Decreasing Catheter-Associated Urinary Tract Infections in the Pediatric Intensive Care Unit

This study is enrolling participants by invitation only.

Sponsored by:	Children's Mercy Hospital Kansas City
Information provided by:	Children's Mercy Hospital Kansas City
ClinicalTrials.gov Identifier:	NCT00672503

Purpose

The purpose of this study is to identify risk factors associated with indwelling urinary catheters, as well as to assess the nurses' knowledge and adherence to hospital policies. The study will also include a very extensive literature search in an attempt to create a national standard or guideline.

Condition
Urinary Tract Infections

MedlinePlus related topics: Urinary Tract Infections

U.S. FDA Resources

Study Type:	Observational
Study Design:	Case Control, Retrospective
Official Title:	"Decreasing Catheter-Associated Urinary Tract Infections in the Pediatric Intensive Care Unit

Further study details as provided by Children's Mercy Hospital Kansas City:

Primary Outcome Measures:

Identification of risk factors associated with indwelling urinary catheters. [ Time Frame: 2004-2007 ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:

Identification of nurses' knowledge of insertion, irrigation, care and maintenance of indwelling urinary catheters. [ Time Frame: 2008 ] [ Designated as safety issue: Yes ]

Biospecimen Retention: None Retained

Biospecimen Description:

Estimated Enrollment:	218
Study Start Date:	May 2008

Groups/Cohorts
1 Patients who acquired a CA-UTI in the PICU between 2004-2007.
2 Patients who did not acquire a CA-UTI while hospitalized in the PICU but had an indwelling urinary catheter between 2004-2007.
A Nurses currently employed in the PICU at Children's Mercy Hospital.

Eligibility

Ages Eligible for Study:	up to 17 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	Yes
Sampling Method:	Non-Probability Sample

Study Population

Patients who acquired a CA-UTI while hospitalized in the PICU between 2004-2007.
Patients who had an indwelling urinary catheter while hospitalized in the PICU between 2004-2007 but did not acquire a CA-UTI.
Nurses currently employed in the PICU at Children's Mercy Hospital.

Criteria

Inclusion Criteria:

Medical records of 67 patients 0 to 17 years of age diagnosed with a catheter associated urinary tract infection (defined by CDC) acquired during a PICU hospitalization.
Medical records of 67 patients 0 to 17 years of age who had an indwelling urinary catheter during a PICU hospitalization without a catheter associated urinary tract infection.
Nurses employed at Children's Mercy Hospital in the PICU.

Exclusion Criteria:

Patients

Patients with community acquired urinary tract infections
Patients 18 years and older cared for in the PICU.
Patients with catheter associated urinary tract infections hospitalized outside the PICU at Children's Mercy Hospital.
Patients with UTI not related to catheterization

Nurses

Nurses floated to the PICU who are not permanent staff members (ICN nurse, float pool staff, travelers)
Nurses on the research team

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00672503

Locations

United States, Missouri
Children's Mercy Hospitals and Clinics
Kansas City, Missouri, United States, 64108

Sponsors and Collaborators

Children's Mercy Hospital Kansas City

Investigators

Principal Investigator:

Tangela M Welch, ADN, BBA

Children's Mercy Hospital

More Information

Responsible Party:	Children's Mercy Hospital ( Tangela Welch, RN, CPN, CCRN, PICU clinical research coordinator )
Study ID Numbers:	08 04-065E
Study First Received:	May 2, 2008
Last Updated:	May 5, 2008
ClinicalTrials.gov Identifier:	NCT00672503
Health Authority:	United States: Institutional Review Board

Keywords provided by Children's Mercy Hospital Kansas City:

indwelling urinary catheters
urinary tract infections
foley-catheter related infections
hospital acquired CA-UTI

Study placed in the following topic categories:

Urologic Diseases
Urinary Tract Infections

Additional relevant MeSH terms:

Communicable Diseases
Infection

ClinicalTrials.gov processed this record on January 16, 2009