Prevalence and risk factors of inappropriate use of intravenous and urinary catheters in surgical and medical patients

Background: Previously, the RICAT (Reduction of Inappropriate use of intravenous and urinary CATheters) study had been conducted by ourselves to reduce inappropriate use of intravenous and urinary catheters in medical wards to prevent healthcare-associated infections.Aim: To compare surgical and med...
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Autor*in:	Laan, B.J. [verfasserIn] Vos, M.C. [verfasserIn] Maaskant, J.M. [verfasserIn] van Berge Henegouwen, M.I. [verfasserIn] Geerlings, S.E. [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2020

Schlagwörter:	Catheter-related infections Healthcare quality improvement Infection control Unnecessary procedures Urinary tract infections

Übergeordnetes Werk:	Enthalten in: The journal of hospital infection - Kidlington [u.a.] : Elsevier, 1980, 105, Seite 698-704
Übergeordnetes Werk:	volume:105 ; pages:698-704

DOI / URN:	10.1016/j.jhin.2020.04.046

Katalog-ID:	ELV004474260

Internformat


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024	7		\|a 10.1016/j.jhin.2020.04.046 \|2 doi
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100	1		\|a Laan, B.J. \|e verfasserin \|4 aut
245	1	0	\|a Prevalence and risk factors of inappropriate use of intravenous and urinary catheters in surgical and medical patients
264		1	\|c 2020
336			\|a nicht spezifiziert \|b zzz \|2 rdacontent
337			\|a Computermedien \|b c \|2 rdamedia
338			\|a Online-Ressource \|b cr \|2 rdacarrier
520			\|a Background: Previously, the RICAT (Reduction of Inappropriate use of intravenous and urinary CATheters) study had been conducted by ourselves to reduce inappropriate use of intravenous and urinary catheters in medical wards to prevent healthcare-associated infections.Aim: To compare surgical and medical wards, and to determine risk factors for inappropriate catheter use.Methods: A cross-sectional study was performed from October, 2017, to May, 2018, in surgical wards of two university hospitals in the Netherlands. Patients were prospectively observed every other week for seven months. Inappropriate use was compared with non-surgical wards in the RICAT study.Findings: In all, 409 surgical patients were included, and they were compared with 1781 medical patients. Inappropriate use occurred in 36 (8.5%) out of 425 peripheral intravenous catheters in 373 surgical patients, compared to 400 (22.9%) out of 1747 peripheral intravenous catheters in 1665 medical patients, a difference of 14.4% (95% confidence interval (CI): 11.1–17.8; P < 0.001). Inappropriate use of urinary catheters occurred in 14 (10.4%) out of 134 surgical patients, compared to 105 (32.4%) out of 324 medical patients, a difference of 22.0% (95% CI: 14.7–29.2; P < 0.001). Subgroup analysis in the two university hospitals confirmed these differences. The main risk factor for inappropriate use of peripheral intravenous catheters was admission in medical wards (odds ratio (OR): 3.50; 95% CI: 2.15–5.69), which was also one of the main risk factors for urinary catheters (OR: 2.75; 95% CI: 1.36–5.55).Conclusion: Inappropriate use of catheters is more common in medical wards compared to surgical wards. Prevention strategies to reduce healthcare-associated infections should primarily focus on sites with high prevalence of inappropriate use.
