Variations in indwelling urinary catheter use in four Australian acute care hospitals.
Aged
Case-Control Studies
Catheter-Related Infections
/ epidemiology
Catheters, Indwelling
/ adverse effects
Cross Infection
/ epidemiology
Female
Humans
Male
Middle Aged
New South Wales
/ epidemiology
Surveys and Questionnaires
Time Factors
Urinary Catheterization
/ nursing
Urinary Catheters
Urinary Tract Infections
/ epidemiology
catheter-associated urinary tract infection
patient safety
point prevalence
urinary catheter
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
22
01
2019
revised:
25
07
2019
accepted:
18
08
2019
pubmed:
31
8
2019
medline:
31
1
2020
entrez:
31
8
2019
Statut:
ppublish
Résumé
To identify the point prevalence of indwelling urinary catheters (IDCs) in adult inpatients in acute care hospitals, and to describe the indications for IDC insertion based on patient age, gender, specialty and hospital. Catheter-associated urinary tract infections (CAUTIs) are preventable healthcare-associated infections. IDC duration is the strongest predictor of CAUTI, and little is known about characteristics of patients who receive an IDC. Two single-day point prevalence surveys collected baseline patient data as part of a larger pre-post control-intervention study. Surveys were conducted at four acute care hospitals in NSW, Australia, for all adult patients. Data collection included IDC presence, insertion details and urine culture collection. Point prevalence data were linked with electronically extracted patient demographic data. This study is presented in line with STROBE checklist (See Supplementary File 1). Data from 1,630 patients were analysed, with 196 patients (12%) identified as having an IDC on the survey dates. IDC prevalence rates were higher in males (13%) than in females (11%). Critical care had the highest rate of patients with IDCs (42%). Urine cultures were collected in 70 patients with an IDC (43%). Findings indicated similar rates of IDC use in males and females, and there was no significant difference in age between patients with or without an IDC. However, indication for IDC varied by patient age and gender. High rates of urine culture collection may represent routine collection. IDC use is found across genders, all age groups and specialties. Nurses should be aware that any of their patients may have an IDC and be particularly aware of certain indications based on patient age and gender. Routine urine culture collection is not advised, and instead, nurses should be guided by clinical decision-making tools.
Sections du résumé
AIMS AND OBJECTIVES
OBJECTIVE
To identify the point prevalence of indwelling urinary catheters (IDCs) in adult inpatients in acute care hospitals, and to describe the indications for IDC insertion based on patient age, gender, specialty and hospital.
BACKGROUND
BACKGROUND
Catheter-associated urinary tract infections (CAUTIs) are preventable healthcare-associated infections. IDC duration is the strongest predictor of CAUTI, and little is known about characteristics of patients who receive an IDC.
DESIGN
METHODS
Two single-day point prevalence surveys collected baseline patient data as part of a larger pre-post control-intervention study.
METHODS
METHODS
Surveys were conducted at four acute care hospitals in NSW, Australia, for all adult patients. Data collection included IDC presence, insertion details and urine culture collection. Point prevalence data were linked with electronically extracted patient demographic data. This study is presented in line with STROBE checklist (See Supplementary File 1).
RESULT
RESULTS
Data from 1,630 patients were analysed, with 196 patients (12%) identified as having an IDC on the survey dates. IDC prevalence rates were higher in males (13%) than in females (11%). Critical care had the highest rate of patients with IDCs (42%). Urine cultures were collected in 70 patients with an IDC (43%).
CONCLUSIONS
CONCLUSIONS
Findings indicated similar rates of IDC use in males and females, and there was no significant difference in age between patients with or without an IDC. However, indication for IDC varied by patient age and gender. High rates of urine culture collection may represent routine collection.
RELEVANCE TO CLINICAL PRACTICE
CONCLUSIONS
IDC use is found across genders, all age groups and specialties. Nurses should be aware that any of their patients may have an IDC and be particularly aware of certain indications based on patient age and gender. Routine urine culture collection is not advised, and instead, nurses should be guided by clinical decision-making tools.
Types de publication
Journal Article
Multicenter Study
Observational Study
Langues
eng
Pagination
4572-4581Subventions
Organisme : NSW Ministry of Health Translational Research
Informations de copyright
© 2019 John Wiley & Sons Ltd.
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