کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5566434 1563449 2017 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Inappropriate urinary catheter reinsertion in hospitalized older patients
ترجمه فارسی عنوان
ورود مجدد کاتتر ادرار نامناسب در بیماران مسن تر بستری شده
کلمات کلیدی
موضوعات مرتبط
علوم زیستی و بیوفناوری ایمنی شناسی و میکروب شناسی میکروب شناسی
چکیده انگلیسی


- Half of all urinary catheter reinsertions were found to be inappropriate among hospitalized older patients.
- Hospitalized older patients with more care needs may become the victims of inappropriate catheter reinsertion.
- Inappropriate catheter reinsertion is significantly associated with adverse outcomes.
- Efforts to improve appropriateness of reinsertion and setting clinical policies for catheterization are necessary.

BackgroundWe investigated the incidence and rationale for inappropriate reinsertion of urinary catheters and elucidated whether reinsertion is an independent predictor of adverse outcomes.MethodsA longitudinal study was adopted. Patients aged ≥65 years with urinary catheters placed within 24 hours of hospitalization were enrolled. Data collection, including demographic variables and health conditions, was conducted within 48 hours after admission. Patients with catheters in place were followed-up every day. If the patient had catheter reinsertion, the reinsertion information was reviewed from medical records. Adverse outcomes were collected at discharge.ResultsA total of 321 patients were enrolled. Urinary catheters were reinserted in 66 patients (20.6%), with 95 reinsertions; 49.5% of catheter reinsertions were found to be inappropriate. “No evident reason for urinary catheter use” was the most common rationale for inappropriate reinsertion. Inappropriate reinsertion was found to be a significant predictor for prolonged length of hospital stay, development of catheter-associated urinary tract infections and catheter-related complications, and decline in activities of daily living.ConclusionsThis study indicates a considerable percentage of inappropriate urinary catheter reinsertions in hospitalized older patients. Inappropriate reinsertion was significantly associated with worsening outcomes. Efforts to improve appropriateness of reinsertion and setting clinical policies for catheterization are necessary to reduce the high rate of inappropriate reinsertion.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: American Journal of Infection Control - Volume 45, Issue 1, 1 January 2017, Pages 8-12
نویسندگان
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