A prevalence survey of patients with indwelling urinary catheters on district nursing caseloads in the United Kingdom: The Community Urinary Catheter Management (CCaMa) Study
A prevalence survey of patients with indwelling urinary catheters on district nursing caseloads in the United Kingdom: The Community Urinary Catheter Management (CCaMa) Study
Background: Catheter-associated urinary tract infection (CAUTI) is common in both hospitals and the community. Aim: To investigate the prevalence of indwelling urinary catheters on district nursing caseloads in the UK. Methods: Participants were recruited through the Infection Prevention Society (IPS). An electronic survey was undertaken on a single day between November 2017 and January 2018. Data were analysed using descriptive statistics. Findings: A total of 49,575 patients were included in the survey, of whom 5352 had an indwelling urinary catheter. This gave a point prevalence of 10.8% (95% confidence interval [CI] = 10.53–11.07), which varied between organisations, ranging from 2.36% (95% CI = 2.05–2.73) to 22.02% (95% CI = 20.12–24.05). Of catheters, 5% were newly placed (within four weeks). Of these, most (77%) had a documented indication for insertion. Only half of patients with a newly placed catheter had a plan for its removal. This varied between organisations in the range of 20%–96%. Only 13% of patients had a patient-held management plan or ‘catheter passport’ but these patients were significantly more likely to also have an active removal plan (28/36 [78%] vs. 106/231 [46%]; P < 0.0001). Alternative bladder management strategies had been considered for 70/267 (26%) patients. Discussion: The management of patients with an indwelling urinary catheter represents a significant component of district nursing caseloads. Given the high proportion of newly catheterised patients without an active management plan for removal of the catheter, the establishment of an optimal management pathway should be the focus of future prevention efforts.
Urinary catheter, catheter management, catheter plan, catheter-associated urinary tract infection, community nursing, documentation, prevalence survey
129-135
Prieto, Jacqui
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Wilson, Jennie
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Bak, Aggie
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Denton, Andrea
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Flores, Ashley
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Lusardi, Gail
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Reid, Matthew
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Shepherd, Lesley
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Whittome, Niamh
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Loveday, Heather
741d868e-a8ef-42e4-ac93-3aec7878dca9
1 July 2020
Prieto, Jacqui
47dd42cd-35d5-4ece-8fc6-fdb8fe1f01cc
Wilson, Jennie
81c1751a-2159-4d8e-9d03-40c548557df6
Bak, Aggie
fb5ae13d-9de3-4540-8b35-370fae91c8af
Denton, Andrea
38d0ca83-03c1-439c-b019-ca7836c542ee
Flores, Ashley
d1d4fc3c-8192-4f4c-9923-0c1fbe504747
Lusardi, Gail
48629bfd-ef4d-4ca0-abf2-ff5ebdcad2aa
Reid, Matthew
b359a507-5a91-4528-9a84-9bd72db11a3d
Shepherd, Lesley
a9070999-f31d-4e0b-aa8d-619ecd11b273
Whittome, Niamh
6c6a97b1-971d-470c-8d8d-b724fb045f23
Loveday, Heather
741d868e-a8ef-42e4-ac93-3aec7878dca9
Prieto, Jacqui, Wilson, Jennie, Bak, Aggie, Denton, Andrea, Flores, Ashley, Lusardi, Gail, Reid, Matthew, Shepherd, Lesley, Whittome, Niamh and Loveday, Heather
(2020)
A prevalence survey of patients with indwelling urinary catheters on district nursing caseloads in the United Kingdom: The Community Urinary Catheter Management (CCaMa) Study.
Journal of Infection Prevention, 21 (4), .
(doi:10.1177/1757177420901550).
Abstract
Background: Catheter-associated urinary tract infection (CAUTI) is common in both hospitals and the community. Aim: To investigate the prevalence of indwelling urinary catheters on district nursing caseloads in the UK. Methods: Participants were recruited through the Infection Prevention Society (IPS). An electronic survey was undertaken on a single day between November 2017 and January 2018. Data were analysed using descriptive statistics. Findings: A total of 49,575 patients were included in the survey, of whom 5352 had an indwelling urinary catheter. This gave a point prevalence of 10.8% (95% confidence interval [CI] = 10.53–11.07), which varied between organisations, ranging from 2.36% (95% CI = 2.05–2.73) to 22.02% (95% CI = 20.12–24.05). Of catheters, 5% were newly placed (within four weeks). Of these, most (77%) had a documented indication for insertion. Only half of patients with a newly placed catheter had a plan for its removal. This varied between organisations in the range of 20%–96%. Only 13% of patients had a patient-held management plan or ‘catheter passport’ but these patients were significantly more likely to also have an active removal plan (28/36 [78%] vs. 106/231 [46%]; P < 0.0001). Alternative bladder management strategies had been considered for 70/267 (26%) patients. Discussion: The management of patients with an indwelling urinary catheter represents a significant component of district nursing caseloads. Given the high proportion of newly catheterised patients without an active management plan for removal of the catheter, the establishment of an optimal management pathway should be the focus of future prevention efforts.
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A prevalence survey of patients with indwelling urinary catheters on district nursing caseloads in the United Kingdom The Community Urinary Catheter Management (CCaMa) Study Proof
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Accepted/In Press date: 7 December 2019
e-pub ahead of print date: 27 February 2020
Published date: 1 July 2020
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© The Author(s) 2020.
Keywords:
Urinary catheter, catheter management, catheter plan, catheter-associated urinary tract infection, community nursing, documentation, prevalence survey
Identifiers
Local EPrints ID: 439575
URI: http://eprints.soton.ac.uk/id/eprint/439575
ISSN: 1757-1774
PURE UUID: ccfa87fa-89a3-4f42-abd5-7822cd34742e
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Date deposited: 27 Apr 2020 16:31
Last modified: 17 Mar 2024 02:57
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Contributors
Author:
Jennie Wilson
Author:
Aggie Bak
Author:
Andrea Denton
Author:
Ashley Flores
Author:
Gail Lusardi
Author:
Matthew Reid
Author:
Lesley Shepherd
Author:
Niamh Whittome
Author:
Heather Loveday
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