Prevalence of Dependent Loops in Urinary Drainage Systems in Hospitalized Patients

Danek, Gale; Gravenstein, Nikolaus; Lizdas, David; Lampotang, Samsun

doi:10.1097/won.0000000000000137

Cited by 6 publications

(3 citation statements)

References 8 publications

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“…This bundle component was also a factor in a recent study in which 85% of patients with an IUC had a dependent loop in the drainage tubing. 16 According to the results of our quality improvement project and those of other studies, 12,17 engaging multidisciplinary team members and leaders from all levels is vital to the sustained success of CAUTI prevention. We attribute our success in increasing compliance with the bundle element of avoiding dependent tubing loops on real-time training and adding pictures of proper drainage gradients to our nursing procedures.…”

Section: Discussionmentioning

confidence: 91%

Preventing Catheter-Associated Urinary Tract Infections in the Pediatric Intensive Care Unit

Snyder

Priestley

Weiss

et al. 2020

Critical Care Nurse

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Background Catheter-associated urinary tract infections are common health care–associated infections and have been associated with increased mortality, morbidity, length of stay, and cost. Prevention strategies are grouped into bundles focused on reducing unnecessary catheter use and promptly removing urinary catheters. Before intervention in the study institution, no urinary catheters were unnecessarily used and compliance with the catheter-associated urinary tract infection bundle was 84%. Objective To increase bundle compliance by using targeted rounds specifically focused on eliminating dependent loops in drainage tubing and ensuring appropriate catheter use to reduce the incidence of catheter-associated urinary tract infections. Methods A multidisciplinary team was formed to identify misperceptions, highlight best practices, and eliminate barriers to success over 1 year in a single pediatric intensive care unit. The team completed a quality improvement project of daily targeted rounding for patients with an indwelling urinary catheter. The goals were to assess appropriateness of catheterization, increase bundle compliance, and decrease catheter-associated urinary tract infection risk. Targeted rounds were conducted in addition to the medical team rounds. Results Bundle compliance supported by targeted rounding increased from 84% to 93% and helped reduce the overall catheter-associated urinary tract infection rate from 2.7 infections per 1000 catheter-days at baseline to 0. This change was sustained for 1 year. Conclusion Targeted rounding for pediatric patients with an indwelling urinary catheter is an effective and sustainable strategy to reduce catheter-associated urinary tract infections. The ease of implementation for this intervention lends itself to generalizability to other patient populations.

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Section: Discussionmentioning

confidence: 91%

Preventing Catheter-Associated Urinary Tract Infections in the Pediatric Intensive Care Unit

Snyder

Priestley

Weiss

et al. 2020

Critical Care Nurse

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“…It is possible that kinks/twists or dependent loops in the tubing can contribute to CAUTI, but little evidence is available (Danek et al . ).…”

Section: Introductionmentioning

confidence: 97%

Exploring relationships of catheter‐associated urinary tract infection and blockage in people with long‐term indwelling urinary catheters

Wilde

McMahon

Crean

et al. 2017

Journal of Clinical Nursing

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Aims The aims were to describe and explore relationships among catheter problems in long-term indwelling urinary catheter users, including excess health care utilization for treating catheter problems. Background Long-term urinary catheter users experience repeated problems with catheter-related urinary tract infection (CAUTI) and blockage of the device, yet little has been reported of the patterns and relationships among relevant catheter variables. Design Secondary data analysis was conducted from a sample in a randomized clinical trial, using data from the entire sample of 202 persons over 12 months’ participation. Methods Descriptive statistics were used to characterize the sample over time. Zero-inflated negative binomial models were employed for logistic regressions to evaluate predictor variables of the presence/absence and frequencies of CAUTI and blockage. Results CAUTI was marginally associated with catheter blockage. Problems reported at least once per person in the 12 months were: CAUTI 57%, blockage 34%, accidental dislodgment 28%, sediment 87%, leakage (bypassing) 67%, bladder spasms 59%, kinks/twists 42%, and catheter pain 49%. Regression analysis demonstrated that bladder spasms were significantly related to CAUTI and sediment amount, and catheter leakages were marginally significantly and positively related to CAUTI. Frequencies of higher levels of sediment and catheter leakage were significantly associated with higher levels of blockage, and being female was associated with fewer blockages. Persons who need help with eating (more disabled) were also more likely to have blockages. Conclusions CAUTI and blockage appear to be related and both are associated with additional health care expenditures. More research is needed to better understand how to prevent adverse catheter outcomes and patterns of problems in sub-groups. Relevance to clinical practice Nurses can develop care management strategies to identify catheter blockage prior to its occurrence by tracking the amount of sediment and frequency of leakage. Bladder spasms could be an early warning of CAUTI.

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“…Tal estudo também faz menção à indicação do uso da ultrassonografia à beira do leito quando a formação de alças for inevitável, assim como na avaliação do volume de urina retido indesejavelmente em pacientes cateterizados. 27 Na categoria quatro, em relação à sugestão feita quanto à periodicidade na troca da fixação do cateter urinário, não foram encontrados relatos em publicações sobre tal orientação. Entretanto, publicação baseada em evidências traz a necessidade da fixação do cateter no homem, a fim de evitar pressão na uretra e na junção pênis-escroto, além de evitar a formação de fístulas uretrocutâneas.…”

Section: Discussionunclassified

Validation of an Educational Material for Men Using Indwelling Urinary Catheters At Home

Medeiros

Cieto

Garbuio

et al. 2019

Reme Revista Mineira De Enfermagem

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Objetivo: elaborar e validar material educativo escrito e ilustrativo para homens em uso de cateter urinário de demora no ambiente domiciliar. Material e Método: letramento em saúde, educação em saúde, modelos de validação de conteúdo diagnóstico de Enfermagem e Suitability Assessment of Educational Materials (SAM) foram referenciais teóricos e metodológicos utilizados. Resultados e discussão: realizaram-se a validação de conteúdo e aparência do material com base na avaliação de 30 peritos. Quanto ao conteúdo, todas as orientações foram validadas com escore final igual ou superior a 0,80. A aparência foi avaliada positivamente em todos os itens por 89,7% dos peritos. As sugestões contribuíram sobremaneira para melhor qualidade do material. Conclusão: considera-se que a validação de conteúdo e aparência com base nos referenciais utilizados pode contribuir como método de validação de materiais educativos em saúde Palavras-chave: Cateterismo Urinário; Educação em Saúde; Autocuidado. ABSTR ACT Objective: to elaborate and validate a written and illustrative educational material aimed at men using home indwelling urinary catheters. Material and Method: health literacy, health education, nursing content validation models, and the Suitability Assessment of Material (SAM) were the theoretical and methodological references used. Results and discussion: the content and appearance of the material were validated based on the evaluation of 30 experts. Regarding the content, all guidelines were validated with a final score equal to or greater than 0.80. The appearance of the material was evaluated positively in all items by 89.7% of the experts. The suggestions have contributed greatly to increase the quality of the material. Conclusion: it is considered that the validation of content and appearance based on the references used can contribute as a validation method of educational materials in health.

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Prevalence of Dependent Loops in Urinary Drainage Systems in Hospitalized Patients

Cited by 6 publications

References 8 publications

Preventing Catheter-Associated Urinary Tract Infections in the Pediatric Intensive Care Unit

Preventing Catheter-Associated Urinary Tract Infections in the Pediatric Intensive Care Unit

Exploring relationships of catheter‐associated urinary tract infection and blockage in people with long‐term indwelling urinary catheters

Validation of an Educational Material for Men Using Indwelling Urinary Catheters At Home

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