Reduction of Catheter-associated Urinary Tract Infection With a Daily Nursing Review of the Indication

Urinary Tract Infections Clinical Trial

Official title:

Reduction of Catheter-associated Urinary Tract Infection With a Daily Nursing Review of the Indication. Randomized Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01067768
• Other study ID #: 5100-66592
• Status: Completed
• Phase: N/A
• Start date: November 2009
• Est. completion date: September 2010

Study information

• Verified date: February 2019
• Source: Hospital Pablo Tobón Uribe
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to determine whether the daily nurse review of the indication of the urinary catheter compared to the everyday care of the working staff is effective to reduce the rate of catheter-associated urinary tract infection in adults hospitalized.

Description:

Healthcare-associated infection (HAI)in hospitalized patients are very frequent, especially the catheter-associated urinary tract infection, which prolongs the hospital stay and costs, and is about 3 times more likely to die during hospitalization than patients not infected.

The measures of aseptic insertion and closed systems of collection, as well as the rational use of the probe reduce the risk for infection.

A checklist that contains the agreed indications of catheter, related to obstruction, incontinence, skin lesions in sacral region, monitoring or surgical procedures allows the daily review of the indication of the probe. If the patient doesn´t meet at least one of the criteria, should be recommended the withdrawal of the catheter.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 1209
• Est. completion date: September 2010
• Est. primary completion date: September 2010
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Inpatient with a permanent urinary catheter (balloon catheter)

• Urinary catheter placed in the hospitalization (previous day) or at admission

Exclusion Criteria:

• Urinary tract infection diagnosis at time of the insertion

• Spinal cord injury or neurogenic bladder at admission

Related Conditions & MeSH terms

• Communicable Diseases
• Infection
• Urinary Tract Infections
• Urinary Tract; Accessory

Intervention

Other:
• Daily review
Daily nursing review of the urinary catheter´s indication. If the patient meets at least one of the entries to stay with bladder catheter, the nurse will record collection in the format but will not contact the health team. If there aren´t indication in the medical record, she contacts at the attending physician and said: "Doctor, I didn´t find record in the history of the indication of the urinary catheter, can we withdraw?. If the physician reported the indication, will be recorded in the format without additional comments. The attending physician decides withdraw or no withdraw the urinary catheter

Locations

Country	Name	City	State
Colombia	Hospital Pablo Tobon Uribe	Medellin	Antioquia

Sponsors (1)

Lead Sponsor	Collaborator
Hospital Pablo Tobón Uribe

Country where clinical trial is conducted

Colombia, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Rate of Catheter-associated Urinary Tract Infection		Until 7 days after the withdrawal of the catheter or at discharge (whichever comes first)
Secondary	Catheter Days	The duration of catheterization	withdrawal of the catheter