A Randomized Controlled Trial of Automatic Stop Orders for Urinary Catheterization in Hospitalized Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 630
- 试验地点
- 5
- 主要终点
- Urinary tract infections
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Urinary catheter for less than 48hrs
排除标准
- •Patient with symptomatic urinary tract infection
- •Latex allergy
结局指标
主要结局
Urinary tract infections
次要结局
- 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