An interventional study of Daily review in Urinary Tract Infections and Urinary Tract; Accessory, sponsored by Hospital Pablo Tobón Uribe. Completed at 1 site in Colombia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-03-05.
Sponsored by Hospital Pablo Tobón Uribe · Not applicable, Interventional, and Prevention
The purpose of this study is to determine whether the daily nurse review of the indication of the urinary catheter compared to the everyday care of the working staff is effective to reduce the rate of catheter-associated urinary tract infection in adults hospitalized.
Healthcare-associated infection (HAI)in hospitalized patients are very frequent, especially the catheter-associated urinary tract infection, which prolongs the hospital stay and costs, and is about 3 times more likely to die during hospitalization than patients not infected.
The measures of aseptic insertion and closed systems of collection, as well as the rational use of the probe reduce the risk for infection.
A checklist that contains the agreed indications of catheter, related to obstruction, incontinence, skin lesions in sacral region, monitoring or surgical procedures allows the daily review of the indication of the probe. If the patient doesn´t meet at least one of the criteria, should be recommended the withdrawal of the catheter.
803 studies on the registry are indexed under Urinary Tract Infections; 133 are open to participants now.
This study's enrollment of 1,209 is above the median of 131 across 560 interventional studies indexed under Urinary Tract Infections.
Browse Urinary Tract Infections studies →Hospital Pablo Tobón Uribe is the lead sponsor of 7 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
In the intervention group a nurse reviewed daily, by using a checklist designed for this study, the indications and pertinence of the catheter. If it was not indicated she asked the doctor to order the removal of the catheter, but the doctor would make the final decision.
Other: Daily review
In the control group, the attending team would remove the catheter as routine, without any suggestion by the research protocol.
Daily nursing review of the urinary catheter´s indication. If the patient meets at least one of the entries to stay with bladder catheter, the nurse will record collection in the format but will not contact the health team. If there aren´t indication in the medical record, she contacts at the attending physician and said: "Doctor, I didn´t find record in the history of the indication of the urinary catheter, can we withdraw?. If the physician reported the indication, will be recorded in the format without additional comments. The attending physician decides withdraw or no withdraw the urinary catheter
Also known as: Review for indication
Rate of Catheter-associated Urinary Tract Infection
Time frame: Until 7 days after the withdrawal of the catheter or at discharge (whichever comes first)
Catheter Days
The duration of catheterization
Time frame: withdrawal of the catheter
Adult patients hospitalized with indwelling urinary catheters at a tertiary care, 300-bed, teaching hospital in Colombia- South America, were recruitment between November 2009 and May 2010.
| Milestone | Daily Review | Control Group |
|---|---|---|
| Started | 604 | 605 |
| Completed | 604 | 605 |
| Not completed | 0 | 0 |
| infections per 1000 days | Daily Review | Control Group |
|---|---|---|
| Rate of Catheter-associated Urinary Tract Infection | 10 (6.58 to 14.02) | 12 (8.85 to 16.34) |
The duration of catheterization
| Days | Daily Review | Control Group |
|---|---|---|
| Catheter Days | 2 (1 to 5) | 3 (1 to 6) |
Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Daily Review | — | 0/604 (0%) | 0/604 (0%) |
| Control Group | — | 0/605 (0%) | 0/605 (0%) |
| Age, Continuous(years) | Daily Review | Control Group | Total |
|---|---|---|---|
| Median | 55 (38 to 69) | 56 (37 to 69) | 55.5 (37 to 69) |
| Sex: Female, Male(Participants) | Daily Review | Control Group | Total |
|---|---|---|---|
| Female | 250 | 253 | 503 |
| Male | 354 | 352 | 706 |
| Diabetes(participants) | Daily Review | Control Group | Total |
|---|---|---|---|
| Yes | 88 | 84 | 172 |
| No | 516 | 521 | 1037 |
| Kidney failure(participants) | Daily Review | Control Group | Total |
|---|---|---|---|
| Yes | 104 | 94 | 198 |
| No | 500 | 511 | 1011 |
| Indication of catheter(participants) | Daily Review | Control Group | Total |
|---|---|---|---|
| Obstruction | 28 | 19 | 47 |
| Incontinence | 3 | 0 | 3 |
| Monitoring | 268 | 269 | 537 |
| Procedures | 303 | 316 | 619 |
| None | 2 | 1 | 3 |
| Unit placement(participants) | Daily Review | Control Group | Total |
|---|---|---|---|
| Emergency | 175 | 167 | 342 |
| Critical care | 67 | 67 | 134 |
| Surgery | 271 | 282 | 553 |
| General room | 34 | 24 | 58 |
| Before admission | 49 | 49 | 98 |
| Another | 8 | 16 | 24 |
This study is completed, as verified in Feb 2019. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Hospital Pablo Tobón Uribe