Decreasing Catheter-Associated Urinary Tract Infections in the Pediatric Intensive Care Unit

NCT00672503 | Completed

• 1 other identifier: 08 04-065E
• Study Type: observational
• Target: 321
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to identify risk factors associated with indwelling urinary catheters, as well as to assess the nurses' knowledge and adherence to hospital policies. The study will also include a very extensive literature search in an attempt to create a national standard or guideline.

Conditions

Urinary Tract Infections

Keywords

indwelling urinary catheters; urinary tract infections; foley-catheter related infections; hospital acquired CA-UTI

Outcome Measures

Primary Outcomes (1)

• Identification of risk factors associated with indwelling urinary catheters.

  2004-2007

Secondary Outcomes (1)

• Identification of nurses' knowledge of insertion, irrigation, care and maintenance of indwelling urinary catheters.

  2008

Study Arms (4)

1

Patients who acquired a CA-UTI in the PICU between 2004-2007.

2

Patients who did not acquire a CA-UTI while hospitalized in the PICU but had an indwelling urinary catheter between 2004-2007.

A

Nurses currently employed in the PICU at Children's Mercy Hospital.

a

Root Cause Analysis on all patients who acquired a CA-UTI during 2009.

Eligibility Criteria

• Age: 1 Day - 17 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

1. Patients who acquired a CA-UTI while hospitalized in the PICU between 2004-2007. 2. Patients who had an indwelling urinary catheter while hospitalized in the PICU between 2004-2007 but did not acquire a CA-UTI. 3. Nurses currently employed in the PICU at Children's Mercy Hospital. 4. All Patient's who acquired a CA-UTI during 2009

You may qualify if:

• Medical records of 67 patients 0 to 17 years of age diagnosed with a catheter associated urinary tract infection (defined by CDC) acquired during a PICU hospitalization.
• Medical records of 67 patients 0 to 17 years of age who had an indwelling urinary catheter during a PICU hospitalization without a catheter associated urinary tract infection.
• Nurses employed at Children's Mercy Hospital in the PICU.
• Patient's who acquired a CA-UTI during 2009 and was adjudicated by infection control.

You may not qualify if:

• Patients
• Patients with community acquired urinary tract infections
• Patients 18 years and older cared for in the PICU.
• Patients with catheter associated urinary tract infections hospitalized outside the PICU at Children's Mercy Hospital.
• Patients with UTI not related to catheterization
• Nurses
• Nurses floated to the PICU who are not permanent staff members (ICN nurse, float pool staff, travelers)
• Nurses on the research team

Sponsors & Collaborators

• Children's Mercy Hospital Kansas City: lead

Study Sites (1)

Children's Mercy Hospitals and Clinics

Kansas City, Missouri, 64108, United States

Location

MeSH Terms

Conditions

Urinary Tract Infections

Condition Hierarchy (Ancestors)

Infections; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases

Study Officials

• Tangela M Welch, ADN, BBA

  Children's Mercy Hospital Kansas City

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: RN, PICU Clinical Research Coordinator

Study Record Dates

• First Submitted: May 2, 2008
• First Posted: May 6, 2008
• Study Start: May 1, 2008
• Primary Completion: October 1, 2011
• Study Completion: October 1, 2011
• Last Updated: October 12, 2011

Record last verified: 2011-10

Locations

US (1)