Hostname: page-component-77c89778f8-m8s7h Total loading time: 0 Render date: 2024-07-17T10:21:52.570Z Has data issue: false hasContentIssue false
  • English
  • Français

Urinary Catheter Indications in the United States: Results from a National Survey of Acute Care Hospitals

Published online by Cambridge University Press:  10 May 2016

M. Todd Greene ,
Hiroko Kiyoshi-Teo ,
Heidi Reichert ,
Sarah Krein  and
Sanjay Saint
M. Todd Greene*
Affiliation:
Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan Veterans Affairs/University of Michigan Patient Safety Enhancement Program, Ann Arbor, Michigan
Hiroko Kiyoshi-Teo
Affiliation:
School of Nursing, Oregon Health Sciences University, Portland, Oregon
Heidi Reichert
Affiliation:
Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan Veterans Affairs/University of Michigan Patient Safety Enhancement Program, Ann Arbor, Michigan
Sarah Krein
Affiliation:
Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan Veterans Affairs/University of Michigan Patient Safety Enhancement Program, Ann Arbor, Michigan Veterans Affairs Ann Arbor Healthcare System and the Hospital Outcomes Program of Excellence, Department of Veterans Affairs, Ann Arbor, Michigan
Sanjay Saint
Affiliation:
Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan Veterans Affairs/University of Michigan Patient Safety Enhancement Program, Ann Arbor, Michigan Veterans Affairs Ann Arbor Healthcare System and the Hospital Outcomes Program of Excellence, Department of Veterans Affairs, Ann Arbor, Michigan
*
a.Address correspondence to M. Todd Greene, PhD, MPH, University of Michigan Medical School, 2800 Plymouth Road, Building 16, Ann Arbor, MI 48109-2800 (mtgreene@med.umich.edu).
Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

In a survey of acute care hospitals across the United States, we found that many hospitals use indwelling urinary catheters for reasons that are not medically necessary (eg, urinary incontinence without outlet obstruction and patient/family requests). Our findings highlight an opportunity to reduce unnecessary catheter use through promoting awareness of appropriate use.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 35 , Issue S3: Preventing Healthcare–Associated Infections: Results and Lessons Learned from AHRQ's HAI Program , October 2014 , pp. S96 - S98
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2014

References

1. Gokula, RR, Hickner, JA, Smith, MA. Inappropriate use of urinary catheters in elderly patients at a midwestern community teaching hospital. Am J Infect Control 2004;32(4):196–199.Google Scholar
2. Gould, CV, Umscheid, CA, Agarwal, RK, Kuntz, G, Pegues, DA; Healthcare Infection Control Practices Advisory Committee. Guideline for prevention of catheter-associated urinary tract infections 2009. Infect Control Hosp Epidemiol 2010;31(4):319–326.Google Scholar
3. Gardam, MA, Amihod, B, Orenstein, P, Consolacion, N, Miller, MA. Overutilization of indwelling urinary catheters and the development of nosocomial urinary tract infections. Clin Perform Qual Health Care 1998;6(3):99–102.Google Scholar
4. Jain, P, Parada, JP, David, A, Smith, LG. Overuse of the indwelling urinary tract catheter in hospitalized medical patients. Arch Intern Med 1995;155(13):1425–1429.Google Scholar
5. Munasinghe, RL, Yazdani, H, Siddique, M, Hafeez, W. Appropriateness of use of indwelling urinary catheters in patients admitted to the medical service. Infect Control Hosp Epidemiol 2001;22(10):647–649.Google Scholar
6. Hollingsworth, JM, Rogers, MA, Krein, SL, et al. Determining the noninfectious complications of indwelling urethral catheters: a systematic review and meta-analysis. Ann Intern Med 2013; 159(6):401–410.Google Scholar
7. Saint, S, Kowalski, CP, Kaufman, SR, et al. Preventing hospital-acquired urinary tract infection in the United States: a national study. Clin Infect Dis 2008;46(2):243–250.Google Scholar
8. Krein, SL, Hofer, TP, Kowalski, CP, et al. Use of central venous catheter-related bloodstream infection prevention practices by US hospitals. Mayo Clin Proc 2007;82(6):672–678.Google Scholar
9. Fakih, MG, George, C, Edson, BS, Goeschel, CA, Saint, S. Implementing a national program to reduce catheter-associated urinary tract infection: a quality improvement collaboration of state hospital associations, academic medical centers, professional societies, and governmental agencies. Infect Control Hosp Epidemiol 2013;34(10):1048–1054.Google Scholar
10. Greene, MT, Fakih, MG, Fowler, K, et al. Regional variation in urinary catheter use and catheter-associated urinary tract infection: results from a national collaborative. Infect Control Hosp Epidemiol 2014;35(suppl 3):S99–S106 (in this issue).Google Scholar
11. Markland, AD, Richter, HE, Fwu, CW, Eggers, P, Kusek, JW. Prevalence and trends of urinary incontinence in adults in the United States, 2001 to 2008. J Urol 2011;186(2):589–593.Google Scholar
12. Krein, SL, Kowalski, CP, Harrod, M, Forman, J, Saint, S. Barriers to reducing urinary catheter use: a qualitative assessment of a statewide initiative. JAMA Intern Med 2013:1–6.Google Scholar