Navigation Links
Hollywood Hospital's Trend-Setting Program to Drastically Cut Infections
Date:3/9/2009

HOLLYWOOD, Calif., March 9 /PRNewswire/ -- A leading cause of infections in hospitals can be dramatically reduced, says a recent study from Hollywood Presbyterian Medical Center (HPMC). The program, cheap and easy to implement, is sparking intrigue among medical experts across California.

HPMC is the first acute care facility to successfully limit its reliance on an invasive technique for collecting patient urine, currently under increased scrutiny for causing deadly infections in hospitals.

The industry standard for draining and measuring urine output from patients requires a thin tube, called a Foley Catheter, to be inserted into the bladder through the urethra.

"The majority of very ill patients are given catheters in the ER and the ICU," explained Dr. Alan F. Rothfeld, who led the six-month study, from January to October 2008, to reduce the incidence of urinary tract infection (UTI) at HPMC's ICU step down units. "It is a long tradition with roots that go back more than a century."

But growing concern over the technique's fatal risks have hospitals reevaluating its benefits. "Foley-related urinary infections are the most common hospital acquired infection with a mortality of 10-35% and additional costs of about $50,000 per episode," Rothfeld said, noting that new incontinence management products now offer cheaper and more effective alternatives.

Plain paper diapers were the prior alternatives. "This was unacceptable to patients and nurses as they were always wet as were the patient and the bed," he said, adding the new super-absorbent diapers, manufactured by Medline Restore, stay dry and hold significantly more urine per day.

"Urine output can be measured with catheters but it can be measured even more accurately by weighing these diapers," Rothfeld said. "Accuracy is important if you need to know a patient's real fluid balance."

According to his findings, catheters are needed in only about half the cases in which they are used. The study observed their use during two three-month periods in two separate units of the hospital with a total 60 beds, averaging 83% occupancy.

The first period introduced no changes, observing only the Catheter-UTI relationship. The second reduced catheter use, promoting the new diapers instead.

Infections during the intervention period fell from an average of 1.06 per 1000 patient days to 0.45. "The reduction in infections was mainly due to the decrease in catheter use rather than other changes in patient care," Rothfeld explained, noting that catheter use during the intervention period fell from 330 to 190 per 1000 patient days.

An anonymous questionnaire conducted at the end of the study revealed the diapers were a welcome alternative among physicians and nurses, "In fact, no patient reported decreased comfort and most of the staff was supportive of this program, indicating it increased overall satisfaction among nursing personnel."

The diapers also cost significantly less. The price of a Foley kit is $14, while one Medline diaper costs 59 cents, or about $6 for an average hospital stay.

Connect: www.hollywoodpresbyterian.com


'/>"/>
SOURCE Hollywood Presbyterian Medical Center
Copyright©2009 PR Newswire.
All rights reserved

Related medicine news :

1. Stars Shine on Butterflies Over Hollywood for Lupus Foundation of America
2. AUDIO from Medialink and P&G: Putting Your Smile in Hollywoods Spotlight
3. Hollywood Presbyterian Medical Center Responds to ACLU Lawsuit
4. LoveFest 6 Taps Hollywood Actress to Headline Annual Abstinence Conference
5. Therapist to Young Hollywood Says Industry Needs to Take More Responsibility for Protecting Stars Mental Health
6. Hollywood Film Teams up With Kids to Eradicate Smoking
7. Psychotherapist to Young Hollywood Says Male Stars in Psychological Trouble Get a Media Pass as Compared to Female Stars
8. West Hollywood: AHF Hosts Grand Opening of HIV/AIDS Pharmacy that Benefits AIDS Patients Worldwide
9. Hollywood On the Hill - A Red Carpet Event on Capitol Hill Raises Awareness for Cervical Cancer Prevention and HPV-Related Technologies
10. AAP Calls for an End to Toxic Tobacco Content in Hollywood Movies
11. Correction: Therapist to Young Hollywood Says Male Stars in Psychological Trouble Get a Media Pass as Compared to Female Stars
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/8/2016)... ... ... who has struggled to quit smoking, a man who has struggled with hair loss – ... his problems – and he did. Now Nabat, a serial entrepreneur featured as the October ... to the world and better people's lives. His own experience with nicotine addiction led to ...
(Date:2/8/2016)... ... 2016 , ... Tingley Rubber Corporation , a leading ... range of unique and advantaged protective solutions to a growing and dynamic ... customer service and marketing support. A new distribution center in Brampton, Ontario will ...
(Date:2/8/2016)... , ... February 08, 2016 , ... ... enrichment program serving the greater Venice, FL area, has initiated a fundraiser for ... a car accident just four days after Christmas. To support this beautiful child ...
(Date:2/8/2016)... ... ... Remember the old saying “rub some dirt on it”? Perhaps you should try ... Clay” the health benefits of integrating clay into a daily diet are numerous, as ... motivational speaker, Perry A~ has since dedicated her life to learning about the benefits ...
(Date:2/8/2016)... ... February 08, 2016 , ... Discover the Rocky Mountain region’s ... booths and 700 companies. Attendees also get to see the most incredible gardens ... & Home Show , at the Colorado Convention Center - 700 14th St. Denver ...
Breaking Medicine News(10 mins):
(Date:2/8/2016)... -- http://www.researchandmarkets.com/research/fqx6nz/global_skin ) has announced ... Equipment Market 2016-2020" report to their offering. ... announced the addition of the "Global Skin ... offering. --> Research and ... of the "Global Skin Protective Equipment Market ...
(Date:2/8/2016)... 8, 2016 In a historic vote among its members this ... a medical cannabis cultivation facility and dispensary on tribal land near ... as a provider for patients in the state,s Medical Cannabis ... as a provider for patients in the state,s Medical Cannabis Program. ... approve the project and pursue designation from the State of ...
(Date:2/8/2016)... 2016  A research team led by St. ... of how the abnormal breakage and rearrangement of chromosomes ... of acute lymphoblastic leukemia (ALL). Such leukemias are cancers ... overproduction of immature cells, called lymphoblasts. ... malfunction underlying the type called "Ph-like ALL" will aid ...
Breaking Medicine Technology: