The Analysis of Factors Causing Indwelling Urinary Catheter-related Infections in ICU Patients and Their Nursing Strategies

To explore the analysis of factors causing indwelling urinary catheter-related infections in ICU patients and their nursing strategies, and to provide reference for clinical nursing work. 291 patients with indwelling urinary catheters in the second area of ICU of our hospital from January 1, 2023 to September 30, 2023 were selected as research subjects. They were divided into infection group and non-infection group according to the presence or absence of urinary tract infection. Non-infection group The first group consisted of patients without urinary tract infection (278 cases), and the infection group consisted of patients with urinary tract infection (13 cases). A retrospective analysis method was used to analyze the causes of catheter-related urinary tract infection and the infecting bacteria of the two groups of patients. A single factor analysis was performed on various factors and other related factors, and corresponding nursing strategies were summarized and proposed.

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Key information

Conditions

Catheter-Associated Urinary Tract Infection

Age range

15 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Sun Yat-Sen Memorial Hospital

Guangzhou, Guangdong, 510030, China

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Age > 14 years
Patients with indwelling urinary tube during hospitalization
Length of stay in ICU > 48h
Complete hospitalization data

Exclusion criteria

Had urinary tract infection before hospitalization
Indwelling catheter < 72h
Severe liver and kidney failure and death within 48 hours of admission

Treatment and study plan

There were no interventions in retrospective analysis

Other

A retrospective analysis method was used to analyze the causes of catheter-related urinary tract infection and the infecting bacteria of the two groups of patients. A single factor analysis was performed on various factors and other related factors, and corresponding nursing strategies were summarized and proposed.

Primary outcomes

How many patients in the infected group and how many patients in the non-infected group had bladder irrigation

Time frame: 2023.1.1-2023.9.30

Bladder irrigation is easy to damage the drainage tightness of urinary system and increase the risk of infection. Frequent irrigation is easy to lead to urinary tract infection.SPSS27.0 software was used to analyze and process the bladder irrigation data of the two groups of patients.
How many patients in the infected group and how many patients in the non-infected group were given enema

Time frame: 2023.1.1-2023.9.30

Patients with increased frequency of stool after enema, fecal incontinence or diarrhea are at risk of retrograde infection caused by fecal contamination of the urethral opening.SPSS27.0 software was used to analyze and process the enema data of the two groups of patients.
How many times the indwelling catheter was changed in patients in the infected group and patients in the non-infected group respectively

Time frame: 2023.1.1-2023.9.30

Indwelling catheter can easily lead to urethral mucosa injury, and the urethral mucosa is damaged repeatedly by repeated intubation, and the normal physiological barrier is damaged and the risk of urinary tract infection is increased.SPSS27.0 software was used to analyze and process the data of the number of indwelling catheters in the two groups
How many patients in the infected group and the non-infected group had co-diabetes

Time frame: 2023.1.1-2023.9.30

Urinary tract infection is the most common infection in patients with diabetes, and the high blood sugar state of the body helps bacteria colonize and proliferate.The combined diabetes data of the two groups were analyzed and processed using SPSS27.0 software.

Sponsors and collaborators

Lead sponsor

Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University

Other

Registry information

Important dates

Study start: 2023
Primary completion: 2023
Study completion: 2024
First posted: Mar 6, 2024
Registry last updated: Mar 6, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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