Real world utilization of nurse-driven urinary catheter removal protocol in patients with epidural pain catheters
| Autor: | Terrie Beeson, Thomas J Birdas, C. Max Schmidt, Lana Dbeibo, Audrey Glossenger, Michael G. House, Haley Porter, Cole Beeler, Kristen Kelley, Yar Luan Yeap |
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| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
Epidemiology Urinary system Analgesic Foley catheter Pain Urinary Catheters Catheters Indwelling Hospital-acquired infection medicine Humans Infection control In patient skin and connective tissue diseases Device Removal Urinary retention business.industry Health Policy Public Health Environmental and Occupational Health medicine.disease Surgery Epidural catheter Infectious Diseases Urinary Tract Infections medicine.symptom Urinary Catheterization business |
| Zdroj: | American Journal of Infection Control. 50:396-399 |
| ISSN: | 0196-6553 |
| Popis: | Surgeons use indwelling bladder catheters (IBCs) to avoid urinary retention in patients with epidural analgesic catheters. Reduction of IBC-days is associated with improved catheter-associated urinary tract infection rates (CAUTI). This study investigates real world application of a Nurse-Driven Catheter Removal Protocol (NDCRP) to reduce IBC-days in this patient population.Patients with epidural catheters and IBC were targeted for IBC removal on post-operative day 1 (POD1). Patients were followed for application of the NDCRP, catheterization need, IBC re-anchoring, and complications.One hundred and thirty-three patients had IBCs removed on POD1 (Protocol Group) and 50 patients did not (Non-Protocol Group). There was a reduction in IBC-days in the Protocol Group despite incomplete adherence to the NDCRP (1.55 days vs 4.64 days; P.001). Ninety-three patients (70%) were able to spontaneously void after early IBC removal. Fourteen patients (11%) were able to spontaneously void after serial in-and-out catheterization (I/O). No significant difference in re-anchoring was found between the protocol and non-protocol groups (26 vs 4 patients; P = .09).Early removal of IBCs (POD1) in patients with epidural catheters with the assistance of an NDCRP is a safe and successful strategy to reduce IBC-days in the hospital. |
| Databáze: | OpenAIRE |
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