Appropriate use of indwelling urethra catheters in hospitalized patients: results of a multicentre prevalence studyReportar como inadecuado

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BMC Urology

, 12:25

Epidemiology and health outcomes


BackgroundAlthough indwelling urethra catheterization is a medical intervention with well-defined risks, studies show that approximately 14–38% of the indwelling urethra catheters IUCs are placed without a specific medical indication. In this paper we describe the prevalence of IUCs, including their inappropriate use in the Netherlands. We also determine factors associated with inappropriate use of IUCs in hospitalized patients.

MethodsIn 28 Dutch hospitals, prevalence surveys were performed biannually in 2009 and 2010 within the PREZIES-network. All patients admitted to a participating hospital and who had an IUC in place at the day of the survey were included. Pre-determined criteria were used to categorize the indication for catheterization as appropriate or inappropriate.

ResultsA total of 14,252 patients was included and 3020 21.2% of them had an IUC range hospitals 13.4-27.3. Initial catheter placement was inappropriate in 5.2% of patients and 7.5% patients had an inappropriate indication at the day of the survey. In multivariate analyses inappropriate catheter use at the time of placement was associated with female sex, older age, admission on a non-intensive care ward, and not having had surgery. Inappropriate catheter use at the time of survey showed comparable associated factors.

ConclusionsAlthough lower than in many other countries, inappropriate use of IUC is present in Dutch hospitals. To reduce the inappropriate use of IUCs, recommended components of care bundle for UTI, including daily revision and registration of the indication for catheterization, should be introduced for all patients with an IUC. Additionally, an education and awareness campaign about appropriate indications for IUC should be available.

KeywordsCatheterization Hospitalized patients Inappropriate use Prevalence study Urethra catheters. AbbreviationsIUCsIndwelling Urethra Catheters

CA-UTICatheter-associated Urinary Tract Infection

UTIUrinary Tract Infection

PREZIESPrevention of Nosocomial Infections through Surveillance

IQRInter-Quartile Range

ICPInfection Control Professional

ICUIntensive Care Unit

OROdds Ratio

CIConfidence Interval.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2490-12-25 contains supplementary material, which is available to authorized users.

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Autor: Irálice AV Jansen - Titia EM Hopmans - Jan C Wille - Peterhans J van den Broek - Tjallie II van der Kooi - Birgit HB 


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