Trial Outcomes & Findings for Reduction of Catheter-associated Urinary Tract Infection With a Daily Nursing Review of the Indication (NCT NCT01067768)

NCT ID: NCT01067768

Last Updated: 2019-03-05

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

1209 participants

Primary outcome timeframe

Until 7 days after the withdrawal of the catheter or at discharge (whichever comes first)

Results posted on

2019-03-05

Participant Flow

Adult patients hospitalized with indwelling urinary catheters at a tertiary care, 300-bed, teaching hospital in Colombia- South America, were recruitment between November 2009 and May 2010.

1.325 patients were assessed for eligibility. 143 were excluded (98 urinary infection and 45 spinal cord injury).

Participant milestones

Participant milestones
Measure
Daily Review
In the intervention group a nurse reviewed daily, by using a checklist designed for this study, the indications and pertinence of the catheter. If it was not indicated she asked the doctor to order the removal of the catheter, but the doctor would make the final decision.
Control Group
In the control group, the attending team would remove the catheter as routine, without any suggestion by the research protocol.
Overall Study
STARTED
604
605
Overall Study
COMPLETED
604
605
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Reduction of Catheter-associated Urinary Tract Infection With a Daily Nursing Review of the Indication

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Daily Review
n=604 Participants
In the intervention group a nurse reviewed daily, by using a checklist designed for this study, the indications and pertinence of the catheter. If it was not indicated she asked the doctor to order the removal of the catheter, but the doctor would make the final decision.
Control Group
n=605 Participants
In the control group, the attending team would remove the catheter as routine, without any suggestion by the research protocol.
Total
n=1209 Participants
Total of all reporting groups
Age, Continuous
55 years
n=99 Participants
56 years
n=107 Participants
55.5 years
n=206 Participants
Sex: Female, Male
Female
250 Participants
n=99 Participants
253 Participants
n=107 Participants
503 Participants
n=206 Participants
Sex: Female, Male
Male
354 Participants
n=99 Participants
352 Participants
n=107 Participants
706 Participants
n=206 Participants
Diabetes
Yes
88 participants
n=99 Participants
84 participants
n=107 Participants
172 participants
n=206 Participants
Diabetes
No
516 participants
n=99 Participants
521 participants
n=107 Participants
1037 participants
n=206 Participants
Kidney failure
Yes
104 participants
n=99 Participants
94 participants
n=107 Participants
198 participants
n=206 Participants
Kidney failure
No
500 participants
n=99 Participants
511 participants
n=107 Participants
1011 participants
n=206 Participants
Indication of catheter
Obstruction
28 participants
n=99 Participants
19 participants
n=107 Participants
47 participants
n=206 Participants
Indication of catheter
Incontinence
3 participants
n=99 Participants
0 participants
n=107 Participants
3 participants
n=206 Participants
Indication of catheter
Monitoring
268 participants
n=99 Participants
269 participants
n=107 Participants
537 participants
n=206 Participants
Indication of catheter
Procedures
303 participants
n=99 Participants
316 participants
n=107 Participants
619 participants
n=206 Participants
Indication of catheter
None
2 participants
n=99 Participants
1 participants
n=107 Participants
3 participants
n=206 Participants
Unit placement
Emergency
175 participants
n=99 Participants
167 participants
n=107 Participants
342 participants
n=206 Participants
Unit placement
Critical care
67 participants
n=99 Participants
67 participants
n=107 Participants
134 participants
n=206 Participants
Unit placement
Surgery
271 participants
n=99 Participants
282 participants
n=107 Participants
553 participants
n=206 Participants
Unit placement
General room
34 participants
n=99 Participants
24 participants
n=107 Participants
58 participants
n=206 Participants
Unit placement
Before admission
49 participants
n=99 Participants
49 participants
n=107 Participants
98 participants
n=206 Participants
Unit placement
Another
8 participants
n=99 Participants
16 participants
n=107 Participants
24 participants
n=206 Participants

PRIMARY outcome

Timeframe: Until 7 days after the withdrawal of the catheter or at discharge (whichever comes first)

Population: Analysis by intention to treat

Outcome measures

Outcome measures
Measure
Daily Review
n=604 Participants
Daily monitoring of catheter indication
Control Group
n=605 Participants
In the control group, the attending team would remove the catheter as routine, without any suggestion by the research protocol.
Rate of Catheter-associated Urinary Tract Infection
10 infections per 1000 days
Interval 6.58 to 14.02
12 infections per 1000 days
Interval 8.85 to 16.34

SECONDARY outcome

Timeframe: withdrawal of the catheter

Population: Analysis by intention to treat

The duration of catheterization

Outcome measures

Outcome measures
Measure
Daily Review
n=604 Participants
Daily monitoring of catheter indication
Control Group
n=605 Participants
In the control group, the attending team would remove the catheter as routine, without any suggestion by the research protocol.
Catheter Days
2 Days
Interval 1.0 to 5.0
3 Days
Interval 1.0 to 6.0

Adverse Events

Daily Review

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. María Victoria Restrepo

Hospital Pablo Tobón Uribe

Phone: 57-4-4459315

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place