650		4	\|a Catheter-related infections
650		4	\|a Healthcare quality improvement
650		4	\|a Infection control
650		4	\|a Unnecessary procedures
650		4	\|a Urinary tract infections
700	1		\|a Vos, M.C. \|e verfasserin \|4 aut
700	1		\|a Maaskant, J.M. \|e verfasserin \|4 aut
700	1		\|a van Berge Henegouwen, M.I. \|e verfasserin \|4 aut
700	1		\|a Geerlings, S.E. \|e verfasserin \|4 aut
773	0	8	\|i Enthalten in \|t The journal of hospital infection \|d Kidlington [u.a.] : Elsevier, 1980 \|g 105, Seite 698-704 \|h Online-Ressource \|w (DE-627)32041986X \|w (DE-600)2002429-0 \|w (DE-576)104344709 \|x 1532-2939 \|7 nnns
773	1	8	\|g volume:105 \|g pages:698-704
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912			\|a GBV_ILN_62
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912			\|a GBV_ILN_65
912			\|a GBV_ILN_69
912			\|a GBV_ILN_70
912			\|a GBV_ILN_73
912			\|a GBV_ILN_74
912			\|a GBV_ILN_90
912			\|a GBV_ILN_95
912			\|a GBV_ILN_100
912			\|a GBV_ILN_101
912			\|a GBV_ILN_105
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912			\|a GBV_ILN_151
912			\|a GBV_ILN_224
912			\|a GBV_ILN_370
912			\|a GBV_ILN_602
912			\|a GBV_ILN_702
912			\|a GBV_ILN_2003
912			\|a GBV_ILN_2004
912			\|a GBV_ILN_2005
912			\|a GBV_ILN_2011
912			\|a GBV_ILN_2014
912			\|a GBV_ILN_2015
912			\|a GBV_ILN_2020
912			\|a GBV_ILN_2021
912			\|a GBV_ILN_2025
912			\|a GBV_ILN_2027
912			\|a GBV_ILN_2034
912			\|a GBV_ILN_2038
912			\|a GBV_ILN_2044
912			\|a GBV_ILN_2048
912			\|a GBV_ILN_2049
912			\|a GBV_ILN_2050
912			\|a GBV_ILN_2056
912			\|a GBV_ILN_2059
912			\|a GBV_ILN_2061
912			\|a GBV_ILN_2064
912			\|a GBV_ILN_2065
912			\|a GBV_ILN_2068
912			\|a GBV_ILN_2111
912			\|a GBV_ILN_2112
912			\|a GBV_ILN_2113
912			\|a GBV_ILN_2118
912			\|a GBV_ILN_2122
912			\|a GBV_ILN_2129
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912			\|a GBV_ILN_2152
912			\|a GBV_ILN_2153
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912			\|a GBV_ILN_2522
912			\|a GBV_ILN_4035
912			\|a GBV_ILN_4037
912			\|a GBV_ILN_4112
912			\|a GBV_ILN_4125
912			\|a GBV_ILN_4126
912			\|a GBV_ILN_4242
912			\|a GBV_ILN_4251
912			\|a GBV_ILN_4305
912			\|a GBV_ILN_4313
912			\|a GBV_ILN_4323
912			\|a GBV_ILN_4324
912			\|a GBV_ILN_4325
912			\|a GBV_ILN_4326
912			\|a GBV_ILN_4333
912			\|a GBV_ILN_4334
912			\|a GBV_ILN_4335
912			\|a GBV_ILN_4338
912			\|a GBV_ILN_4393
936	b	k	\|a 44.17 \|j Stationäres Gesundheitswesen \|j Krankenhauswesen
936	b	k	\|a 44.11 \|j Präventivmedizin
951			\|a AR
952			\|d 105 \|h 698-704

Indexfelder

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hierarchy_sort_str	2020
bklnumber	44.17 44.11
publishDate	2020
allfields	10.1016/j.jhin.2020.04.046 doi (DE-627)ELV004474260 (ELSEVIER)S0195-6701(20)30231-0 DE-627 ger DE-627 rda eng 610 DE-600 44.17 bkl 44.11 bkl Laan, B.J. verfasserin aut Prevalence and risk factors of inappropriate use of intravenous and urinary catheters in surgical and medical patients 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Previously, the RICAT (Reduction of Inappropriate use of intravenous and urinary CATheters) study had been conducted by ourselves to reduce inappropriate use of intravenous and urinary catheters in medical wards to prevent healthcare-associated infections.Aim: To compare surgical and medical wards, and to determine risk factors for inappropriate catheter use.Methods: A cross-sectional study was performed from October, 2017, to May, 2018, in surgical wards of two university hospitals in the Netherlands. Patients were prospectively observed every other week for seven months. Inappropriate use was compared with non-surgical wards in the RICAT study.Findings: In all, 409 surgical patients were included, and they were compared with 1781 medical patients. Inappropriate use occurred in 36 (8.5%) out of 425 peripheral intravenous catheters in 373 surgical patients, compared to 400 (22.9%) out of 1747 peripheral intravenous catheters in 1665 medical patients, a difference of 14.4% (95% confidence interval (CI): 11.1–17.8; P < 0.001). Inappropriate use of urinary catheters occurred in 14 (10.4%) out of 134 surgical patients, compared to 105 (32.4%) out of 324 medical patients, a difference of 22.0% (95% CI: 14.7–29.2; P < 0.001). Subgroup analysis in the two university hospitals confirmed these differences. The main risk factor for inappropriate use of peripheral intravenous catheters was admission in