Prevention of urinary tract infections in post-stroke patients with urinary catheters Urological and Genital Diseases
Conditions
Interventions
Early removal of urinary catheters to prevent urinary tract infections
The indications for the placement of urinary catheters (UCs) are as follows: (1) patients in critical condition
(2) postoperative monitoring of urine output
(3) specific surgical procedures requiring urinary catheterization (such as thoracic and pelvic surgery)
(4) presence of an open wound around the sacral or perineal area
(5) acute urinary retention
and (6) reaching a consensus among hospice care providers to relieve discomfort through the use of indwelling urinary catheters. The decision to remove UCs was made by nursing-driven circle strategy (
Sponsors
Veterans Affairs Council
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Post-stroke patients in the Neurosurgery Intensive Care Unit
Exclusion criteria
Exclusion criteria: 1. Patients who suffered from spinal diseases 2. History of prostate cancer or benign prostatic hyperplasia (BPH) 3. Participation refused by surgeons
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Successful removal of UCs, determined by the absence of the requirement for another UC to be inserted within 48 hours after the previous UC was removed. The timepoints are May 2014 - April 2016 (control) and May 2016 - August 2018 (testing) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Diabetes mellitus diagnosis based on standardized laboratory tests and patient records when the patients were admitted to hospital. 2. The incidence of catheter-associated urinary tract infections (CAUTIs), calculated according to the guidelines established by the Infectious Diseases Society of America (IDSA) and expressed as the number of CAUTI cases per 1,000 catheter days. The timepoints are May 2014 - April 2016 (control) and May 2016 - August 2018 (testing) | — |
Countries
Taiwan
Outcome results
None listed