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Automatic Stop Orders for Urinary Catheters

This study has been completed.
Sponsor:
Collaborator:
The Physicians' Services Incorporated Foundation
Information provided by:
McMaster University
ClinicalTrials.gov Identifier:
NCT00157625
First received: September 7, 2005
Last updated: September 11, 2006
Last verified: September 2006
History of Changes
  Purpose

Urinary tract infections are the most common type of hospital-acquired infection. The majority of these infections result from the use of indwelling urinary catheters. Often caregivers leave them in unnecessarily. The purpose of this study is to assess the effectiveness of an automatic stop order (automatic removal or urinary catheters when they no longer needed) in reducing urinary infections.


Condition Intervention
Urinary Tract Infections
 Behavioral: Automatic stop order

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: A Randomized Controlled Trial of Automatic Stop Orders for Urinary Catheterization in Hospitalized Patients

Resource links provided by NLM:

U.S. FDA Resources

Further study details as provided by McMaster University:

Primary Outcome Measures:
  • Urinary tract infections

Secondary Outcome Measures:
  • days of indwelling urinary catheterization,
  • symptomatic urinary tract infection,
  • isolation of antimicrobial-resistant bacteria from catheterized urine,
  • antimicrobial use,
  • bacteremia (blood-stream) infection secondary to urinary tract infection,
  • cost

Estimated Enrollment: 630
Study Start Date: April 2003
Estimated Study Completion Date: July 2006
Detailed Description:

We will randomize patients with urinary catheters to either automatic stop orders or to usual care. The primary outcome will be urinary tract infection. Secondary outcomes will include days of indwelling urinary catheterization, symptomatic urinary tract infection, isolation of antimicrobial-resistant bacteria from catheterized urine, antimicrobial use, bacteremia (blood-stream) infection secondary to urinary tract infection, and cost. We hypothesize that use of the automatic stop order will significantly reduce hospital-acquired urinary tract infection.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Urinary catheter for less than 48hrs

Exclusion Criteria:

  • Patient with symptomatic urinary tract infection
  • Latex allergy
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00157625

Locations
Canada, Ontario
Henderson Hospital
Hamilton, Ontario, Canada, L8V 1C3
McMaster University Medical Centre
Hamilton, Ontario, Canada, L8N 3z5
Hamilton General Hospital
Hamilton, Ontario, Canada
Sponsors and Collaborators
Hamilton Health Sciences Corporation
The Physicians' Services Incorporated Foundation
Investigators
Principal Investigator: Mark B Loeb, MD MSc FRCPC McMaster University
  More Information

No publications provided

ClinicalTrials.gov Identifier: NCT00157625     History of Changes
Other Study ID Numbers: 03-24
Study First Received: September 7, 2005
Last Updated: September 11, 2006
Health Authority: Canada: Health Canada

Keywords provided by McMaster University:
urinary infections, catheters, bacteriuria, trial

Additional relevant MeSH terms:
Urinary Tract Infections
Infection
Urologic Diseases

ClinicalTrials.gov processed this record on May 22, 2013