medical wards (odds ratio (OR): 3.50; 95% CI: 2.15–5.69), which was also one of the main risk factors for urinary catheters (OR: 2.75; 95% CI: 1.36–5.55).Conclusion: Inappropriate use of catheters is more common in medical wards compared to surgical wards. Prevention strategies to reduce healthcare-associated infections should primarily focus on sites with high prevalence of inappropriate use. Catheter-related infections Healthcare quality improvement Infection control Unnecessary procedures Urinary tract infections Vos, M.C. verfasserin aut Maaskant, J.M. verfasserin aut van Berge Henegouwen, M.I. verfasserin aut Geerlings, S.E. verfasserin aut Enthalten in The journal of hospital infection Kidlington [u.a.] : Elsevier, 1980 105, Seite 698-704 Online-Ressource (DE-627)32041986X (DE-600)2002429-0 (DE-576)104344709 1532-2939 nnns volume:105 pages:698-704 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.17 Stationäres Gesundheitswesen Krankenhauswesen 44.11 Präventivmedizin AR 105 698-704
spelling	10.1016/j.jhin.2020.04.046 doi (DE-627)ELV004474260 (ELSEVIER)S0195-6701(20)30231-0 DE-627 ger DE-627 rda eng 610 DE-600 44.17 bkl 44.11 bkl Laan, B.J. verfasserin aut Prevalence and risk factors of inappropriate use of intravenous and urinary catheters in surgical and medical patients 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Previously, the RICAT (Reduction of Inappropriate use of intravenous and urinary CATheters) study had been conducted by ourselves to reduce inappropriate use of intravenous and urinary catheters in medical wards to prevent healthcare-associated infections.Aim: To compare surgical and medical wards, and to determine risk factors for inappropriate catheter use.Methods: A cross-sectional study was performed from October, 2017, to May, 2018, in surgical wards of two university hospitals in the Netherlands. Patients were prospectively observed every other week for seven months. Inappropriate use was compared with non-surgical wards in the RICAT study.Findings: In all, 409 surgical patients were included, and they were compared with 1781 medical patients. Inappropriate use occurred in 36 (8.5%) out of 425 peripheral intravenous catheters in 373 surgical patients, compared to 400 (22.9%) out of 1747 peripheral intravenous catheters in 1665 medical patients, a difference of 14.4% (95% confidence interval (CI): 11.1–17.8; P < 0.001). Inappropriate use of urinary catheters occurred in 14 (10.4%) out of 134 surgical patients, compared to 105 (32.4%) out of 324 medical patients, a difference of 22.0% (95% CI: 14.7–29.2; P < 0.001). Subgroup analysis in the two university hospitals confirmed these differences. The main risk factor for inappropriate use of peripheral intravenous catheters was admission in medical wards (odds ratio (OR): 3.50; 95% CI: 2.15–5.69), which was also one of the main risk factors for urinary catheters (OR: 2.75; 95% CI: 1.36–5.55).Conclusion: Inappropriate use of catheters is more common in medical wards compared to surgical wards. Prevention strategies to reduce healthcare-associated infections should primarily focus on sites with high prevalence of inappropriate use. Catheter-related infections Healthcare quality improvement Infection control Unnecessary procedures Urinary tract infections Vos, M.C. verfasserin aut Maaskant, J.M. verfasserin aut van Berge Henegouwen, M.I. verfasserin aut Geerlings, S.E. verfasserin aut Enthalten in The journal of hospital infection Kidlington [u.a.] : Elsevier, 1980 105, Seite 698-704 Online-Ressource (DE-627)32041986X (DE-600)2002429-0 (DE-576)104344709 1532-2939 nnns volume:105 pages:698-704 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.17 Stationäres Gesundheitswesen Krankenhauswesen 44.11 Präventivmedizin AR 105 698-704
allfields_unstemmed	10.1016/j.jhin.2020.04.046 doi (DE-627)ELV004474260 (ELSEVIER)S0195-6701(20)30231-0 DE-627 ger DE-627 rda eng 610 DE-600 44.17 bkl 44.11 bkl Laan, B.J. verfasserin aut Prevalence and risk factors of inappropriate use of intravenous and urinary catheters in surgical and medical patients 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Previously, the RICAT (Reduction of Inappropriate use of intravenous and urinary CATheters) study had been conducted by ourselves to reduce inappropriate use of intravenous and urinary catheters in medical wards to prevent healthcare-associated infections.Aim: To compare surgical and medical wards, and to