Effect of CAUTI Prevention Alert - A Randomized Control Trial

Montefiore Medicine Academic Health System

Status: Completed

Conditions: Infection Due to Indwelling Urinary Catheter

Treatments: Other: CAUTI Decision Support

Study type: Interventional

Funder types: Other

Identifiers

NCT02054065

12-06-225

Details and patient eligibility

About

This study proposes to expand upon previous research by studying the effects of a urinary-catheter removal alert on duration of urinary catheter use and frequency of CAUTIs with a large, randomized controlled trial within a three-hospital academic medical center.

Hypothesis The proposed urinary-catheter removal alerts will decrease the number of catheter days and decrease the number of catheter associated urinary tract infections (CAUTIs), but will not affect the catheter re-insertion rate.

Full description

Primary Objectives

• Specific Aim 1: Investigate the effect of a urinary-catheter removal alert on the rate of catheter associated urinary tract infections (CAUTIs).
• Specific Aim 2: Investigate the effect of a urinary-catheter removal alert on the number of catheter days.
• Specific Aim 3: Evaluate the effect of a urinary-catheter removal alert on the rate of catheter re-insertion.
• Specific Aim 4: Evaluate the effect of a urinary-catheter removal alert on overall mortality in patients with indwelling catheters.

Enrollment: 108 patients

Sex: All

Ages: 21+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All admissions with an indwelling urinary catheter will be randomly assigned to intervention vs. control (usual care) conditions.

Exclusion criteria

• Neonatal Intensive Care Unit and pediatric patients

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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108 participants in 2 patient groups

Control

No Intervention group

Description:

Normal care conditions, no computer-based physician alert.

CAUTI Decision Support

Experimental group

Description:

Decision support aimed at preventing Catheter Associated Urinary Tract Infections (CAUTIs)

Treatment:

Other: CAUTI Decision Support