Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-28T19:02:47.605Z Has data issue: false hasContentIssue false

Appropriateness of Use of Indwelling Urinary Tract Catheters in Hospitalized Patients in Italy

Published online by Cambridge University Press:  02 January 2015

Gianluca Raffaele
Affiliation:
Chair of Hygiene, Medical School, University of Catanzaro “Magna Græcia, ”Catanzaro, Italy
Aida Bianco
Affiliation:
Chair of Hygiene, Medical School, University of Catanzaro “Magna Græcia, ”Catanzaro, Italy
Maria Aiello
Affiliation:
Chair of Hygiene, Medical School, University of Catanzaro “Magna Græcia, ”Catanzaro, Italy
Maria Pavia*
Affiliation:
Chair of Hygiene, Medical School, University of Catanzaro “Magna Græcia, ”Catanzaro, Italy
*
Chair of Hygiene, Medical School, University of Catanzaro “Magna Græcia, ”Via Tommaso Campanella, 88100 Catanzaro, Italy ([email protected])

Abstract

By reviewing medical records, we evaluated the appropriateness of use of indwelling urinary tract catheters in hospitalized patients in Italy. The inappropriate use of an indwelling urinary tract catheter (in 138 [30%] of 461 patients) was significantly associated with greater age, not having undergone a surgical intervention, a good state of consciousness, presence of chronic comorbidities, duration of catheterization, and ward of admission.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Wong, ES. Guideline for prevention of catheter-associated urinary tract infections. Am J Infect Control 1983;11:2836.CrossRefGoogle ScholarPubMed
2.Kunin, CM. Nosocomial urinary tract infections and the indwelling catheter: what is new and what is true? Chest 2001;120:220224.Google Scholar
3.Stamm, WE. Catheter-associated urinary tract infections: epidemiology, pathogenesis, and prevention. Am J Med 1991;91:65S71S.Google Scholar
4.Saint, S, Lipsky, BA. Preventing catheter-related bacteriuria: should we? Can we? How? Arch Intern Med 1999;159:800808.Google Scholar
5.Bouza, E, San Juan, R, Muñoz, P, Voss, A, Kluytmans, J; Co-operative Group of the European Study Group on Nosocomial Infections. A European perspective on nosocomial urinary tract infections II: report on incidence, clinical characteristics and outcome (ESGNI-004 study). European Study Group on Nosocomial Infection. Clin Microbiol Infect 2001;7:532542.Google Scholar
6.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;22:647649.Google Scholar
7.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;32:196199.Google Scholar
8.Jain, P, Parada, JP, David, A, Smith, LG. Overuse of the indwelling urinary tract catheter in hospitalised medical patients. Arch Intern Med 1995;155:14251429.Google Scholar
9.Hartstein, AI, Garber, SB, Ward, TT, Jones, SR, Morthland, VH. Nosocomial urinary tract infection: a prospective evaluation of 108 catheterized patients. Infect Control 1981;2:380386.Google Scholar
10.Gardam, MA, Amihod, B, Orenstein, P, Consolacion, N, Miller, MA. Overutilization of indwelling urinary catheters and the development of nosocomial tract infections. Clin Perform Qual Health Care 1998;6:99102.Google Scholar