Urinary Tract Infections
Conditions
Keywords
urinary infections, catheters, bacteriuria, trial
Brief summary
Urinary tract infections are the most common type of hospital-acquired infection. The majority of these infections result from the use of indwelling urinary catheters. Often caregivers leave them in unnecessarily. The purpose of this study is to assess the effectiveness of an automatic stop order (automatic removal or urinary catheters when they no longer needed) in reducing urinary infections.
Detailed description
We will randomize patients with urinary catheters to either automatic stop orders or to usual care. The primary outcome will be urinary tract infection. Secondary outcomes will include days of indwelling urinary catheterization, symptomatic urinary tract infection, isolation of antimicrobial-resistant bacteria from catheterized urine, antimicrobial use, bacteremia (blood-stream) infection secondary to urinary tract infection, and cost. We hypothesize that use of the automatic stop order will significantly reduce hospital-acquired urinary tract infection.
Interventions
BEHAVIORALAutomatic stop order
Sponsors
The Physicians' Services Incorporated Foundation
McMaster University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Urinary catheter for less than 48hrs
Exclusion criteria
* Patient with symptomatic urinary tract infection * Latex allergy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Urinary tract infections | — |
Secondary
| Measure | Time frame |
|---|---|
| symptomatic urinary tract infection, | — |
| isolation of antimicrobial-resistant bacteria from catheterized urine, | — |
| days of indwelling urinary catheterization, | — |
| bacteremia (blood-stream) infection secondary to urinary tract infection, | — |
| cost | — |
| antimicrobial use, | — |
Countries
Canada
Outcome results
None listed