MP29-12 URINARY CATHETER ALLEVIATION NAVIGATOR PROTOCOL (UCANP): PILOT TO REDUCE URINARY CATHETER REINSERTION IN PATIENTS IN URINARY RETENTION

Abstract

You have accessJournal of UrologyInfections/Inflammation/Cystic Disease of the Genitourinary Tract: Kidney & Bladder II (MP29)1 Sep 2021MP29-12 URINARY CATHETER ALLEVIATION NAVIGATOR PROTOCOL (UCANP): PILOT TO REDUCE URINARY CATHETER REINSERTION IN PATIENTS IN URINARY RETENTION Marcus Jamil, Hallie Wurst, Paula Robinson, Geehan Suleyman, Ilan Rubinfeld, Edward Pollack, and Ali Dabaja Marcus JamilMarcus Jamil More articles by this author , Hallie WurstHallie Wurst More articles by this author , Paula RobinsonPaula Robinson More articles by this author , Geehan SuleymanGeehan Suleyman More articles by this author , Ilan RubinfeldIlan Rubinfeld More articles by this author , Edward PollackEdward Pollack More articles by this author , and Ali DabajaAli Dabaja More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002026.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Hospital acquired urinary tract infections associated with Foley catheters are common worldwide. Given the associated morbidity, mortality, and financial consequences of catheter associated urinary tract infections (CAUTIs), efforts should be made to mitigate the risk. The objective of this study is to describe and report results for a post-catheter removal bladder management protocol (Urinary Catheter Alleviation Navigator Protocol (UCANP)) focused on decreasing catheter reinsertion, catheter days, and overall CAUTI risk. METHODS: This is a quality improvement initiative implemented in four hospital units over a 3-month period at an urban, tertiary health care center. Patients with an indwelling urinary catheter deemed medically eligible for removal were followed and cared for according to the study protocol. The intermittent catheterization pathway was physician initiated and nurse driven. The study cohort was compared to two matched historical cohorts from the same hospital units, managed by previously established practice patterns. Rates of indwelling catheter reinsertion, catheter days (definition per the Center for Disease Control (CDC) National Healthcare Safety Network (NHSN)) and assessment of CAUTI risk were compared between cohorts. RESULTS: A total of 173 patients were eligible for protocol enrollment. The catheter reinsertion rate was 16% during the pilot study, compared to 21% and 27% for the historical cohorts, (p=0.02). The mean number of catheter days during the pilot was 1.4 days, compared to 9.5 and 5.6 days in the historical cohorts (p=0.004). Length of stay (OR 1.12, 95% CI 1.06–1.17 was a statistically significant predictors of catheter reinsertion during the pilot. CONCLUSIONS: This protocol facilitated the management of post-catheter urinary retention and mitigates the use of indwelling urinary catheters. UCANP resulted in a reduction of catheter reinsertion rates and number of catheter days. Expansion of this protocol to a larger patient cohort is required. Source of Funding: none © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e494-e494 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Marcus Jamil More articles by this author Hallie Wurst More articles by this author Paula Robinson More articles by this author Geehan Suleyman More articles by this author Ilan Rubinfeld More articles by this author Edward Pollack More articles by this author Ali Dabaja More articles by this author Expand All Advertisement Loading ...