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Evaluation of a Urinary Catheter with a Preconnected Closed Drainage Bag

Published online by Cambridge University Press:  08 April 2017

Jane DeGroot-Kosolcharoen ,
Rhonda Guse  and
Jeffrey M. Jones
Jane DeGroot-Kosolcharoen*
Affiliation:
Medical, Nursing, and Research Services, Wm. S. Middleton Memorial VA Hospital, Madison, Wisconsin University of Wisconsin School of Nursing, Madison, Wisconsin Department of Medicine, University of Wisconsin Medical School, Madison, Wisconsin
Rhonda Guse
Affiliation:
Medical, Nursing, and Research Services, Wm. S. Middleton Memorial VA Hospital, Madison, Wisconsin University of Wisconsin School of Nursing, Madison, Wisconsin Department of Medicine, University of Wisconsin Medical School, Madison, Wisconsin
Jeffrey M. Jones
Affiliation:
Medical, Nursing, and Research Services, Wm. S. Middleton Memorial VA Hospital, Madison, Wisconsin University of Wisconsin School of Nursing, Madison, Wisconsin Department of Medicine, University of Wisconsin Medical School, Madison, Wisconsin
*
Wm. S. Middleton Memorial VA Hospital, 2500 Overlook Terrace, Madison, WI 53705
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Abstract

The incidence of hacteriuria, significant urinary tract infection, and cost associated with the use of two urinary catheter drainage systems were evaluated in a population of hospitalized adult males. A commercially available device comprised of a Foley catheter attached with a heat-shrunk plastic seal to the tubing of a closed drainage hag (preconnected system) was compared with a standard system that had the Foley catheter attached to the closed drainage hag after it had been inserted. Using a randomized prospective design, the performance of the preconnected system in 97 patients was compared with that of the standard system in 105 patients. Catheters were left in place a mean of 6.4 and 7.6 days in the respective groups. Bacteriuria occurred after catheter insertion in 11.3% of patients receiving the preconnected system and 13.3% of patients receiving the standard system (not statistically significant). When bacteriuria developed, it occurred within seven days of catheter insertion in 50% of instances, irrespective of drainage system employed, suggesting that manipulations related to catheter insertion were important in initiating bacteriuria. Significant urinary tract infections occurred in only 2% of all patients studied. The higher cost for purchasing the preconnected system was not warranted for the population of patients studied.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 9 , Issue 2 , February 1988 , pp. 72 - 76
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1998

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