Indwelling urinary catheter use and adherence to clinical practice guidelines: A point prevalence study in adult hospital inpatients.

IF 0.9 Q4 INFECTIOUS DISEASES

Journal of Infection Prevention Pub Date : 2024-08-07 DOI:10.1177/17571774241270995

Jane Wickins, Claire M Rickard, Karen Kasper, Leanne Morton, Jessica Doellinger, Patricia Thomas-Gabbett, Nicole Marsh

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引用次数: 0

Abstract

Background: Approximately 25% of hospitalised adults require an indwelling urinary catheter (IDC) during their hospital stay. IDCs expose patients to risks of infectious and non-infectious complications.

Aims: To identify IDC prevalence, assess adherence to clinical practice guidelines and patient-reported involvement in IDC care for adult hospital inpatients.

Methods: This point prevalence study was conducted in 22 wards in a single quaternary hospital. Data was collected by clinical and research nurses working in pairs on a single day. Study outcomes were reported descriptively as frequencies and percentages.

Results: Of 502 patients included, 77 (15.3%) had an IDC (median duration 99.6 h). The median age of patients with an IDC was 64 years (interquartile range 22-88 years), 54 (70%) were male and one-quarter (n = 19; 25%) of IDCs were inserted at another hospital. More than half (n = 44; 57%) of the 77 IDCs had no documented removal plan. Three patients were unavailable for review for observed clinical practices, and it was found 43% (n = 32/74) lacked a securement device. Of 77 people with IDCs, there were 44 patient responses, and 27 (61.4%) patients did not know the reason for their catheter.

Discussion: Areas for improvement included securement device use, timely removal plans and patient education for the reason for the device. Regular point prevalence studies to assess use and adherence to clinical practical guidelines can improve safety outcomes for patients requiring IDCs.

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留置导尿管的使用和临床实践指南的遵守情况：成人住院患者的点流行率研究。

背景：约 25% 的住院成人在住院期间需要留置导尿管 (IDC)。IDC使患者面临感染性和非感染性并发症的风险。目的：确定IDC的流行情况，评估临床实践指南的遵守情况以及患者报告的成人住院患者IDC护理参与情况：这项点流行率研究在一家四级医院的 22 个病房进行。数据由临床和研究护士在一天内结对收集。研究结果以频率和百分比进行描述性报告：在纳入的 502 名患者中，77 人（15.3%）患有 IDC（中位数持续时间为 99.6 小时）。IDC患者的中位年龄为64岁（四分位距为22-88岁），54人（70%）为男性，四分之一（n = 19；25%）的IDC是在其他医院植入的。在 77 个 IDC 中，超过半数（n = 44；57%）没有记录移除计划。有三名患者无法接受临床实践观察审查，结果发现 43% 的患者（n = 32/74）没有固定装置。在 77 名使用 IDC 的患者中，有 44 名患者回复，27 名（61.4%）患者不知道使用导管的原因：讨论：需要改进的方面包括固定装置的使用、及时移除计划以及对患者进行有关装置原因的教育。定期进行点流行率研究，评估临床实用指南的使用和遵守情况，可以提高需要使用 IDC 的患者的安全结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Infection Prevention Nursing-Advanced and Specialized Nursing

CiteScore

1.70

自引率

8.30%

发文量

期刊介绍： Journal of Infection Prevention is the professional publication of the Infection Prevention Society. The aim of the journal is to advance the evidence base in infection prevention and control, and to provide a publishing platform for all health professionals interested in this field of practice. Journal of Infection Prevention is a bi-monthly peer-reviewed publication containing a wide range of articles: ·Original primary research studies ·Qualitative and quantitative studies ·Reviews of the evidence on various topics ·Practice development project reports ·Guidelines for practice ·Case studies ·Overviews of infectious diseases and their causative organisms ·Audit and surveillance studies/projects