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

NCT01067768 | Completed Results

• 1 other identifier: 5100-66592
• Study Type: interventional
• Target: 1,209
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

Urinary Tract Infections; Urinary Tract; Accessory

Keywords

Urinary Tract Infections; Catheter-associated urinary tract infections; Prevention and control; Controlled clinical trial

Outcome Measures

Primary Outcomes (1)

• Rate of Catheter-associated Urinary Tract Infection

  Until 7 days after the withdrawal of the catheter or at discharge (whichever comes first)

Secondary Outcomes (1)

• Catheter Days

  withdrawal of the catheter

Study Arms (2)

Daily review

EXPERIMENTAL

In the intervention group a nurse reviewed daily, by using a checklist designed for this study, the indications and pertinence of the catheter. If it was not indicated she asked the doctor to order the removal of the catheter, but the doctor would make the final decision.

Other: Daily review

Routine care

NO INTERVENTION

In the control group, the attending team would remove the catheter as routine, without any suggestion by the research protocol.

Interventions

Daily review OTHER

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

Also known as: Review for indication

Daily review

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Inpatient with a permanent urinary catheter (balloon catheter)
• Urinary catheter placed in the hospitalization (previous day) or at admission

You may not qualify if:

• Urinary tract infection diagnosis at time of the insertion
• Spinal cord injury or neurogenic bladder at admission

Sponsors & Collaborators

• Hospital Pablo Tobón Uribe: lead

Study Sites (1)

Hospital Pablo Tobon Uribe

Medellín, Antioquia, Colombia

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

Results Point of Contact

• Title: Dr. María Victoria Restrepo
• Organization: Hospital Pablo Tobón Uribe

mrestrepo@hptu.org.co

57-4-4459315

Study Officials

• María V Restrepo, Dr.

  Hospital Pablo Tobón Uribe

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD, MSc

Study Record Dates

• First Submitted: February 10, 2010
• First Posted: February 12, 2010
• Study Start: November 1, 2009
• Primary Completion: September 1, 2010
• Study Completion: September 1, 2010
• Last Updated: March 5, 2019
• Results First Posted: August 4, 2011

Record last verified: 2019-02

Locations

CO (1)