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

Not Applicable

Completed

• Conditions: Urinary Tract Infections; Urinary Tract; Accessory
• Interventions: Other: Daily review

• Registration Number: NCT01067768
• Lead Sponsor: Hospital Pablo Tobón Uribe

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 Timeline

• Study Start: 2009-11
• Study First Submitted: 2010-02-10
• Study First Submitted QC: 2010-02-10
• Study First Posted: 2010-02-12
• Primary Completion: 2010-09
• Study Completion: 2010-09
• Results First Submitted: 2011-07-11
• Results First Submitted QC: 2011-07-11
• Results First Posted: 2011-08-04
• Status Verified: 2019-02
• Last Update Submitted: 2019-02-21
• Last Update Posted: 2019-03-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1209

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Daily review	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.

Primary Outcome Measures

Name	Time	Method
Rate of Catheter-associated Urinary Tract Infection	Until 7 days after the withdrawal of the catheter or at discharge (whichever comes first)

Secondary Outcome Measures

Name	Time	Method
Catheter Days	withdrawal of the catheter	The duration of catheterization

Trial Locations

Locations (1)

Hospital Pablo Tobon Uribe; 🇨🇴 Medellin, Antioquia, Colombia