The investigators will conduct a cluster randomized controlled trial to evaluate the efficacy of Catheter Reminder and Evaluation program (CARE) in reducing the duration of catheter use and the number of infection relating to catheter use.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
874
This intervention will be implemented by ward nurses and responsible physicians. The details of intervention are shown below. 1. Nurse: Every morning, a ward nurse will check if any patient has a urinary catheter or a central venous catheter in place. An order sheet will be marked with a CARE-rubber stamp and the following information will be added by hand-writing. * Type and duration of urinary catheter use. * Indication of urinary catheter \_\_\_\_\_\_\_\_\_ * Type and duration of central venous catheter use * Indication of urinary catheter \_\_\_\_\_\_\_\_\_ 2. Responsible physician: During a morning round, a physician needs to fill the indication of catheter use. If a given physician does not fill the indication of urinary catheter use, the catheter will be automatically removed. If a given physician does not fill the indication of central venous catheter, the CARE team will be notified.
Siriraj Hospital
Bangkok, Bangkok, Thailand
Urinary catheter day
Total duration of urinary catheter use (day)
Time frame: participants will be followed for the duration of hospital stay, an expected average of 3 weeks
CA-UTI
Number of catheter-associated urinary tract infection episode
Time frame: participants will be followed for the duration of hospital stay, an expected average of 3 weeks
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