Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Elderly women at higher risk for unnecessary urinary catheterization

02.11.2010
Elderly women are at high risk for inappropriate urinary catheter utilization in emergency departments, according to a new study in the November issue of the American Journal of Infection Control, the official publication of the Association for Professionals in Infection Control and Epidemiology (APIC).

The study was conducted at St John Hospital and Medical Center, a 769-bed tertiary care teaching hospital in Detroit, Mich. The authors examined 532 instances in which urinary catheters were placed in emergency room patients over a 12-week study period.

After reviewing whether the catheter's placement conformed to established guidelines, the authors determined that half of the female patients 80 years or older who were subjected to urinary tract catheterization did not meet institutional guidelines. Women were 1.9 times more likely than men, and the very elderly (greater than 80 years) were 2.9 times more likely than those 50 years and younger, to have a urinary catheter inappropriately placed.

"We found that it was twice as likely for women to have a non-indicated UC [urinary catheter] placement compared to men," the authors conclude. "Our results confirm what has been reported in previous studies, and underscore the significant risk of the very elderly (80 years or older) for inappropriate UC utilization."

The study's findings point to an area of concern among healthcare professionals tackling preventable hospital infections. Urinary tract catheterization is a major risk factor for developing urinary tract infections. The researchers note that at present, urinary tract infections account for more than one-third of all hospital-acquired infections. If urinary catheters are inappropriately placed at high rate in very elderly women, this vulnerable group of patients is at increased risk for developing an infection, according to the investigators.

"The inappropriate UC [urinary catheter] utilization has been a ubiquitous problem in the hospital setting," say the study's authors. "This translates to additional preventable or avoidable urinary tract infections and other complications related to UCs."

The federal government's Centers for Medicare & Medicaid Services considers catheter-associated urinary tract infections to be reasonably preventable through application of evidence-based best practices and as such no longer reimburses for these hospital-acquired infections. The authors noted that the majority of U.S. hospitals do not have formal systems to monitor urinary catheter utilization.

"Because more than half of hospital admissions come through the ED [emergency department], it is important that the ED be seen as the focus for efforts to reduce unnecessary UC utilization," say the authors.

The study was conducted by a multidisciplinary team from St John Hospital and Medical Center and Wayne State University School of Medicine. The study's authors include: Mohamad G. Fakih, MD, MPH; Stephen P. Shemes, BS; Margarita E. Pena, MD; Nicholas Dyc, MD; Janice E. Rey, MT (ASCP); Susan M. Szpunar, PhD, and Louis D. Saravolatz, MD.

(AJIC 2010; 38[9])

Liz Garman | EurekAlert!
Further information:
http://www.apic.org
http://www.eu.elsevierhealth.com/eu/?sgCountry=DE

More articles from Studies and Analyses:

nachricht New model connects respiratory droplet physics with spread of Covid-19
21.07.2020 | University of California - San Diego

nachricht Risk of infection with COVID-19 from singing: First results of aerosol study with the Bavarian Radio Chorus
03.07.2020 | Klinikum der Universität München

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: ScanCut project completed: laser cutting enables more intricate plug connector designs

Scientists at the Fraunhofer Institute for Laser Technology ILT have come up with a striking new addition to contact stamping technologies in the ERDF research project ScanCut. In collaboration with industry partners from North Rhine-Westphalia, the Aachen-based team of researchers developed a hybrid manufacturing process for the laser cutting of thin-walled metal strips. This new process makes it possible to fabricate even the tiniest details of contact parts in an eco-friendly, high-precision and efficient manner.

Plug connectors are tiny and, at first glance, unremarkable – yet modern vehicles would be unable to function without them. Several thousand plug connectors...

Im Focus: New Strategy Against Osteoporosis

An international research team has found a new approach that may be able to reduce bone loss in osteoporosis and maintain bone health.

Osteoporosis is the most common age-related bone disease which affects hundreds of millions of individuals worldwide. It is estimated that one in three women...

Im Focus: AI & single-cell genomics

New software predicts cell fate

Traditional single-cell sequencing methods help to reveal insights about cellular differences and functions - but they do this with static snapshots only...

Im Focus: TU Graz Researchers synthesize nanoparticles tailored for special applications

“Core-shell” clusters pave the way for new efficient nanomaterials that make catalysts, magnetic and laser sensors or measuring devices for detecting electromagnetic radiation more efficient.

Whether in innovative high-tech materials, more powerful computer chips, pharmaceuticals or in the field of renewable energies, nanoparticles – smallest...

Im Focus: Tailored light inspired by nature

An international research team with Prof. Cornelia Denz from the Institute of Applied Physics at the University of Münster develop for the first time light fields using caustics that do not change during propagation. With the new method, the physicists cleverly exploit light structures that can be seen in rainbows or when light is transmitted through drinking glasses.

Modern applications as high resolution microsopy or micro- or nanoscale material processing require customized laser beams that do not change during...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

“Conference on Laser Polishing – LaP 2020”: The final touches for surfaces

23.07.2020 | Event News

Conference radar for cybersecurity

21.07.2020 | Event News

Contact Tracing Apps against COVID-19: German National Academy Leopoldina hosts international virtual panel discussion

07.07.2020 | Event News

 
Latest News

Rare Earth Elements in Norwegian Fjords?

06.08.2020 | Earth Sciences

Anode material for safe batteries with a long cycle life

06.08.2020 | Power and Electrical Engineering

Turning carbon dioxide into liquid fuel

06.08.2020 | Life Sciences

VideoLinks
Science & Research
Overview of more VideoLinks >>>