Effect of an external urinary collection device for women on institutional catheter utilization and catheter-associated urinary tract infections

2020 ◽  
pp. 1-3
Author(s):  
Lindsey Rearigh ◽  
Gayle Gillett ◽  
Adrienne Sy ◽  
Terry Micheels ◽  
Luana Evans ◽  
...  
Keyword(s):  
Experimental Study ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Indwelling Catheter ◽  
Collection Device ◽  
Quasi Experimental ◽  
Tract Infections

Abstract External urinary collection devices (EUCDs) may reduce indwelling catheter usage and catheter-associated urinary tract infections (CAUTIs). In this retrospective quasi-experimental study, we demonstrated that EUCD implementation in women was associated with significantly decreased indwelling catheter usage and a trend (P = .10) toward decreased CAUTI per 1,000 patient days.

scholarly journals Effect of an External Urinary Collection Device on Catheter Associated Urinary Tract Infections in Hospitalized Women

2020 ◽  
Vol 41 (S1) ◽  
pp. s199-s199
Author(s):  
Lindsey Rearigh ◽  
Mark Rupp ◽  
Trevor Craig Van Schooneveld ◽  
Gayle Gillett ◽  
Adrienne Sy ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Model Risk ◽  
Indwelling Catheter ◽  
Collection Device ◽  
Excess Morbidity ◽  
Before And After ◽  
Perineal Skin ◽  
Quasi Experimental ◽  
Tract Infections

Background: Catheter-associated urinary tract infections (CAUTIs) are a common hospital-acquired infection (HAI) resulting in excess morbidity, mortality, and cost. Urine management can be a challenging issue, particularly in women, due to limited options for control of urinary incontinence. Issues with urinary leakage and worry for subsequent skin break down often leads to indwelling catheter insertion. In the spring of 2018, our facility implemented a female external urine collection device (EUCD) in efforts to decrease catheter days and to limit CAUTIs. Methods: Retrospective, 32-month (January 2017–August 2019), quasi-experimental, before-and-after study. Catheter use and CAUTI were defined according to CDC NHSN criteria. Poisson regression was used to model the rate of CAUTI (per 1,000 patient days [PD] and per 1,000 catheter days [CD]) comparing the 14 months prior to EUCD introduction with the 14 months after introduction and allowing a 3-month introduction period. Results: The CAUTI rate did not change significantly. The overall CAUTI rate per 1,000 PD decreased slightly from 0.24 to 0.20 (P = 0.44; model risk, 0.86; 95% CI, 0.58–1.26) whereas the rate per 1,000 CD increased slightly 1.5 to 1.6 (P = 0.76; model risk, 1.06; 95% CI, 0.73-–1.56). The CAUTI rate for men increased from 0.09 to 0.11 per 1,000 PD (P = 0.42; model risk, 1.29) and from 0.99 to 1.55 per 1,000 CD (P = 0.17; model risk, 1.56). For women, the rate of CAUTI decreased from 0.15 to 0.09 per 1,000 PD (P = 0.10; model risk, 0.61) and from 2.12 to 1.65 per 1,000 CD (P = 0.38; model risk, 0.38). A significant decrease in catheter days (CD per 1,000 PD; P < .0001) was observed for all hospitalized patients (from 158.56 to 128.3; model risk, 0.81), for men (from 87.06 to 72.15; model risk, 0.83), and for women (from 71.49 to 56.15; model risk, 0.79). Of 2,347 adverse events, 5 (0.2%) involved perineal skin breakdown and redness. Three events were related to malposition of the ECUD or inappropriate level of suction and 1 event was related to latex allergy and EUCD use. Conclusions: The introduction of a EUCD for women was associated with a significant decrease in indwelling catheter usage. A trend toward a decrease in CAUTI per 1,000 PD for women was observed (P = .10). Additional studies on whether the EUCD is associated with changes in UTI rates (both CAUTIs and noncatheter UTIs) as well as cost implications of EUCD are warranted.Funding: NoneDisclosures: None

scholarly journals A quasi-experimental study to test a prevention bundle for catheter-associated urinary tract infections