determine risk factors for inappropriate catheter use.Methods: A cross-sectional study was performed from October, 2017, to May, 2018, in surgical wards of two university hospitals in the Netherlands. Patients were prospectively observed every other week for seven months. Inappropriate use was compared with non-surgical wards in the RICAT study.Findings: In all, 409 surgical patients were included, and they were compared with 1781 medical patients. Inappropriate use occurred in 36 (8.5%) out of 425 peripheral intravenous catheters in 373 surgical patients, compared to 400 (22.9%) out of 1747 peripheral intravenous catheters in 1665 medical patients, a difference of 14.4% (95% confidence interval (CI): 11.1–17.8; P < 0.001). Inappropriate use of urinary catheters occurred in 14 (10.4%) out of 134 surgical patients, compared to 105 (32.4%) out of 324 medical patients, a difference of 22.0% (95% CI: 14.7–29.2; P < 0.001). Subgroup analysis in the two university hospitals confirmed these differences. The main risk factor for inappropriate use of peripheral intravenous catheters was admission in medical wards (odds ratio (OR): 3.50; 95% CI: 2.15–5.69), which was also one of the main risk factors for urinary catheters (OR: 2.75; 95% CI: 1.36–5.55).Conclusion: Inappropriate use of catheters is more common in medical wards compared to surgical wards. Prevention strategies to reduce healthcare-associated infections should primarily focus on sites with high prevalence of inappropriate use. Catheter-related infections Healthcare quality improvement Infection control Unnecessary procedures Urinary tract infections Vos, M.C. verfasserin aut Maaskant, J.M. verfasserin aut van Berge Henegouwen, M.I. verfasserin aut Geerlings, S.E. verfasserin aut Enthalten in The journal of hospital infection Kidlington [u.a.] : Elsevier, 1980 105, Seite 698-704 Online-Ressource (DE-627)32041986X (DE-600)2002429-0 (DE-576)104344709 1532-2939 nnns volume:105 pages:698-704 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.17 Stationäres Gesundheitswesen Krankenhauswesen 44.11 Präventivmedizin AR 105 698-704
allfieldsGer	10.1016/j.jhin.2020.04.046 doi (DE-627)ELV004474260 (ELSEVIER)S0195-6701(20)30231-0 DE-627 ger DE-627 rda eng 610 DE-600 44.17 bkl 44.11 bkl Laan, B.J. verfasserin aut Prevalence and risk factors of inappropriate use of intravenous and urinary catheters in surgical and medical patients 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Previously, the RICAT (Reduction of Inappropriate use of intravenous and urinary CATheters) study had been conducted by ourselves to reduce inappropriate use of intravenous and urinary catheters in medical wards to prevent healthcare-associated infections.Aim: To compare surgical and medical wards, and to determine risk factors for inappropriate catheter use.Methods: A cross-sectional study was performed from October, 2017, to May, 2018, in surgical wards of two university hospitals in the Netherlands. Patients were prospectively observed every other week for seven months. Inappropriate use was compared with non-surgical wards in the RICAT study.Findings: In all, 409 surgical patients were included, and they were compared with 1781 medical patients. Inappropriate use occurred in 36 (8.5%) out of 425 peripheral intravenous catheters in 373 surgical patients, compared to 400 (22.9%) out of 1747 peripheral intravenous catheters in 1665 medical patients, a difference of 14.4% (95% confidence interval (CI): 11.1–17.8; P < 0.001). Inappropriate use of urinary catheters occurred in 14 (10.4%) out of 134 surgical patients, compared to 105 (32.4%) out of 324 medical patients, a difference of 22.0% (95% CI: 14.7–29.2; P < 0.001). Subgroup analysis in the two university hospitals confirmed these differences. The main risk factor for inappropriate use of peripheral intravenous catheters was admission in medical wards (odds ratio (OR): 3.50; 95% CI: 2.15–5.69), which was also one of the main risk factors for urinary catheters (OR: 2.75; 95% CI: 1.36–5.55).Conclusion: Inappropriate use of catheters is more common in medical wards compared to surgical wards. Prevention strategies to reduce healthcare-associated infections should primarily focus on sites with high prevalence of inappropriate use. Catheter-related infections Healthcare quality improvement Infection control Unnecessary procedures Urinary tract infections Vos, M.C. verfasserin aut Maaskant, J.M. verfasserin aut van Berge Henegouwen, M.I. verfasserin aut Geerlings, S.E. verfasserin aut Enthalten in The journal of hospital infection Kidlington [u.a.] : Elsevier, 1980 105, Seite 698-704 Online-Ressource (DE-627)32041986X (DE-600)2002429-0 (DE-576)104344709 1532-2939 nnns volume:105 pages:698-704 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.17 Stationäres Gesundheitswesen Krankenhauswesen 44.11 Präventivmedizin AR 105 698-704
