Department of Internal Medicine, St Vincent's Medical Center, 2800 Main Street, Bridgeport, CT 06606, USA.
Am J Infect Control. 2010 Nov;38(9):689-93. doi: 10.1016/j.ajic.2010.05.028.
Catheter-associated urinary tract infection (CA-UTI) is the most common health care-associated infection. Instrumentation of the urinary tract, mainly urinary catheterization, is the most important risk factor for CA-UTI. It is believed that proper catheter management can reduce the incidence of CA-UTI.
This was a prospective preintervention and postintervention study conducted to assess the effect of an intervention aimed at preventing CA-UTI. A reminder sticker was placed on each patient's medical record binder to remind the physicians to consider discontinuing any unnecessary urinary catheters.
There was a statistically significant increase in the number of appropriately retained urinary catheters at 3 months (57% vs 73%; P = .007) and 6 months postintervention (57% vs 86%; P < .001). There was also a statistically significant reduction in the rate of CA-UTI after 3 months (7.02 vs 2.08; P < .001) and 6 months postintervention (7.02 vs 2.72; P < .001).
A simple intervention using a sticker placed on patients' medical record binder to remind physicians to remove unnecessary urinary catheters can significantly increase the appropriate utilization of urinary catheters and decrease the rate of CA-UTI in community teaching hospitals.
导管相关性尿路感染（CA-UTI）是最常见的医院获得性感染。尿路器械操作，主要是导尿，是 CA-UTI 的最重要危险因素。人们认为适当的导管管理可以降低 CA-UTI 的发生率。
这是一项前瞻性干预前和干预后研究，旨在评估旨在预防 CA-UTI 的干预措施的效果。在每位患者的病历夹上贴上提醒贴纸，以提醒医生考虑停用任何不必要的导尿管。
在干预后 3 个月（57%比 73%；P =.007）和 6 个月（57%比 86%；P <.001）时，适当保留的导尿管数量有统计学显著增加。在干预后 3 个月（7.02 比 2.08；P <.001）和 6 个月（7.02 比 2.72；P <.001）时，CA-UTI 的发生率也有统计学显著降低。
在患者病历夹上贴上提醒贴纸以提醒医生去除不必要的导尿管，这一简单的干预措施可以显著增加导尿管的适当使用，并降低社区教学医院 CA-UTI 的发生率。
