Addressing CAUTIs with an external female catheter Journal Article
| Authors: | Tran, C.; Rodrigue, D.; Jones, T.; Bell, N. |
| Article Title: | Addressing CAUTIs with an external female catheter |
| Abstract: | Background: Catheter-associated urinary tract infections (CAUTIs) can lead to complications that prolong hospital stays and result in patient discomfort as well as increased health care costs and mortality. At our academic medical center in New York City, in 2016–17, 21 of 87 CAUTI cases (24%) were in bedbound female patients in whom indwelling catheters were used for incontinence. Although condom catheters were available as an alternative to indwelling urinary catheters for male patients, there was a lack of effective products for female patients. Methods: A team of clinical nurse specialists (CNSs) conducted a literature search, reviewed internal data on CAUTI rates and catheter use, and searched for available catheter alternatives that would meet the needs of bedbound female patients. The team identified two different external female urinary catheters and piloted both with a focus on efficacy as well as stakeholder satisfaction. Results: In 2019–20, external female catheters were used in 1,195 unique patients. Approximately 90% of external female catheter use was to avoid using an indwelling urinary catheter. With a cost avoidance of $13,786 per patient, $16,473,912 in costs to the organization were avoided. CAUTI rates in bedbound female patients decreased after implementation of the external female catheters. Conclusion: This initiative demonstrates that external female urinary catheters can be used at other hospitals to decrease indwelling urinary catheter use and CAUTI rates in bedbound female patients. © 2023 Lippincott Williams and Wilkins. All rights reserved. |
| Keywords: | risk factors; risk factor; urinary tract infection; catheter infection; catheter-related infections; cross infection; catheters, indwelling; adverse event; complication; urinary tract infections; bladder catheterization; indwelling catheter; urinary catheterization; humans; human; male; female; adverse device effect; catheter-associated urinary tract infection; bedbound; external female catheter; external female urinary catheter; external urinary catheter; incontinent |
| Journal Title: | American Journal of Nursing |
| Volume: | 123 |
| Issue: | 1 |
| ISSN: | 0002-936X |
| Publisher: | Lippincott Williams & Wilkins |
| Date Published: | 2023-01-01 |
| Start Page: | 50 |
| End Page: | 55 |
| Language: | English |
| DOI: | 10.1097/01.NAJ.0000911540.75111.b4 |
| PUBMED: | 36546390 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Article -- Export Date: 1 February 2023 -- Source: Scopus |
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