Inappropriate use of urinary catheters: A prospective observational study

Manish M Tiwari; Mary E Charlton; James R Anderson; Elizabeth D Hermsen; Mark E Rupp

doi:10.1016/j.ajic.2011.03.032

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Inappropriate use of urinary catheters: A prospective observational study

Journal article

Peer reviewed

Inappropriate use of urinary catheters: A prospective observational study

Manish M Tiwari, Mary E Charlton, James R Anderson, Elizabeth D Hermsen and Mark E Rupp

American journal of infection control, Vol.40(1), pp.51-54

2012

DOI: 10.1016/j.ajic.2011.03.032

PMID: 21802780

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Abstract

Despite the well-recognized role of urinary catheters in nosocomial urinary tract infections, data on risk factors associated with inappropriate urinary catheter use are scarce. A prospective review of electronic medical records of 436 patients admitted to an adult medical-surgical unit between October and December 2007 was performed to examine the appropriateness of urinary catheter use. The use of 157 urinary catheters in 144 patients was observed. A total of 557 urinary catheter-days were recorded in these patients, of which 175 (31.4%) were found to be inappropriate based on the study criteria. The total number of catheters used and the total duration of catheterization were risk factors for inappropriate urinary catheter use ( P < .05). Inappropriate catheter use was not associated with such adverse events as mortality, readmission, intensive care unit admission, catheter complications, or urine culture rates, but was associated with a trend toward longer duration of hospitalization. Significant rates of inappropriate urinary catheter use and a trend toward longer duration of hospitalization with inappropriate catheter use were observed. These findings underscore the importance of establishing guidelines and effective policy implementation for the appropriate use of urinary catheters in hospitalized patients.

Urinary tract infection

Catheter-associated urinary tract infection

Inappropriate use

Risk factor

Details

Title: Subtitle: Inappropriate use of urinary catheters: A prospective observational study
Creators: Manish M Tiwari - University of Nebraska Medical Center, Omaha, NE
Mary E Charlton - University of Nebraska Medical Center, Omaha, NE
James R Anderson - University of Nebraska Medical Center, Omaha, NE
Elizabeth D Hermsen - Nebraska Medical Center, Omaha, NE
Mark E Rupp - University of Nebraska Medical Center, Omaha, NE
Resource Type: Journal article
Publication Details: American journal of infection control, Vol.40(1), pp.51-54
DOI: 10.1016/j.ajic.2011.03.032
PMID: 21802780
NLM abbreviation: Am J Infect Control
ISSN: 0196-6553
eISSN: 1527-3296
Publisher: Mosby, Inc
Language: English
Date published: 2012
Academic Unit: Health Management and Policy; Epidemiology
Record Identifier: 9983996063602771

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