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Catheter chaos: Hospitals lag in preventing common infection
Date:1/2/2008

catheter teams to focus on preventing infections.

The survey also collected information about a hospitals location, nurse staffing levels, availability of a hospital epidemiologist and hospitalist physicians who practice solely in the hospital, teaching hospital status, participation in a broader infection-prevention collaborative effort, and overall safety culture.

The surveys were completed by infection control specialists or hospital epidemiologists, and the response rate was excellent 70 percent for non-VA hospitals and 80 percent for VA hospitals.

In all, the researchers found, less than a third of hospitals used either of the two most common tactics: bladder scanners and antimicrobial catheters. VA hospitals were more likely than non-VA hospitals to use bladder scanners, condom catheters and suprapubic catheters, but less likely to use the antimicrobial catheters, which cost about $5 more apiece than regular catheters.

The authors note that the VA hospitals were no more likely than non-VA hospitals to use a reminder system to prompt doctors to remove or maintain a patients catheter despite the fact that the VA system uses a standard computerized medical-order entry system in all its hospitals, which makes such reminders easier to implement than at hospitals without computerized order-entry.

Interestingly, hospitals that were participating in a collaborative effort to reduce hospital-acquired infections were no more likely to use any of the UTI-preventions strategies than the other hospitals in the study. This finding, the authors say, may be attributed to the fact that at the time they sent the survey out in 2005, UTIs were not a major focus of such collaboratives, which tended to start with bloodstream infections and central venous catheters as a target for infection prevention. But today, efforts such as the Keystone Center for Patient Safety & Quality Initiative in Michigan are including UTI prevention in t
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Contact: Kara Gavin
kegavin@umich.edu
734-764-2220
University of Michigan Health System  
Source:Eurekalert

Page: 1 2 3 4

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