Zavodnick Jillian, Harley Caitlin, Zabriskie Kelly, Brahmbhatt Yasmin
Department of Internal Medicine, Thomas Jefferson University, Philadelphia, USA.
Department of Nursing, Thomas Jefferson University, Philadelphia, USA.
Cureus. 2020 Oct 23;12(10):e11113. doi: 10.7759/cureus.11113.
Background Catheter-associated urinary tract infections (CAUTIs) can be fatal, and are a source of avoidable expense for patients and hospitals. Prolonged catheterization increases infection risk, and avoiding catheters is crucial for infection prevention. Male external urinary catheters are recommended as a tool to prevent the need for indwelling catheterization. Female external urinary catheters (FEUCs) have intermittently been marketed without wide adoption; one has recently become available but published data is limited. Objective This retrospective observational study was conducted to investigate the effect of FEUCs on indwelling catheter use and female CAUTIs. Methods FEUCs were introduced to intensive care units. CAUTI rates and indwelling catheter days were obtained before and after the introduction of the devices. Results CAUTI rates decreased from 3.14 per 1000 catheter days to 1.42 per 1000 catheter days (p=0.013). Female indwelling catheter days decreased, while overall intensive care patient days increased. Conclusions Introduction of a FEUC was associated with a statistically significant decrease in CAUTI rate among female intensive care patients. The FEUC may prevent the need for indwelling catheters in some situations.
导尿管相关尿路感染（CAUTIs）可能致命，并且是患者和医院可避免费用的一个来源。长时间留置导尿管会增加感染风险，避免使用导尿管对于预防感染至关重要。男性外部导尿管被推荐作为一种避免留置导尿需求的工具。女性外部导尿管（FEUCs）曾间歇性地投放市场，但未被广泛采用；最近有一种产品上市，但相关的已发表数据有限。目的：本回顾性观察研究旨在调查女性外部导尿管对留置导尿管使用及女性CAUTIs的影响。方法：将女性外部导尿管引入重症监护病房。获取引入该装置前后的CAUTI发生率和留置导尿管天数。结果：CAUTI发生率从每1000导尿管日3.14例降至每1000导尿管日1.42例（p = 0.013）。女性留置导尿管天数减少，而重症监护患者总天数增加。结论：在女性重症监护患者中，引入女性外部导尿管与CAUTI发生率在统计学上显著降低相关。在某些情况下，女性外部导尿管可能避免留置导尿管的需求。
