A Randomized Controlled Trial of Automatic Stop Orders for Urinary Catheterization in Hospitalized Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Urinary Tract Infections
- Sponsor
- McMaster University
- Enrollment
- 630
- Locations
- 3
- Primary Endpoint
- Urinary tract infections
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
Urinary tract infections are the most common type of hospital-acquired infection. The majority of these infections result from the use of indwelling urinary catheters. Often caregivers leave them in unnecessarily. The purpose of this study is to assess the effectiveness of an automatic stop order (automatic removal or urinary catheters when they no longer needed) in reducing urinary infections.
Detailed Description
We will randomize patients with urinary catheters to either automatic stop orders or to usual care. The primary outcome will be urinary tract infection. Secondary outcomes will include days of indwelling urinary catheterization, symptomatic urinary tract infection, isolation of antimicrobial-resistant bacteria from catheterized urine, antimicrobial use, bacteremia (blood-stream) infection secondary to urinary tract infection, and cost. We hypothesize that use of the automatic stop order will significantly reduce hospital-acquired urinary tract infection.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Urinary catheter for less than 48hrs
Exclusion Criteria
- •Patient with symptomatic urinary tract infection
- •Latex allergy
Outcomes
Primary Outcomes
Urinary tract infections
Secondary Outcomes
- days of indwelling urinary catheterization,
- antimicrobial use,
- symptomatic urinary tract infection,
- bacteremia (blood-stream) infection secondary to urinary tract infection,
- isolation of antimicrobial-resistant bacteria from catheterized urine,
- cost