Au Anita G, Shurraw Sabin, Hoang Holly, Wang Sukun, Wang Xiaoming
Division of General Internal Medicine, Department of Medicine, University of Alberta, Edmonton, AB, Canada.
Department of Medicine, Grey Nuns Hospital, Edmonton, AB, Canada.
J Infect Prev. 2020 Nov;21(6):221-227. doi: 10.1177/1757177420939242. Epub 2020 Jul 20.
Urinary tract infections (UTI) are one of the most common hospital-acquired infections with 80% as a result of urinary catheterisation.
AIM/OBJECTIVE: This study examined the impact of a simple intervention consisting of a daily chart reminder in patients with indwelling urinary catheters (IUC) on the duration of catheter use and the incidence of catheter-associated UTIs (CAUTIs).
The trial used a prospective pretest-post-test design with a control group over a six-month period conducted on two medical units of a community teaching hospital. We included all patients admitted to two medical units between 1 June and 30 November 2016 who had an IUC inserted at the study site. During the intervention phase, a sticker was placed in the charts of patients with urinary catheters reminding physicians to assess for catheter removal if not clinically necessary.
A total of 195 patients participated in this study (112 control unit, 83 intervention unit). There was a decrease in the duration of IUC use on the intervention unit from 11.7 days to 7.5 days ( = 0.0028). There was a decrease in repeated catheterisation from 11.1% to 2.1% ( = 0.0882), and CAUTIs from 17.5% to 4.6% ( = 0.0552) but this did not reach statistical significance.
The implementation of a daily IUC reminder sticker in patient charts was associated with a significant reduction in the mean duration of indwelling catheter use with a trend towards a reduction in the frequency of repeated urinary catheterisation and rate of CAUTIs.
尿路感染（UTI）是最常见的医院获得性感染之一，80%是由导尿引起的。
本研究探讨了一种简单干预措施的影响，该措施包括为留置导尿管（IUC）的患者设置每日图表提醒，对导尿管使用时间和导尿管相关尿路感染（CAUTIs）的发生率的影响。
该试验采用前瞻性前后测试设计，在社区教学医院的两个医疗科室进行了为期六个月的对照组研究。我们纳入了2016年6月1日至11月30日期间入住两个医疗科室且在研究地点插入IUC的所有患者。在干预阶段，在导尿管患者的图表中贴上贴纸，提醒医生在无临床必要时评估是否拔除导尿管。
共有195名患者参与了本研究（112名在对照组科室，83名在干预组科室）。干预组的IUC使用时间从11.7天降至7.5天（P = 0.0028）。重复导尿率从11.1%降至2.1%（P = 0.0882），CAUTIs从17.5%降至4.6%（P = 0.0552），但未达到统计学显著性。
在患者图表中实施每日IUC提醒贴纸与留置导尿管平均使用时间的显著减少相关，且重复导尿频率和CAUTIs发生率有下降趋势。
