A collaborative approach intended to reduce the duration of short term urinary catheters in adult patients at a tertiary care medical center also significantly reduced the duration of hospitalization - 28/07/22
, Sumith S. Roy, MBBS, MPH b, Navid Shams, MD, MPH a, Paul Visintainer, PhD c, Gary P. Wormser, MD aHighlights |
• | In hospitals, use of urinary catheters (UC) may lead to infections. |
• | Therefore, UC should be removed expeditiously. |
• | Protocols focused on clinical service were developed. |
• | This physician-led collaboration reduced the duration of use of UC. |
• | And also reduced the duration of hospitalization. |
Abstract |
Background |
Urinary tract infections are the leading cause of nosocomial infections in the United States. The major contributing factor is the placement of indwelling urinary catheters.
Methods |
Following a chart review of adult patients hospitalized at a tertiary care medical center who required the use of a short-term (≤ 2 weeks) indwelling urinary catheter, a collaborative effort was initiated by an Infectious Diseases physician to develop protocols focused on the clinical service involved for the expeditious removal of short-term indwelling urinary catheters. The protocols relied in part on the standards of practice by pertinent medical/surgical subspecialty societies. Usage of urinary catheters and duration of hospitalization following implementation of the protocols was assessed.
Results |
Based on a multivariate analysis controlling for demographic variables, comorbidities, medical vs surgical service, and indication for the urinary catheterization, the median duration of catheterization was significantly reduced from 6.7 days to 3.6 days after the protocols were initiated (P < .001), and the median duration of hospitalization was significantly reduced from 9.5 days to 5.9 days (P < .001). No patient had to have the urinary catheter reinserted.
Conclusions |
Development of collaborative protocols for the removal of short-term indwelling urinary catheters significantly reduced both the duration of catheterization and the duration of hospitalization.
Le texte complet de cet article est disponible en PDF.Key Words : Catheter-associated urinary tract infection, Decrease in hospitalization stay, Duration of urinary catheterization, Short-term urinary catheterization
Plan
| Funding/support: This work was supported by the New York State Department of Health- New York State Empire Clinical Research Investigator Program (ECRIP). |
|
| Conflicts of interest: Dr. Wormser reports receiving research grants from the Institute for Systems Biology and Pfizer, Inc. He has been an expert witness in malpractice cases involving Lyme disease and is an unpaid board member of the American Lyme Disease Foundation. The remaining authors have nothing to disclose. |
Vol 50 - N° 8
P. 954-959 - août 2022 Retour au numéro
Article précédent
- Rapid disinfection of radiology treatment rooms using an autonomous ultraviolet germicidal irradiation robot
- Conor McGinn, Robert Scott, Cornelia Ryan, Niamh Donnelly, Michael F. Cullinan, Michael Beckett
- Developing valid test bank of surveillance case study scenarios for inter-rater reliability
- Kelly Holmes, Mishga Moinuddin, Sandi Steinfeld
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?