Decreasing Catheter-Associated Urinary Tract Infections in the Pediatric Intensive Care Unit

Children's Mercy Hospital Kansas City

Status: Completed

Conditions: Urinary Tract Infections

Study type: Observational

Funder types: Other

Identifiers

NCT00672503

08 04-065E

Details and patient eligibility

About

The purpose of this study is to identify risk factors associated with indwelling urinary catheters, as well as to assess the nurses' knowledge and adherence to hospital policies. The study will also include a very extensive literature search in an attempt to create a national standard or guideline.

Enrollment: 321 patients

Sex: All

Ages: 1 day to 17 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Medical records of 67 patients 0 to 17 years of age diagnosed with a catheter associated urinary tract infection (defined by CDC) acquired during a PICU hospitalization.
2. Medical records of 67 patients 0 to 17 years of age who had an indwelling urinary catheter during a PICU hospitalization without a catheter associated urinary tract infection.
3. Nurses employed at Children's Mercy Hospital in the PICU.
4. Patient's who acquired a CA-UTI during 2009 and was adjudicated by infection control.

Exclusion criteria

Patients

1. Patients with community acquired urinary tract infections
2. Patients 18 years and older cared for in the PICU.
3. Patients with catheter associated urinary tract infections hospitalized outside the PICU at Children's Mercy Hospital.
4. Patients with UTI not related to catheterization

Nurses

1. Nurses floated to the PICU who are not permanent staff members (ICN nurse, float pool staff, travelers)
2. Nurses on the research team

Trial design

321 participants in 4 patient groups

1

Description:

Patients who acquired a CA-UTI in the PICU between 2004-2007.

2

Description:

Patients who did not acquire a CA-UTI while hospitalized in the PICU but had an indwelling urinary catheter between 2004-2007.

A

Description:

Nurses currently employed in the PICU at Children's Mercy Hospital.

a

Description:

Root Cause Analysis on all patients who acquired a CA-UTI during 2009.