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Assessing Bladder wall thickness using ultrasound to predict catheter associated UTI in ICU patients

Phase 4
Conditions
Health Condition 1: N390- Urinary tract infection, site notspecified
Registration Number
CTRI/2024/04/066080
Lead Sponsor
Banaras Hindu University
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Any critical illness requiring ICU admission for more than 5 days.

requiring catheterisation within 4 days of ICU admission .

Exclusion Criteria

1) Patients with prior catheterisation of more than 4 days

2) Previous urogenic operation such as bladder surgery, anti-reflex surgery.

3) Open wound in and around the suprapubic area.

4) Patient with known pyelonephritis, CKD having dialysis.

5) Known case of carcinoma bladder.

6) Known case of neurogenic bladder.

7) Pregnant women.

8) Women with fibroid, overactive bladder and pelvic organ prolapse.

9) Patient enrolled in other study.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Correlation of BWT with CFU in urine culture samples of suspected <br/ ><br>CAUTI patients . <br/ ><br>Timepoint: Baseline bladder wall thickness will be measured immediately after ICU admission and do observe bladder wall thickness every alternate day untill fever episode start after that bladder wall thickness will be measured every day Untill Discharge/LAMA/Expire. <br/ ><br>Regarding colony count baseline count will done after 72 hours of admission and on the day of fever episode and every 5th day Untill Discharge/LAMA/Expire. <br/ ><br>
Secondary Outcome Measures
NameTimeMethod
Incidence of colonization & CAUTI. <br/ ><br> Cut-off value of BWT for differentiating colonisation & CAUTI. <br/ ><br> Effect of bladder wash with 2% Betadine (povidone iodine irrigation solution). <br/ ><br>Timepoint: For effect of bladder wash, BWT will be taken on the day of fever & thereafter every day (after excluding other sources of infection) untill patient Discharge/LAMA/Expire.
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