Reducing Urinary Tract Infection Rates Using a Controlled Aseptic Protocol for Catheter Insertion
Overview
- Phase
- Phase 2
- Intervention
- Standard of care catheter insertion
- Conditions
- Urinary Tract Infections
- Sponsor
- University of Colorado, Denver
- Enrollment
- 99
- Locations
- 1
- Primary Endpoint
- Number of Participants With a Catheter Associated Urinary Tract Infection (CAUTI)
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •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.
Exclusion Criteria
- •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.
Arms & Interventions
Standard of care catheter insertion
Standard of care catheter insertion in which catheter is inserted right out of package/non-treated catheter.
Intervention: 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
Intervention: Catheter insertion with Povidone Iodine
Outcomes
Primary Outcomes
Number of Participants With a Catheter Associated Urinary Tract Infection (CAUTI)
Time Frame: 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.
Secondary Outcomes
- 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)