appropriate use of indwelling urethra catheters in hospitalized patients results of a multicentre prevalence study适当使用留置尿道导管在住院病人发病率多中心研究的结果.pdfVIP

Jansen et al. BMC Urology 2012, 12:25 /1471-2490/12/25 RESEARCH ARTICLE Open Access Appropriate use of indwelling urethra catheters in hospitalized patients: results of a multicentre prevalence study 1 1 1 2 1 Irálice AV Jansen , Titia EM Hopmans , Jan C Wille , Peterhans J van den Broek , Tjallie II van der Kooi and Birgit HB van Benthem1* Abstract Background: Although indwelling urethra catheterization is a medical intervention with well-defined risks, studies show that approximately 14–38% of the indwelling urethra catheters (IUCs) are placed without a specific medical indication. In this paper we describe the prevalence of IUCs, including their inappropriate use in the Netherlands. We also determine factors associated with inappropriate use of IUCs in hospitalized patients. Methods: In 28 Dutch hospitals, prevalence surveys were performed biannually in 2009 and 2010 within the PREZIES-network. All patients admitted to a participating hospital and who had an IUC in place at the day of the survey were included. Pre-determined criteria were used to categorize the indication for catheterization as appropriate or inappropriate. Results: A total of 14,252 patients was included and 3020 (21.2%) of them had an IUC (range hospitals 13.4-27.3). Initial catheter placement was inappropriate in 5.2% of patients and 7.5% patients had an inappropriate indication at the day of the survey. In multivariate analyses inappropriate catheter use at the time of placement was associated with female sex, older age, admission on a non-intensive care ward, and not having had surgery. Inappropriate catheter use at the time of survey showed comparable associated factors. Conclusions: Although lower than in many other c