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CompletedNCT00157625Updated Oct 26, 2018

Automatic Stop Orders for Urinary Catheters

An interventional study of Automatic stop order in Urinary Tract Infections, sponsored by McMaster University. Completed at 3 sites in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-10-26.

Sponsored by McMaster University · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
630
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study 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.

Read the 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.

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Conditions studied

  • Urinary Tract Infections

Keywords

  • urinary infections, catheters, bacteriuria, trial
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In context

Urinary Tract Infections

753 studies on the registry are indexed under Urinary Tract Infections; 128 are open to participants now.

This study's enrollment of 630 is above the median of 130 across 524 interventional studies indexed under Urinary Tract Infections.

Browse Urinary Tract Infections studies →

Lead sponsor

McMaster University is the lead sponsor of 720 studies on the registry; 124 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 2 (33%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Urinary catheter for less than 48hrs

Exclusion criteria

Exclusion Criteria:

  • Patient with symptomatic urinary tract infection
  • Latex allergy
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
630 participants

Interventions

  • BehavioralAutomatic stop order
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What researchers measure

Primary outcomes

  1. Urinary tract infections

Secondary outcomes

  1. days of indwelling urinary catheterization,

  2. symptomatic urinary tract infection,

  3. isolation of antimicrobial-resistant bacteria from catheterized urine,

  4. antimicrobial use,

  5. bacteremia (blood-stream) infection secondary to urinary tract infection,

  6. cost

07

Study locations

3 sites
  • McMaster University Medical Centre
    Hamilton, Ontario L8N 3z5, Canada
  • Henderson Hospital
    Hamilton, Ontario L8V 1C3, Canada
  • Hamilton General Hospital
    Hamilton, Ontario, Canada
08

References and documents

Publications

  • Ellahi A, Stewart F, Kidd EA, Griffiths R, Fernandez R, Omar MI. Strategies for the removal of short-term indwelling urethral catheters in adults. Cochrane Database Syst Rev. 2021 Jun 29;6(6):CD004011. doi: 10.1002/14651858.CD004011.pub4. PubMed 34184246 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 26, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00157625
Lead sponsor
McMaster University
Collaborators
The Physicians' Services Incorporated Foundation
First posted
Sep 12, 2005
Start date
Apr 2003
Completion
Jul 2006
Last update
Oct 26, 2018

Study contacts

Mark B Loeb, MD MSc FRCPC
principal investigator · McMaster University
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2018. You cannot join it, but the record below documents what was studied.

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