The Analysis of Factors Causing Indwelling Urinary Catheter-related Infections in ICU Patients and Their Nursing Strategies

Catheter-associated Urinary Tract Infection Clinical Trial

Official title:

The Analysis of Factors Causing Indwelling Urinary Catheter-related Infections in ICU Patients and Their Nursing Strategies

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06295627
• Other study ID #: SYSKY-2024-115-01
• Status: Completed
• Start date: January 30, 2023
• Est. completion date: January 15, 2024

Study information

• Verified date: March 2024
• Source: Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

To explore the analysis of factors causing indwelling urinary catheter-related infections in ICU patients and their nursing strategies, and to provide reference for clinical nursing work. 291 patients with indwelling urinary catheters in the second area of ICU of our hospital from January 1, 2023 to September 30, 2023 were selected as research subjects. They were divided into infection group and non-infection group according to the presence or absence of urinary tract infection. Non-infection group The first group consisted of patients without urinary tract infection (278 cases), and the infection group consisted of patients with urinary tract infection (13 cases). A retrospective analysis method was used to analyze the causes of catheter-related urinary tract infection and the infecting bacteria of the two groups of patients. A single factor analysis was performed on various factors and other related factors, and corresponding nursing strategies were summarized and proposed.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 291
• Est. completion date: January 15, 2024
• Est. primary completion date: September 30, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 15 Years and older

Eligibility

Inclusion Criteria:

• Age > 14 years
• Patients with indwelling urinary tube during hospitalization
• Length of stay in ICU > 48h
• Complete hospitalization data

Exclusion Criteria:

• Had urinary tract infection before hospitalization
• Indwelling catheter < 72h
• Severe liver and kidney failure and death within 48 hours of admission

Related Conditions & MeSH terms

• Catheter-associated Urinary Tract Infection
• Catheter-Related Infections
• Communicable Diseases
• Infections
• Urinary Tract Infections

Intervention

Other:
• There were no interventions in retrospective analysis
A retrospective analysis method was used to analyze the causes of catheter-related urinary tract infection and the infecting bacteria of the two groups of patients. A single factor analysis was performed on various factors and other related factors, and corresponding nursing strategies were summarized and proposed.

Locations

Country	Name	City	State
China	Sun Yat-Sen Memorial Hospital	Canton	Guangdong

Sponsors (1)

Lead Sponsor	Collaborator
Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University

Country where clinical trial is conducted

China, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	How many patients in the infected group and how many patients in the non-infected group had bladder irrigation	Bladder irrigation is easy to damage the drainage tightness of urinary system and increase the risk of infection. Frequent irrigation is easy to lead to urinary tract infection.SPSS27.0 software was used to analyze and process the bladder irrigation data of the two groups of patients.	2023.1.1-2023.9.30
Primary	How many patients in the infected group and how many patients in the non-infected group were given enema	Patients with increased frequency of stool after enema, fecal incontinence or diarrhea are at risk of retrograde infection caused by fecal contamination of the urethral opening.SPSS27.0 software was used to analyze and process the enema data of the two groups of patients.	2023.1.1-2023.9.30
Primary	How many times the indwelling catheter was changed in patients in the infected group and patients in the non-infected group respectively	Indwelling catheter can easily lead to urethral mucosa injury, and the urethral mucosa is damaged repeatedly by repeated intubation, and the normal physiological barrier is damaged and the risk of urinary tract infection is increased.SPSS27.0 software was used to analyze and process the data of the number of indwelling catheters in the two groups	2023.1.1-2023.9.30
Primary	How many patients in the infected group and the non-infected group had co-diabetes	Urinary tract infection is the most common infection in patients with diabetes, and the high blood sugar state of the body helps bacteria colonize and proliferate.The combined diabetes data of the two groups were analyzed and processed using SPSS27.0 software.	2023.1.1-2023.9.30