Reducing Urinary Tract Infection Rates Using a Controlled Aseptic Protocol for Catheter Insertion
概览
- 阶段
- 2 期
- 干预措施
- Standard of care catheter insertion
- 疾病 / 适应症
- Urinary Tract Infections
- 发起方
- University of Colorado, Denver
- 入组人数
- 99
- 试验地点
- 1
- 主要终点
- Number of Participants With a Catheter Associated Urinary Tract Infection (CAUTI)
- 状态
- 已完成
- 最后更新
- 6年前
概览
简要总结
Urinary Tract Infection (UTI) complications following catheter use in surgical patients remains high. Using an aseptic protocol has been shown to drastically reduce UTI incidence by 50%. Reducing UTIs will prevent extended hospital stays, readmission, and antibiotic use associated with this complication and improve cost-effectiveness of care. The investigators hypothesize that they can reduce the incidence of UTIs after catheter placement with the implementation of a Quality Improvement (QI) protocol to prevent excess exposure to the environment exposure of the catheter before, during and after insertion.
研究者
入排标准
入选标准
- •women 18-89 years of age
- •admitted for surgery lasting \>1 hour and requiring urinary catheter,
- •have normal urine analysis within 24 hours pre-surgery, and
- •able to provide informed consent.
排除标准
- •currently on dialysis,
- •chronic urinary infection,
- •hyperthyroidism,
- •current infection,
- •a history of allergy or sensitivity to iodine.
- •women who are pregnant or breast feeding
- •men due to their lower incidence of UTIs compared to the female population.
研究组 & 干预措施
Standard of care catheter insertion
Standard of care catheter insertion in which catheter is inserted right out of package/non-treated catheter.
干预措施: Standard of care catheter insertion
Aseptic protocol for catheter insertion
Aseptic protocol for catheter insertion using Povidone Iodine treated catheter and maintaining plastic sleeve on catheter
干预措施: Catheter insertion with Povidone Iodine
结局指标
主要结局
Number of Participants With a Catheter Associated Urinary Tract Infection (CAUTI)
时间窗: Within 14 +/- 2 days post-surgery
Participants were monitored for up to 14 days. This was assessed with a rapid urine analysis (UA) test. A urinary tract infection was defined as \>10\^5 bacterial colony forming units per ML on urine culture regardless of symptoms. This is the number of participants who had at least one CAUTI during the time of observation.
次要结局
- Number of Participants That Were Readmitted, Had Additional Clinic Visits or Went to the Emergency Department (ED) for Any Reason(Day 14 (+/- 2 days))
- Average Patient Satisfaction(Day14 (+/- 2 days))
- Number of Participants With Extended Hospital Stay Due to a Urinary Tract Infection (UTI)(14 days (+/- 2 days) from surgery)
- Number of Patients That Used Antibiotics at the Time of Surgery and Post-surgery(Day 14 (+/- 2 days))
- Number of Participants Who Received the "Fill and Pull" Versus the "Pull and Void" Method of Catheter Discontinuation(Day 14 (+/- 2 days))
- Number of Participants With Closed Drainage System Disrupted During Placement of Catheter(Day 1 post op)