Reduction of Catheter-associated Urinary Tract Infection With a Daily Nursing Review of the Indication

Hospital Pablo Tobón Uribe1,209 enrolled

Overview

The purpose of this study is to determine whether the daily nurse review of the indication of the urinary catheter compared to the everyday care of the working staff is effective to reduce the rate of catheter-associated urinary tract infection in adults hospitalized.

Healthcare-associated infection (HAI)in hospitalized patients are very frequent, especially the catheter-associated urinary tract infection, which prolongs the hospital stay and costs, and is about 3 times more likely to die during hospitalization than patients not infected. The measures of aseptic insertion and closed systems of collection, as well as the rational use of the probe reduce the risk for infection. A checklist that contains the agreed indications of catheter, related to obstruction, incontinence, skin lesions in sacral region, monitoring or surgical procedures allows the daily review of the indication of the probe. If the patient doesn´t meet at least one of the criteria, should be recommended the withdrawal of the catheter.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

QUADRUPLE

Enrollment

1,209

Conditions

Urinary Tract Infections Urinary Tract; Accessory

Interventions

Daily reviewOTHER

Daily nursing review of the urinary catheter´s indication. If the patient meets at least one of the entries to stay with bladder catheter, the nurse will record collection in the format but will not contact the health team. If there aren´t indication in the medical record, she contacts at the attending physician and said: "Doctor, I didn´t find record in the history of the indication of the urinary catheter, can we withdraw?. If the physician reported the indication, will be recorded in the format without additional comments. The attending physician decides withdraw or no withdraw the urinary catheter

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Inpatient with a permanent urinary catheter (balloon catheter) * Urinary catheter placed in the hospitalization (previous day) or at admission Exclusion Criteria: * Urinary tract infection diagnosis at time of the insertion * Spinal cord injury or neurogenic bladder at admission

Locations (1)

Hospital Pablo Tobon Uribe

Medellín, Antioquia, Colombia

Outcomes

Primary Outcomes

Rate of Catheter-associated Urinary Tract Infection

Time frame: Until 7 days after the withdrawal of the catheter or at discharge (whichever comes first)

Secondary Outcomes

Catheter Days

The duration of catheterization

Time frame: withdrawal of the catheter

Data from ClinicalTrials.gov

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