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

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ClinicalTrials.gov Identifier: NCT00672503
Recruitment Status : Completed
First Posted : May 6, 2008
Last Update Posted : October 12, 2011
Sponsor:
Information provided by (Responsible Party):
Tangela Welch, Children's Mercy Hospital Kansas City

Study Description
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Brief Summary:
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 or disease
Urinary Tract Infections

Study Design
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Study Type : Observational
Actual Enrollment : 321 participants
Observational Model: Case-Control
Time Perspective: Retrospective
Official Title: "Decreasing Catheter-Associated Urinary Tract Infections in the Pediatric Intensive Care Unit
Study Start Date : May 2008
Actual Primary Completion Date : October 2011
Actual Study Completion Date : October 2011

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Groups and Cohorts
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Group/Cohort
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.


Outcome Measures
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Primary Outcome Measures :
  1. Identification of risk factors associated with indwelling urinary catheters. [ Time Frame: 2004-2007 ]

Secondary Outcome Measures :
  1. Identification of nurses' knowledge of insertion, irrigation, care and maintenance of indwelling urinary catheters. [ Time Frame: 2008 ]

Eligibility Criteria
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Ages Eligible for Study:   up to 17 Years   (Child)
Sexes Eligible for Study:   All
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
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00672503


Locations
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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
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Principal Investigator: Tangela M Welch, ADN, BBA Children's Mercy Hospital Kansas City
More Information
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Responsible Party: Tangela Welch, RN, PICU Clinical Research Coordinator, Children's Mercy Hospital Kansas City
ClinicalTrials.gov Identifier: NCT00672503    
Other Study ID Numbers: 08 04-065E
First Posted: May 6, 2008    Key Record Dates
Last Update Posted: October 12, 2011
Last Verified: October 2011
Keywords provided by Tangela Welch, Children's Mercy Hospital Kansas City:
indwelling urinary catheters
urinary tract infections
foley-catheter related infections
hospital acquired CA-UTI
Additional relevant MeSH terms:
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Infection
Communicable Diseases
Urinary Tract Infections
Urologic Diseases