The Analysis of Factors Causing Indwelling Urinary Catheter-related Infections in ICU Patients and Their Nursing Strategies

NCT06295627 | Completed

• 1 other identifier: SYSKY-2024-115-01
• Study Type: observational
• Target: 291
• Locations: 1 country
• Sites: 1

Brief Summary

To explore the analysis of factors causing indwelling urinary catheter-related infections in ICU patients and their nursing strategies, and to provide reference for clinical nursing work. 291 patients with indwelling urinary catheters in the second area of ICU of our hospital from January 1, 2023 to September 30, 2023 were selected as research subjects. They were divided into infection group and non-infection group according to the presence or absence of urinary tract infection. Non-infection group The first group consisted of patients without urinary tract infection (278 cases), and the infection group consisted of patients with urinary tract infection (13 cases). A retrospective analysis method was used to analyze the causes of catheter-related urinary tract infection and the infecting bacteria of the two groups of patients. A single factor analysis was performed on various factors and other related factors, and corresponding nursing strategies were summarized and proposed.

Conditions

Catheter-associated Urinary Tract Infection

Keywords

ICU; Catheter-associated; Factors; NursingCountermeasures

Outcome Measures

Primary Outcomes (4)

• How many patients in the infected group and how many patients in the non-infected group had bladder irrigation

  Bladder irrigation is easy to damage the drainage tightness of urinary system and increase the risk of infection. Frequent irrigation is easy to lead to urinary tract infection.SPSS27.0 software was used to analyze and process the bladder irrigation data of the two groups of patients.

  2023.1.1-2023.9.30

• How many patients in the infected group and how many patients in the non-infected group were given enema

  Patients with increased frequency of stool after enema, fecal incontinence or diarrhea are at risk of retrograde infection caused by fecal contamination of the urethral opening.SPSS27.0 software was used to analyze and process the enema data of the two groups of patients.

  2023.1.1-2023.9.30

• How many times the indwelling catheter was changed in patients in the infected group and patients in the non-infected group respectively

  Indwelling catheter can easily lead to urethral mucosa injury, and the urethral mucosa is damaged repeatedly by repeated intubation, and the normal physiological barrier is damaged and the risk of urinary tract infection is increased.SPSS27.0 software was used to analyze and process the data of the number of indwelling catheters in the two groups

  2023.1.1-2023.9.30

• How many patients in the infected group and the non-infected group had co-diabetes

  Urinary tract infection is the most common infection in patients with diabetes, and the high blood sugar state of the body helps bacteria colonize and proliferate.The combined diabetes data of the two groups were analyzed and processed using SPSS27.0 software.

  2023.1.1-2023.9.30

Study Arms (2)

Infected group

The infection group consisted of patients with urinary tract infection (13 cases)

Other: There were no interventions in retrospective analysis

Non-infected group

Non-infection group The first group consisted of patients without urinary tract infection (278 cases)

Other: There were no interventions in retrospective analysis

Interventions

There were no interventions in retrospective analysis OTHER

A retrospective analysis method was used to analyze the causes of catheter-related urinary tract infection and the infecting bacteria of the two groups of patients. A single factor analysis was performed on various factors and other related factors, and corresponding nursing strategies were summarized and proposed.

Infected group; Non-infected group

Eligibility Criteria

• Age: 15 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

291 patients with indwelling urinary catheters in the second area of ICU of our hospital from January 1, 2023 to September 30, 2023 were selected as research subjects.

You may qualify if:

• Age \> 14 years
• Patients with indwelling urinary tube during hospitalization
• Length of stay in ICU \> 48h
• Complete hospitalization data

You may not qualify if:

• Had urinary tract infection before hospitalization
• Indwelling catheter \< 72h
• Severe liver and kidney failure and death within 48 hours of admission

Sponsors & Collaborators

• Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University: lead

Study Sites (1)

Sun Yat-Sen Memorial Hospital

Guangzhou, Guangdong, 510030, China

Location

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 5, 2024
• First Posted: March 6, 2024
• Study Start: January 30, 2023
• Primary Completion: September 30, 2023
• Study Completion: January 15, 2024
• Last Updated: March 6, 2024

Record last verified: 2024-03

Locations

CN (1)