Use of Urinary Catheter in Hospitalized Patients: Reducing Procedure’s Related Complications
DOI:
https://doi.org/10.24950/O/28/20/3/2020Keywords:
Catheter-Related Infections, Urinary Catheterization, Urinary Tract Infections/etiologyAbstract
Introduction: About 25% of patients would have a urinary catheter (UC) in place at some time during their hospitalization, although there is no formal indication for the procedure in a significative number of cases. We intend to analyze the incidence of inappropriate use of UC in an Internal Medicine Department and to relate to its complications rate.
Methods: This is an observational prospective study that includes the clinical records review of all hospitalized patients in Internal Medicine Department who were submitted to UC during hospital stay, in a 3 months period. Patients with chronic use of urinary catheter and patients who were transferred to another institution were excluded.
Results: In 193 patients with UC, 124 were improperly used in a certain time of the hospital stay, totalizing 1651 days of inappropriate UC. Traumatic hematuria was found in 8% and urinary retention after catheter removal was found in 9% of cases. Catheter associated urinary tract infection was diagnosed in 41 patients (21%) and in 14 of these patients there was no formal reason for UC.
Discussion/Conclusion: The rate of UC (47%) was significantly higher than that found in other similar studies and the time of inappropriate catheterization was overly prolonged. Nosocomial urinary infections are a major concern related to catheterization, as they contribute to mortality and morbidity of this patients. Implementation of rational use of UC protocols is crucial to improve outcomes of hospitalized patients.
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