Catheter- related infection, phlebitis, and bacteremia are associated with an increased morbidity, mortality, and thereby substantial costs. Urinary tract infections is accountable for 40% of all nosocomial infections in Western world hospitals, and 71-80% of these patients had a urinary catheter. Although the incidence of catheter-associated bloodstream infection by peripheral intravenous catheters is low (0.5 per 1000 catheter days), it is important because peripheral intravenous catheters are
Conditions
Interventions
First we defined a list of appropriate indications for urinary and (peripheral and central) intravenous catheters, which will restrict the use of catheters and urge catheter removal when the indicatio
Sponsors
The Netherlands Organisation for Health Research and Development (ZonMw)
Eligibility
Inclusion criteria
Inclusion criteria: - Age >18 years old - Patient admitted to internal medicine or subspecialties (gastroenterology & hepatology, geriatrics, pulmonology and rheumatology), or nonsurgical patient admitted to acute medical units - Urinary and/or (peripheral and/or central) intravenous catheter
Exclusion criteria
Exclusion criteria: - Patient who had all catheters prior to admission - Patient admitted for elective short stay - Terminally ill patient
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of inappropriate use of urinary and intravenous catheter on the days of data collection. | — |
Secondary
| Measure | Time frame |
|---|---|
| Catheter-related infections or other complications, catheter re-insertion rate, length of hospital (and ICU) stay, mortality, and costs of the de-implementation strategy and the main health care costs. | — |
Contacts
Public ContactBart J Laan
Internal Medicine, Infectious diseases - Academic Medical Center
Outcome results
None listed