Automatic Stop Orders for Urinary Catheters

Urinary Tract Infections Clinical Trial

Official title:

A Randomized Controlled Trial of Automatic Stop Orders for Urinary Catheterization in Hospitalized Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00157625
• Other study ID #: 03-24
• Status: Completed
• Phase: N/A
• Start date: April 2003
• Est. completion date: July 2006

Study information

• Verified date: October 2018
• Source: McMaster University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Urinary tract infections are the most common type of hospital-acquired infection. The majority of these infections result from the use of indwelling urinary catheters. Often caregivers leave them in unnecessarily. The purpose of this study is to assess the effectiveness of an automatic stop order (automatic removal or urinary catheters when they no longer needed) in reducing urinary infections.

Description:

We will randomize patients with urinary catheters to either automatic stop orders or to usual care. The primary outcome will be urinary tract infection. Secondary outcomes will include days of indwelling urinary catheterization, symptomatic urinary tract infection, isolation of antimicrobial-resistant bacteria from catheterized urine, antimicrobial use, bacteremia (blood-stream) infection secondary to urinary tract infection, and cost. We hypothesize that use of the automatic stop order will significantly reduce hospital-acquired urinary tract infection.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 630
• Est. completion date: July 2006
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Urinary catheter for less than 48hrs

Exclusion Criteria:

• Patient with symptomatic urinary tract infection

• Latex allergy

Related Conditions & MeSH terms

• Urinary Tract Infections

Intervention

Behavioral:
• Automatic stop order

Locations

Country	Name	City	State
Canada	Hamilton General Hospital	Hamilton	Ontario
Canada	Henderson Hospital	Hamilton	Ontario
Canada	McMaster University Medical Centre	Hamilton	Ontario

Sponsors (2)

Lead Sponsor	Collaborator
McMaster University	The Physicians' Services Incorporated Foundation

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Urinary tract infections
Secondary	days of indwelling urinary catheterization,
Secondary	symptomatic urinary tract infection,
Secondary	isolation of antimicrobial-resistant bacteria from catheterized urine,
Secondary	antimicrobial use,
Secondary	bacteremia (blood-stream) infection secondary to urinary tract infection,
Secondary	cost