Decreasing Catheter-Associated Urinary Tract Infections in the Pediatric Intensive Care Unit

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Tangela Welch, Children's Mercy Hospital Kansas City
ClinicalTrials.gov Identifier:
NCT00672503
First received: May 2, 2008
Last updated: October 7, 2011
Last verified: October 2011
  Purpose

The purpose of this study is to identify risk factors associated with indwelling urinary catheters, as well as to assess the nurses' knowledge and adherence to hospital policies. The study will also include a very extensive literature search in an attempt to create a national standard or guideline.


Condition
Urinary Tract Infections

Study Type: Observational
Study Design: Observational Model: Case Control
Time Perspective: Retrospective
Official Title: "Decreasing Catheter-Associated Urinary Tract Infections in the Pediatric Intensive Care Unit

Resource links provided by NLM:


Further study details as provided by Children's Mercy Hospital Kansas City:

Primary Outcome Measures:
  • Identification of risk factors associated with indwelling urinary catheters. [ Time Frame: 2004-2007 ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Identification of nurses' knowledge of insertion, irrigation, care and maintenance of indwelling urinary catheters. [ Time Frame: 2008 ] [ Designated as safety issue: Yes ]

Enrollment: 321
Study Start Date: May 2008
Study Completion Date: October 2011
Primary Completion Date: October 2011 (Final data collection date for primary outcome measure)
Groups/Cohorts
1
Patients who acquired a CA-UTI in the PICU between 2004-2007.
2
Patients who did not acquire a CA-UTI while hospitalized in the PICU but had an indwelling urinary catheter between 2004-2007.
A
Nurses currently employed in the PICU at Children's Mercy Hospital.
a
Root Cause Analysis on all patients who acquired a CA-UTI during 2009.

Detailed Description:

. . . . .

  Eligibility

Ages Eligible for Study:   up to 17 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
  1. Patients who acquired a CA-UTI while hospitalized in the PICU between 2004-2007.
  2. Patients who had an indwelling urinary catheter while hospitalized in the PICU between 2004-2007 but did not acquire a CA-UTI.
  3. Nurses currently employed in the PICU at Children's Mercy Hospital.
  4. All Patient's who acquired a CA-UTI during 2009
Criteria

Inclusion Criteria:

  1. Medical records of 67 patients 0 to 17 years of age diagnosed with a catheter associated urinary tract infection (defined by CDC) acquired during a PICU hospitalization.
  2. Medical records of 67 patients 0 to 17 years of age who had an indwelling urinary catheter during a PICU hospitalization without a catheter associated urinary tract infection.
  3. Nurses employed at Children's Mercy Hospital in the PICU.
  4. Patient's who acquired a CA-UTI during 2009 and was adjudicated by infection control.

Exclusion Criteria:

Patients

  1. Patients with community acquired urinary tract infections
  2. Patients 18 years and older cared for in the PICU.
  3. Patients with catheter associated urinary tract infections hospitalized outside the PICU at Children's Mercy Hospital.
  4. Patients with UTI not related to catheterization

Nurses

  1. Nurses floated to the PICU who are not permanent staff members (ICN nurse, float pool staff, travelers)
  2. Nurses on the research team
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00672503

Locations
United States, Missouri
Children's Mercy Hospitals and Clinics
Kansas City, Missouri, United States, 64108
Sponsors and Collaborators
Children's Mercy Hospital Kansas City
Investigators
Principal Investigator: Tangela M Welch, ADN, BBA Children's Mercy Hospital
  More Information

No publications provided

Responsible Party: Tangela Welch, RN, PICU Clinical Research Coordinator, Children's Mercy Hospital Kansas City
ClinicalTrials.gov Identifier: NCT00672503     History of Changes
Other Study ID Numbers: 08 04-065E
Study First Received: May 2, 2008
Last Updated: October 7, 2011
Health Authority: United States: Institutional Review Board

Keywords provided by Children's Mercy Hospital Kansas City:
indwelling urinary catheters
urinary tract infections
foley-catheter related infections
hospital acquired CA-UTI

Additional relevant MeSH terms:
Urinary Tract Infections
Infection
Urologic Diseases

ClinicalTrials.gov processed this record on September 15, 2014