. Children's Hospital Zagreb has conducted clinical trials (NCT02697162) to evaluate its efficacy and feasibility in children requiring clean intermittent catheterization.
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