Reduction of Catheter-associated Urinary Tract Infection With a Daily Nursing Review of the Indication. Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 1,209
- Locations
- 1
- Primary Endpoint
- Rate of Catheter-associated Urinary Tract Infection
Study Overview
Brief Summary
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.
Detailed 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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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
Arms & Interventions
Daily review
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.
Intervention: Daily review (Other)
Routine care
In the control group, the attending team would remove the catheter as routine, without any suggestion by the research protocol.
Outcomes
Primary Outcomes
Rate of Catheter-associated Urinary Tract Infection
Time Frame: Until 7 days after the withdrawal of the catheter or at discharge (whichever comes first)
Secondary Outcomes
- Catheter Days(withdrawal of the catheter)
Investigators
Maria Victoria Restrepo
MD, MSc
Hospital Pablo Tobón Uribe