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| Name | Class |
|---|---|
| The Physicians' Services Incorporated Foundation | OTHER |
Urinary tract infections are the most common type of hospital-acquired infection. The majority of these infections result from the use of indwelling urinary catheters. Often caregivers leave them in unnecessarily. The purpose of this study is to assess the effectiveness of an automatic stop order (automatic removal or urinary catheters when they no longer needed) in reducing urinary infections.
We will randomize patients with urinary catheters to either automatic stop orders or to usual care. The primary outcome will be urinary tract infection. Secondary outcomes will include days of indwelling urinary catheterization, symptomatic urinary tract infection, isolation of antimicrobial-resistant bacteria from catheterized urine, antimicrobial use, bacteremia (blood-stream) infection secondary to urinary tract infection, and cost. We hypothesize that use of the automatic stop order will significantly reduce hospital-acquired urinary tract infection.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Automatic stop order | Behavioral |
| Measure | Description | Time Frame |
|---|---|---|
| Urinary tract infections |
| Measure | Description | Time Frame |
|---|---|---|
| days of indwelling urinary catheterization, | ||
| symptomatic urinary tract infection, | ||
| isolation of antimicrobial-resistant bacteria from catheterized urine, |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mark B Loeb, MD MSc FRCPC | McMaster University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| McMaster University Medical Centre | Hamilton | Ontario | L8N 3z5 | Canada | ||
| Henderson Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34184246 | Derived | Ellahi A, Stewart F, Kidd EA, Griffiths R, Fernandez R, Omar MI. Strategies for the removal of short-term indwelling urethral catheters in adults. Cochrane Database Syst Rev. 2021 Jun 29;6(6):CD004011. doi: 10.1002/14651858.CD004011.pub4. |
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| ID | Term |
|---|---|
| D014552 | Urinary Tract Infections |
| D001437 | Bacteriuria |
| ID | Term |
|---|---|
| D007239 | Infections |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| antimicrobial use, |
| bacteremia (blood-stream) infection secondary to urinary tract infection, |
| cost |
| Hamilton |
| Ontario |
| L8V 1C3 |
| Canada |
| Hamilton General Hospital | Hamilton | Ontario | Canada |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |