Overutilization of indwelling urinary catheters and the development of nosocomial urinary tract infections

M A Gardam, B Amihod, P Orenstein, N Consolacion, M A Miller
Clinical Performance and Quality Health Care 1998, 6 (3): 99-102

OBJECTIVE: To assess the impact of the overutilization of indwelling urinary catheters in the emergency department on the development of nosocomial urinary tract infection.

DESIGN: Prospective cohort study.

SETTING: 638-bed tertiary-care hospital.

PATIENTS: 118 consecutive medical and surgical admissions from the emergency department collected over 3 weeks.

INTERVENTION: Catheterized patients were assessed. The completeness of documentation relating to catheter insertion and two outcomes were measured: asymptomatic bacteriuria and urinary tract infection.

RESULTS: 24 (20.3%) had catheters inserted, of whom 12 (50%) were catheterized for justifiable indications. Positive urine cultures were found in 10 of the catheterized patients (42%), 5 of whom fulfilled the definition for catheter-associated urinary tract infection. Three of the five infections occurred in patients for whom catheterization was not justifiable. An order was written for catheter insertion in 62.5% of charts, while the rationale for catheterization was documented in 16.7%.

CONCLUSIONS: Many nosocomial urinary tract infections are due to the inappropriate placement of indwelling urinary catheters in the emergency department. The prevention of these infections should begin with restricting catheterization to those patients for whom it is appropriate.

Full Text Links

Find Full Text Links for this Article


You are not logged in. Sign Up or Log In to join the discussion.

Trending Papers

Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"