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A TOOL TO ASSESS THE SIGNS AND SYMPTOMS OF CATHETER-ASSOCIATED URINARY TRACT INFECTION: DEVELOPMENT AND RELIABILITY
Journal article   Peer reviewed

A TOOL TO ASSESS THE SIGNS AND SYMPTOMS OF CATHETER-ASSOCIATED URINARY TRACT INFECTION: DEVELOPMENT AND RELIABILITY

Tom J Blodgett, Sue E Gardner, Nicole P Blodgett, Lisa V Peterson and Melissa Pietraszak
Clinical nursing research, Vol.24(4), pp.341-356
08/2015
DOI: 10.1177/1054773814550506
PMCID: PMC4369445
PMID: 25246536

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Abstract

The purpose of this pilot study was to determine the inter-rater reliability of four clinical manifestations of catheter-associated urinary tract infections (CAUTI) among hospitalized adults with short-term indwelling urinary catheters using a tool developed for this purpose: the CAUTI Assessment Profile (CAP). Study participants included 30 non-pregnant English-speaking adults, recruited from 2 community hospitals. Three nurses assessed each participant for fever, suprapubic tenderness, flank tenderness, and delirium using standardized techniques. Based on the generalized kappa statistic and 95% confidence intervals, there was evidence of strong inter-rater reliability for fever (K = 1.00, 0.793 – 1.207), suprapubic tenderness (K = 0.39, 0.185 – 0.598), and delirium (K = 0.58, 0.379 – 0.792), but not for flank tenderness (K = 0.29, −0.036 – 0.617). This study provides preliminary evidence that the CAUTI Assessment Profile (CAP) can be used to consistently identify these clinical signs and symptoms of CAUTI in hospitalized adults.
Urinary Tract Infection CAUTI Catheter Associated Urinary Tract Infection Reliability Kappa

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