allfieldsSound	10.1016/j.jhin.2020.04.046 doi (DE-627)ELV004474260 (ELSEVIER)S0195-6701(20)30231-0 DE-627 ger DE-627 rda eng 610 DE-600 44.17 bkl 44.11 bkl Laan, B.J. verfasserin aut Prevalence and risk factors of inappropriate use of intravenous and urinary catheters in surgical and medical patients 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Previously, the RICAT (Reduction of Inappropriate use of intravenous and urinary CATheters) study had been conducted by ourselves to reduce inappropriate use of intravenous and urinary catheters in medical wards to prevent healthcare-associated infections.Aim: To compare surgical and medical wards, and to determine risk factors for inappropriate catheter use.Methods: A cross-sectional study was performed from October, 2017, to May, 2018, in surgical wards of two university hospitals in the Netherlands. Patients were prospectively observed every other week for seven months. Inappropriate use was compared with non-surgical wards in the RICAT study.Findings: In all, 409 surgical patients were included, and they were compared with 1781 medical patients. Inappropriate use occurred in 36 (8.5%) out of 425 peripheral intravenous catheters in 373 surgical patients, compared to 400 (22.9%) out of 1747 peripheral intravenous catheters in 1665 medical patients, a difference of 14.4% (95% confidence interval (CI): 11.1–17.8; P < 0.001). Inappropriate use of urinary catheters occurred in 14 (10.4%) out of 134 surgical patients, compared to 105 (32.4%) out of 324 medical patients, a difference of 22.0% (95% CI: 14.7–29.2; P < 0.001). Subgroup analysis in the two university hospitals confirmed these differences. The main risk factor for inappropriate use of peripheral intravenous catheters was admission in medical wards (odds ratio (OR): 3.50; 95% CI: 2.15–5.69), which was also one of the main risk factors for urinary catheters (OR: 2.75; 95% CI: 1.36–5.55).Conclusion: Inappropriate use of catheters is more common in medical wards compared to surgical wards. Prevention strategies to reduce healthcare-associated infections should primarily focus on sites with high prevalence of inappropriate use. Catheter-related infections Healthcare quality improvement Infection control Unnecessary procedures Urinary tract infections Vos, M.C. verfasserin aut Maaskant, J.M. verfasserin aut van Berge Henegouwen, M.I. verfasserin aut Geerlings, S.E. verfasserin aut Enthalten in The journal of hospital infection Kidlington [u.a.] : Elsevier, 1980 105, Seite 698-704 Online-Ressource (DE-627)32041986X (DE-600)2002429-0 (DE-576)104344709 1532-2939 nnns volume:105 pages:698-704 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.17 Stationäres Gesundheitswesen Krankenhauswesen 44.11 Präventivmedizin AR 105 698-704
language	English
source	Enthalten in The journal of hospital infection 105, Seite 698-704 volume:105 pages:698-704
sourceStr	Enthalten in The journal of hospital infection 105, Seite 698-704 volume:105 pages:698-704
format_phy_str_mv	Article
bklname	Stationäres Gesundheitswesen Krankenhauswesen Präventivmedizin
institution	findex.gbv.de
topic_facet	Catheter-related infections Healthcare quality improvement Infection control Unnecessary procedures Urinary tract infections
dewey-raw	610
isfreeaccess_bool	false
container_title	The journal of hospital infection
authorswithroles_txt_mv	Laan, B.J. @@aut@@ Vos, M.C. @@aut@@ Maaskant, J.M. @@aut@@ van Berge Henegouwen, M.I. @@aut@@ Geerlings, S.E. @@aut@@
publishDateDaySort_date	2020-01-01T00:00:00Z
hierarchy_top_id	32041986X
dewey-sort	3610
id	ELV004474260
language_de	englisch