2014 ◽  
Vol 3 (4) ◽  
pp. 101 ◽  
Author(s):  
Alyson M. Blanck ◽  
Moreen Donahue ◽  
Laurie Brentlinger ◽  
Kristy Dixon Stinger ◽  
Carol Polito
Keyword(s):  
Experimental Study ◽  
Critical Care ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Quasi Experimental ◽  
Care Practices ◽  
Clinically Significant ◽  
Tract Infections ◽  
The Impact ◽  
Catheter Care

The purpose of this quasi-experimental study was to test the use of a bundled approach of catheter care practices for a 3-month period to reduce the occurrence of catheter-associated urinary tract infections (CAUTIs) in adult critical care patients who had indwelling urinary catheters. Catheter care is completed primarily by nursing staff, however minimal studies exist in the literature that support specific nursing care to reduce the occurrence of CAUTIs. Catheter care practices were investigated and implemented in a bundled approach to determine the impact on reducing CAUTIs in a critical care unit. Though the results were not statistically significant, they were clinically significant with a 50% reduction in CAUTI incidence. 

scholarly journals Prevalence of Bacterial Urinary Tract Infections and Associated Factors among Patients Attending Hospitals in Bushenyi District, Uganda

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Martin Odoki ◽  
Adamu Almustapha Aliero ◽  
Julius Tibyangye ◽  
Josephat Nyabayo Maniga ◽  
Eddie Wampande ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Klebsiella Oxytoca ◽  
Female Gender ◽  
Genitourinary Tract ◽  
Indwelling Catheter ◽  
Cross Sectional ◽  
Factors Associated ◽  
Married Individuals ◽  
Tract Infections

Urinary tract infections (UTIs) are one of the major causes of morbidity and comorbidities in patients with underlying conditions, and it accounts for the majority of the reasons for hospital visit globally. Sound knowledge of factors associated with UTI may allow timely intervention that can easily bring the disease under control. This study was designed to determine the prevalence of UTI by isolating and characterizing the different bacterial etiological agents and to evaluate the factors associated with UTI. In this cross-sectional study, a total of 267, clean catch midstream urine (MSU) samples were collected aseptically and analyzed using standard microbiology methods. Data for the factors associated with UTI were obtained by use of questionnaires and standard laboratory tests for selected underlying conditions. The study revealed 86/267 (32.2%) UTI prevalence among patients attending hospitals in Bushenyi District, Uganda. Escherichia coli was the most prevalent bacterial uropathogen with 36/86 (41.9%) followed by Staphylococcus aureus 27/86 (31.4%), Klebsiella pneumoniae 10/86 (11.6%), Klebsiella oxytoca 6/86 (7.0%), Proteus mirabilis 3/86 (3.5%), Enterococcus faecalis 3/86 (3.5%), and Proteus vulgaris 1/86 (1.2%). This study has demonstrated that age ≤19 years, female gender, married individuals, genitourinary tract abnormalities, diabetes, hospitalization, indwelling catheter <6 days, and indwelling catheter >6 days had statistically significant relationships (p<0.05) with UTI. Screening for UTI in hospitalized patients, female gender, married individuals, genitourinary tract abnormalities, indwelling catheter, and diabetics should be adopted.

scholarly journals Sustained decrease in urine culture utilization after implementing a reflex urine culture intervention: A multicenter quasi-experimental study

2020 ◽  
Vol 41 (3) ◽  
pp. 369-371 ◽  
Author(s):  
Jessica R. Howard-Anderson ◽  
Shanza Ashraf ◽  
Elizabeth C. Overton ◽  
Lisa Reif ◽  
David J. Murphy ◽  
...  
Keyword(s):  
Experimental Study ◽  
Urinary Tract ◽  
Urine Culture ◽  
Asymptomatic Bacteriuria ◽  
Diagnostic Efficiency ◽  
Urinary Catheters ◽  
Laboratory Findings ◽  
Quasi Experimental ◽  
Tract Infections ◽  
The Impact

