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[Assessing the impact of bladder ultrasound on catheter-associated urinary tract infections and health-care costs: an observational pre-post study].
- Source :
-
Assistenza infermieristica e ricerca : AIR [Assist Inferm Ric] 2023 Jul-Sep; Vol. 42 (3), pp. 131-136. - Publication Year :
- 2023
-
Abstract
- . Assessing the impact of bladder ultrasound on catheter-associated urinary tract infections and health-care costs: an observational pre-post study.<br />Introduction: The placement of a urinary catheter is a standard procedure, but it can cause discomfort, increase the risk of infections and costs. Pelvic ultrasound is a non-invasive assessment of the bladder and bladder catheter placement that can be performed by nurses.<br />Aim: To assess the appropriateness of urinary catheter placement using bladder ultrasound, to monitor urinary catheter-associated urinary tract infections and costs associated with catheter use.<br />Methods: A single-centre pre-post observational study was conducted from September 2021 to August 2022 in patients aged >18 years requiring urinary monitoring; the first 6 months patients were assessed without the use of bladder ultrasound (control group), while the last 6 months with bladder ultrasound.<br />Results: 189 patients were included in the pre-ultrasound group and 175 patients in the post-ultrasound group; the demographic and clinical characteristics of the two groups were comparable. The rate of inappropriate catheterisation was 22.6% in the pre-group, whereas no inappropriate catheterisation was performed in the post-group. There was a 2.2% of absolute reduction in the rate of urinary tract infections (from 8.5% to 6.3%). Costs associated with the use of urinary catheters were reduced by 74.2% (from 173 to 44.8 euros).<br />Conclusions: Bladder ultrasound in clinical practice is feasible and reduced the inappropriate use of bladder catheters, reducing patient risks and healthcare costs.
- Subjects :
- Humans
Catheters adverse effects
Health Care Costs
Urinary Bladder diagnostic imaging
Urinary Catheterization adverse effects
Urinary Catheterization methods
Adult
Catheter-Related Infections epidemiology
Catheter-Related Infections etiology
Urinary Tract Infections diagnostic imaging
Urinary Tract Infections epidemiology
Urinary Tract Infections etiology
Subjects
Details
- Language :
- Italian
- ISSN :
- 2038-1778
- Volume :
- 42
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Assistenza infermieristica e ricerca : AIR
- Publication Type :
- Academic Journal
- Accession number :
- 37721338
- Full Text :
- https://doi.org/10.1702/4095.40917