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Patients were prospectively observed every other week for seven months. Inappropriate use was compared with non-surgical wards in the RICAT study.Findings: In all, 409 surgical patients were included, and they were compared with 1781 medical patients. Inappropriate use occurred in 36 (8.5%) out of 425 peripheral intravenous catheters in 373 surgical patients, compared to 400 (22.9%) out of 1747 peripheral intravenous catheters in 1665 medical patients, a difference of 14.4% (95% confidence interval (CI): 11.1–17.8; P < 0.001). Inappropriate use of urinary catheters occurred in 14 (10.4%) out of 134 surgical patients, compared to 105 (32.4%) out of 324 medical patients, a difference of 22.0% (95% CI: 14.7–29.2; P < 0.001). Subgroup analysis in the two university hospitals confirmed these differences. The main risk factor for inappropriate use of peripheral intravenous catheters was admission in medical wards (odds ratio (OR): 3.50; 95% CI: 2.15–5.69), which was also one of the main risk factors for urinary catheters (OR: 2.75; 95% CI: 1.36–5.55).Conclusion: Inappropriate use of catheters is more common in medical wards compared to surgical wards. 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author	Laan, B.J.
spellingShingle	Laan, B.J. ddc 610 bkl 44.17 bkl 44.11 misc Catheter-related infections misc Healthcare quality improvement misc Infection control misc Unnecessary procedures misc Urinary tract infections Prevalence and risk factors of inappropriate use of intravenous and urinary catheters in surgical and medical patients
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topic_title	610 DE-600 44.17 bkl 44.11 bkl Prevalence and risk factors of inappropriate use of intravenous and urinary catheters in surgical and medical patients Catheter-related infections Healthcare quality improvement Infection control Unnecessary procedures Urinary tract infections
topic	ddc 610 bkl 44.17 bkl 44.11 misc Catheter-related infections misc Healthcare quality improvement misc Infection control misc Unnecessary procedures misc Urinary tract infections
topic_unstemmed	ddc 610 bkl 44.17 bkl 44.11 misc Catheter-related infections misc Healthcare quality improvement misc Infection control misc Unnecessary procedures misc Urinary tract infections
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title	Prevalence and risk factors of inappropriate use of intravenous and urinary catheters in surgical and medical patients
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title_full	Prevalence and risk factors of inappropriate use of intravenous and urinary catheters in surgical and medical patients
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title_sort	prevalence and risk factors of inappropriate use of intravenous and urinary catheters in surgical and medical patients
title_auth	Prevalence and risk factors of inappropriate use of intravenous and urinary catheters in surgical and medical patients
abstract	Background: Previously, the RICAT (Reduction of Inappropriate use of intravenous and urinary CATheters) study had been conducted by ourselves to reduce inappropriate use of intravenous and urinary catheters in medical wards to prevent healthcare-associated infections.Aim: To compare surgical and medical wards, and to determine risk factors for inappropriate catheter use.Methods: A cross-sectional study was performed from October, 2017, to May, 2018, in surgical wards of two university hospitals in the Netherlands. Patients were prospectively observed every other week for seven months. Inappropriate use was compared with non-surgical wards in the RICAT study.Findings: In all, 409 surgical patients were included, and they were compared with 1781 medical patients. Inappropriate use occurred in 36 (8.5%) out of 425 peripheral intravenous catheters in 373 surgical patients, compared to 400 (22.9%) out of 1747 peripheral intravenous catheters in 1665 medical patients, a difference of 14.4% (95% confidence interval (CI): 11.1–17.8; P < 0.001). Inappropriate use of urinary catheters occurred in 14 (10.4%) out of 134 surgical patients, compared to 105 (32.4%) out of 324 medical patients, a difference of 22.0% (95% CI: 14.7–29.2; P < 0.001). Subgroup analysis in the two university hospitals confirmed these differences. The main risk factor for inappropriate use of peripheral intravenous catheters was admission in medical wards (odds ratio (OR): 3.50; 95% CI: 2.15–5.69), which was also one of the main risk factors for urinary catheters (OR: 2.75; 95% CI: 1.36–5.55).Conclusion: Inappropriate use of catheters is more common in medical wards compared to surgical wards. Prevention strategies to reduce healthcare-associated infections should primarily focus on sites with high prevalence of inappropriate use.
