How and When Nurses Collect Urine Cultures on Catheterized Patients: A Survey of 5 Hospitals

Jones, Karen; Sibai, Jehad; Bagdasarian, Natasha; Blair, Jerry; Brock-Jones, Joan; Girardot, Jill; Fletcher-Gutowski, Susan; Driest, Theresa; Battjes, Rebecca; Straemans, Karen; Fakih, Mohamad G.

doi:10.1016/j.ajic.2014.03.164

Cited by 2 publications

(5 citation statements)

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“…A high percentage of patients had a urine culture collected (43%), with nearly half of these collected on the day of IDC insertion. Whilst data on catheter specimen of urine (CSU) indication were not collected in the study, it suggests that some urine cultures are being collected routinely on IDC insertion, which has been found in a previous study of nurses' practices (Jones, Sibai, Battjes, & Fakih, ). Routine urine culture collection for IDC insertion is not recommended and leads to a break in the closed catheter system and potentially avoidable antimicrobial treatment (Garcia & Spitzer, ).…”

Section: Discussionmentioning

confidence: 96%

Variations in indwelling urinary catheter use in four Australian acute care hospitals

Giles

Graham

Ball

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To identify the point prevalence of indwelling urinary catheters (IDCs) in adult inpatients in acute care hospitals, and to describe the indications for IDC insertion based on patient age, gender, specialty and hospital. Background Catheter‐associated urinary tract infections (CAUTIs) are preventable healthcare‐associated infections. IDC duration is the strongest predictor of CAUTI, and little is known about characteristics of patients who receive an IDC. Design Two single‐day point prevalence surveys collected baseline patient data as part of a larger pre‐post control‐intervention study. Methods Surveys were conducted at four acute care hospitals in NSW, Australia, for all adult patients. Data collection included IDC presence, insertion details and urine culture collection. Point prevalence data were linked with electronically extracted patient demographic data. This study is presented in line with STROBE checklist (See Supplementary File 1). Result Data from 1,630 patients were analysed, with 196 patients (12%) identified as having an IDC on the survey dates. IDC prevalence rates were higher in males (13%) than in females (11%). Critical care had the highest rate of patients with IDCs (42%). Urine cultures were collected in 70 patients with an IDC (43%). Conclusions Findings indicated similar rates of IDC use in males and females, and there was no significant difference in age between patients with or without an IDC. However, indication for IDC varied by patient age and gender. High rates of urine culture collection may represent routine collection. Relevance to clinical practice IDC use is found across genders, all age groups and specialties. Nurses should be aware that any of their patients may have an IDC and be particularly aware of certain indications based on patient age and gender. Routine urine culture collection is not advised, and instead, nurses should be guided by clinical decision‐making tools.

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Section: Discussionmentioning

confidence: 96%

Variations in indwelling urinary catheter use in four Australian acute care hospitals

Giles

Graham

Ball

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

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“…Ensuring that frontline physicians and nurses are aware of the indications for testing as well as the risks associated with inappropriate testing are good first steps to improving care (Table 1). 7 We suggest a 2-pronged approach to reducing unnecessary urine cultures in catheterized patients. First, we recommend the establishment of an optimized process for obtaining urinalyses and urine cultures.…”

Section: Improving the Culture Of Culturing: Critical Asset To Antimimentioning

confidence: 99%

“…Physicians and nurses should be educated on best practices, and clinical leaders should be role models to their peers. 7 Culturing stewardship needs to be viewed as a necessity by all stakeholders, and the benefits should be relayed in a language that resonates with the different teams.…”

Section: Improving the Culture Of Culturing: Critical Asset To Antimimentioning

confidence: 99%

mentioning

confidence: 99%

“…[3][4][5] We have recently identified 43 Escherichia coli isolates from 29 US hospitals that are pan-β-lactam-susceptible (ie, all cephalosporins, monobactams and carbapenems [PBL-S]) but are resistant to piperacillin-tazobactam (TZP-R), a broadspectrum β-lactamase inhibitor. [6][7][8] In this study, we assessed the accuracy of the aforementioned systems in determining the susceptibility profile of this unique phenotype.…”

mentioning

confidence: 99%

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