All Hospitalized Patients, With and Without Catheter
Conditions
Brief summary
The investigators will conduct a cluster randomized controlled trial to evaluate the efficacy of Catheter Reminder and Evaluation program (CARE) in reducing the duration of catheter use and the number of infection relating to catheter use.
Interventions
PROCEDURECatheter Reminder and Evaluation Program
This intervention will be implemented by ward nurses and responsible physicians. The details of intervention are shown below. 1. Nurse: Every morning, a ward nurse will check if any patient has a urinary catheter or a central venous catheter in place. An order sheet will be marked with a CARE-rubber stamp and the following information will be added by hand-writing. * Type and duration of urinary catheter use. * Indication of urinary catheter \_\_\_\_\_\_\_\_\_ * Type and duration of central venous catheter use * Indication of urinary catheter \_\_\_\_\_\_\_\_\_ 2. Responsible physician: During a morning round, a physician needs to fill the indication of catheter use. If a given physician does not fill the indication of urinary catheter use, the catheter will be automatically removed. If a given physician does not fill the indication of central venous catheter, the CARE team will be notified.
Sponsors
Siriraj Hospital
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
15 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All hospitalized adults in 6 general medical wards at Siriraj Hospital * With or Without catheter
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Urinary catheter day | participants will be followed for the duration of hospital stay, an expected average of 3 weeks | Total duration of urinary catheter use (day) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| CA-UTI | participants will be followed for the duration of hospital stay, an expected average of 3 weeks | Number of catheter-associated urinary tract infection episode |
Countries
Thailand
Outcome results
None listed