Appropriate use of indwelling urethra catheters in hospitalized patients: results of a multicentre prevalence study

BMC Urology

Research Article

Jan C Wille¹  Birgit HB van Benthem¹  Titia EM Hopmans¹  Irálice AV Jansen¹  Tjallie II van der Kooi¹  Peterhans J van den Broek² 

[1] Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), PO box 1 (postbak 75), 3720 BA, Bilthoven, The Netherlands;Department of Infectious Diseases, Leiden University Medical Centre, Leiden, The Netherlands;

关键词: Catheterization;    Hospitalized patients;    Inappropriate use;    Prevalence study;    Urethra catheters.;   

DOI  :  10.1186/1471-2490-12-25

 received in 2012-01-18, accepted in 2012-09-03,  发布年份 2012

来源: Springer

【 摘 要 】

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.

【 授权许可】

Unknown   
© Jansen et al.; licensee BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License(http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.