Reduction of Catheter-associated Urinary Tract Infection With a Daily Nursing Review of the Indication
NCT ID: NCT01067768
Last Updated: 2019-03-05
Study Results
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View full resultsBasic Information
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COMPLETED
NA
1209 participants
INTERVENTIONAL
2009-11-30
2010-09-30
Brief Summary
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Detailed Description
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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.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
QUADRUPLE
Study Groups
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Daily review
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.
Daily review
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
Routine care
In the control group, the attending team would remove the catheter as routine, without any suggestion by the research protocol.
No interventions assigned to this group
Interventions
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Daily review
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
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Urinary catheter placed in the hospitalization (previous day) or at admission
Exclusion Criteria
* Spinal cord injury or neurogenic bladder at admission
18 Years
ALL
No
Sponsors
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Hospital Pablo Tobón Uribe
OTHER
Responsible Party
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Maria Victoria Restrepo
MD, MSc
Principal Investigators
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María V Restrepo, Dr.
Role: PRINCIPAL_INVESTIGATOR
Hospital Pablo Tobón Uribe
Locations
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Hospital Pablo Tobon Uribe
Medellín, Antioquia, Colombia
Countries
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Other Identifiers
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5100-66592
Identifier Type: -
Identifier Source: org_study_id
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