Impact of introducing external urinary devices on reducing indwelling urinary catheter days: A quality improvement initiative at a midwestern academic medical center - 18/09/24

Doi : 10.1016/j.ajic.2024.08.023

Kelly Poch, BSN, RN, MBA, CCRN ^a, Alexandra Trannel, MS ^b, Nicole Wiltfang, BSN, RN ^b, Elizabeth Krigbaum, BSE ^b, Oluchi Abosi, MBchB, MPH, CIC ^b, Takaaki Kobayashi, MD, MPH ^b,^c, Karen Brust, MD ^b,^c,^⁎
^a Department of Nursing, University of Iowa Health Care, Iowa City, IA
^b Quality Improvement Program, University of Iowa Health Care, Iowa City, IA
^c University of Iowa Carver College of Medicine, Iowa City, IA

^⁎Address correspondence to Karen Brust, MD, University of Iowa Carver College of Medicine, Iowa City, IA.University of Iowa Carver College of MedicineIowa CityIA

Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Wednesday 18 September 2024

Résumé

External urinary device (EUD) use and modification of the electronic medical record system with defaulting EUD for selected indications significantly decreased the utilization of indwelling urinary catheters while there was no observed significant reduction in catheter-associated urinary tract infections. The introduction of EUD alone may not decrease catheter-associated urinary tract infections and a comprehensive approach involving various strategies from different perspectives will be necessary, particularly diagnostic stewardship.

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Highlights

•	External urinary devices can be successful in diverting urine in incontinent patients.
•	External urinary devices can help decrease indwelling urinary catheter days.
•	Use of external urinary devices can be more successful in reducing CAUTI if coupled with a diagnostic stewardship program.

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Key Words : Catheter-associated urinary tract infection, External urinary device, Foley, Incontinence