Accurately diagnosing urinary tract infections (UTIs) in hospitalized patients remains challenging, requiring correlation of frequently nonspecific symptoms and laboratory findings. Urine cultures (UCs) are often ordered indiscriminately, especially in patients with urinary catheters, despite the Infectious Diseases Society of America guidelines recommending against routine screening for asymptomatic bacteriuria (ASB).1,2 Positive UCs can be difficult for providers to ignore, leading to unnecessary antibiotic treatment of ASB.2,3 Using diagnostic stewardship to limit UCs to situations with a positive urinalysis (UA) can reduce inappropriate UCs since the absence of pyuria suggests the absence of infection.4–6 We assessed the impact of the implementation of a UA with reflex to UC algorithm (“reflex intervention”) on UC ordering practices, diagnostic efficiency, and UTIs using a quasi-experimental design.

scholarly journals Pathogenesis of Proteus mirabilis in Catheter-Associated Urinary Tract Infections

2021 ◽  
pp. 1-8
Author(s):  
Fei Yuan ◽  
Ziye Huang ◽  
Tongxin Yang ◽  
Guang Wang ◽  
Pei Li ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Proteus Mirabilis ◽  
Immune Escape ◽  
Endotoxic Shock ◽  
Urine Retention ◽  
Indwelling Catheter ◽  
Swarming Motility ◽  
Historical Perspectives ◽  
Tract Infections

Proteus mirabilis (PM) is a Gram-negative rod-shaped bacterium and widely exists in the natural environment, and it is most noted for its swarming motility and urease activity. PM is the main pathogen causing complicated urinary tract infections (UTIs), especially catheter-associated urinary tract infections. Clinically, PM can form a crystalline biofilm on the outer surface and inner cavity of the urethral indwelling catheter owing to its ureolytic biomineralization. This leads to catheter encrustation and blockage and, in most cases, is accompanied by urine retention and ascending UTI, causing cystitis, pyelonephritis, and the development of bladder or kidney stones, or even fatal complications such as septicemia and endotoxic shock. In this review, we discuss how PM is mediated by a catheter into the urethra, bladder, and then rose to the kidney causing UTI and the main virulence factors associated with different stages of infection, including flagella, pili or adhesins, urease, hemolysin, metal intake, and immune escape, encompassing both historical perspectives and current advances.

scholarly journals Effectiveness of a simple intervention for prevention of catheter-associated urinary tract infections on a medical hospital unit

2020 ◽  
Vol 21 (6) ◽  
pp. 221-227
Author(s):  
Anita G Au ◽  
Sabin Shurraw ◽  
Holly Hoang ◽  
Sukun Wang ◽  
Xiaoming Wang
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Statistical Significance ◽  
Control Group ◽  
Urinary Catheters ◽  
Indwelling Catheter ◽  
Tract Infections ◽  
Urinary Catheterisation ◽  
The Impact ◽  
Intervention Unit

Background: Urinary tract infections (UTI) are one of the most common hospital-acquired infections with 80% as a result of urinary catheterisation. Aim/Objective: This study examined the impact of a simple intervention consisting of a daily chart reminder in patients with indwelling urinary catheters (IUC) on the duration of catheter use and the incidence of catheter-associated UTIs (CAUTIs). Methods: The trial used a prospective pretest–post-test design with a control group over a six-month period conducted on two medical units of a community teaching hospital. We included all patients admitted to two medical units between 1 June and 30 November 2016 who had an IUC inserted at the study site. During the intervention phase, a sticker was placed in the charts of patients with urinary catheters reminding physicians to assess for catheter removal if not clinically necessary. Results: A total of 195 patients participated in this study (112 control unit, 83 intervention unit). There was a decrease in the duration of IUC use on the intervention unit from 11.7 days to 7.5 days ( P = 0.0028). There was a decrease in repeated catheterisation from 11.1% to 2.1% ( P = 0.0882), and CAUTIs from 17.5% to 4.6% ( P = 0.0552) but this did not reach statistical significance. Discussion: The implementation of a daily IUC reminder sticker in patient charts was associated with a significant reduction in the mean duration of indwelling catheter use with a trend towards a reduction in the frequency of repeated urinary catheterisation and rate of CAUTIs.

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