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

Hospital Pablo Tobón Uribe

Status: Completed

Conditions: Urinary Tract Infections; Urinary Tract; Accessory

Treatments: Other: Daily review

Study type: Interventional

Funder types: Other

Identifiers

NCT01067768

5100-66592

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 1,209 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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1,209 participants in 2 patient groups

Daily review

Experimental group

Description:

In the intervention group a nurse reviewed daily, by using a checklist designed for this study, the indications and pertinence of the catheter. If it was not indicated she asked the doctor to order the removal of the catheter, but the doctor would make the final decision.

Treatment:

Other: Daily review

Routine care

No Intervention group

Description:

In the control group, the attending team would remove the catheter as routine, without any suggestion by the research protocol.