abstractGer	Background: Previously, the RICAT (Reduction of Inappropriate use of intravenous and urinary CATheters) study had been conducted by ourselves to reduce inappropriate use of intravenous and urinary catheters in medical wards to prevent healthcare-associated infections.Aim: To compare surgical and medical wards, and to determine risk factors for inappropriate catheter use.Methods: A cross-sectional study was performed from October, 2017, to May, 2018, in surgical wards of two university hospitals in the Netherlands. Patients were prospectively observed every other week for seven months. Inappropriate use was compared with non-surgical wards in the RICAT study.Findings: In all, 409 surgical patients were included, and they were compared with 1781 medical patients. Inappropriate use occurred in 36 (8.5%) out of 425 peripheral intravenous catheters in 373 surgical patients, compared to 400 (22.9%) out of 1747 peripheral intravenous catheters in 1665 medical patients, a difference of 14.4% (95% confidence interval (CI): 11.1–17.8; P < 0.001). Inappropriate use of urinary catheters occurred in 14 (10.4%) out of 134 surgical patients, compared to 105 (32.4%) out of 324 medical patients, a difference of 22.0% (95% CI: 14.7–29.2; P < 0.001). Subgroup analysis in the two university hospitals confirmed these differences. The main risk factor for inappropriate use of peripheral intravenous catheters was admission in medical wards (odds ratio (OR): 3.50; 95% CI: 2.15–5.69), which was also one of the main risk factors for urinary catheters (OR: 2.75; 95% CI: 1.36–5.55).Conclusion: Inappropriate use of catheters is more common in medical wards compared to surgical wards. Prevention strategies to reduce healthcare-associated infections should primarily focus on sites with high prevalence of inappropriate use.
abstract_unstemmed	Background: Previously, the RICAT (Reduction of Inappropriate use of intravenous and urinary CATheters) study had been conducted by ourselves to reduce inappropriate use of intravenous and urinary catheters in medical wards to prevent healthcare-associated infections.Aim: To compare surgical and medical wards, and to determine risk factors for inappropriate catheter use.Methods: A cross-sectional study was performed from October, 2017, to May, 2018, in surgical wards of two university hospitals in the Netherlands. Patients were prospectively observed every other week for seven months. Inappropriate use was compared with non-surgical wards in the RICAT study.Findings: In all, 409 surgical patients were included, and they were compared with 1781 medical patients. Inappropriate use occurred in 36 (8.5%) out of 425 peripheral intravenous catheters in 373 surgical patients, compared to 400 (22.9%) out of 1747 peripheral intravenous catheters in 1665 medical patients, a difference of 14.4% (95% confidence interval (CI): 11.1–17.8; P < 0.001). Inappropriate use of urinary catheters occurred in 14 (10.4%) out of 134 surgical patients, compared to 105 (32.4%) out of 324 medical patients, a difference of 22.0% (95% CI: 14.7–29.2; P < 0.001). Subgroup analysis in the two university hospitals confirmed these differences. The main risk factor for inappropriate use of peripheral intravenous catheters was admission in medical wards (odds ratio (OR): 3.50; 95% CI: 2.15–5.69), which was also one of the main risk factors for urinary catheters (OR: 2.75; 95% CI: 1.36–5.55).Conclusion: Inappropriate use of catheters is more common in medical wards compared to surgical wards. Prevention strategies to reduce healthcare-associated infections should primarily focus on sites with high prevalence of inappropriate use.
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title_short	Prevalence and risk factors of inappropriate use of intravenous and urinary catheters in surgical and medical patients
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author2	Vos, M.C. Maaskant, J.M. van Berge Henegouwen, M.I. Geerlings, S.E.
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up_date	2024-07-06T23:06:42.247Z
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The main risk factor for inappropriate use of peripheral intravenous catheters was admission in medical wards (odds ratio (OR): 3.50; 95% CI: 2.15–5.69), which was also one of the main risk factors for urinary catheters (OR: 2.75; 95% CI: 1.36–5.55).Conclusion: Inappropriate use of catheters is more common in medical wards compared to surgical wards. 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Prevalence and risk factors of inappropriate use of intravenous and urinary catheters in surgical and medical patients

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