MedPath

Automatic Stop Orders for Urinary Catheters

Not Applicable
Completed
Conditions
Urinary Tract Infections
Registration Number
NCT00157625
Lead Sponsor
McMaster University
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.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
630
Inclusion Criteria
  • Urinary catheter for less than 48hrs
Exclusion Criteria
  • Patient with symptomatic urinary tract infection
  • Latex allergy

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Urinary tract infections
Secondary Outcome Measures
NameTimeMethod
days of indwelling urinary catheterization,
antimicrobial use,
bacteremia (blood-stream) infection secondary to urinary tract infection,
isolation of antimicrobial-resistant bacteria from catheterized urine,
cost
symptomatic urinary tract infection,

Trial Locations

Locations (3)

McMaster University Medical Centre

🇨🇦

Hamilton, Ontario, Canada

Henderson Hospital

🇨🇦

Hamilton, Ontario, Canada

Hamilton General Hospital

🇨🇦

Hamilton, Ontario, Canada

McMaster University Medical Centre
🇨🇦Hamilton, Ontario, Canada

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