Initial inappropriate urinary catheters use in a tertiary-care center: incidence, risk factors, and outcomes.

摘要: Objectives To evaluate the epidemiology and outcomes for initiation of inappropriate urinary catheterization (IUC) among hospitalized patients. Setting A 450-bed, tertiary-care hospital. Patients All patients admitted to hospital from September 1, 2003 June 12, 2004 with catheter (UC). An independent observer reviewed patient's chart, interviewed patient nursing staff, assessed need UC daily until was removed or discharged. Results One hundred thirty-one (15%) 895 had IUC. The median age 61 (range, 15-92). Medicine (0.52 utilization ratio), surgery (0.24 ratio) ICUs (0.32) most use. Main reasons initial IUC included no clear indication (28%), urine output monitoring (26%), incontinence (18%). Admission medical ICU (adjusted odds ratio [aOR] = 2.3; P 0.001) were independently associated Catheter-associated tract infections (CA-UTI) occurred in 129 (14%). a longer duration (12 vs. 3 days; prolonged length stay (median, 15 5 Conclusion inappropriately used more commonly female, nonambulatory, Careful attention this aspect care may reduce incidence CA-UTI subsequent decreases stay, cost hospitalization, treatment CA-UTI.