Featured Research

from universities, journals, and other organizations

Elderly women at higher risk for unnecessary urinary catheterization, study reports

Date:
November 1, 2010
Source:
Elsevier Health Sciences
Summary:
Elderly women are at high risk for inappropriate urinary catheter utilization in emergency departments, according to a new study.

Elderly women are at high risk for inappropriate urinary catheter utilization in emergency departments, according to a new study in the November issue of the American Journal of Infection Control, the official publication of the Association for Professionals in Infection Control and Epidemiology (APIC).

The study was conducted at St John Hospital and Medical Center, a 769-bed tertiary care teaching hospital in Detroit, Mich. The authors examined 532 instances in which urinary catheters were placed in emergency room patients over a 12-week study period. After reviewing whether the catheter's placement conformed to established guidelines, the authors determined that half of the female patients 80 years or older who were subjected to urinary tract catheterization did not meet institutional guidelines. Women were 1.9 times more likely than men, and the very elderly (greater than 80 years) were 2.9 times more likely than those 50 years and younger, to have a urinary catheter inappropriately placed.

"We found that it was twice as likely for women to have a non-indicated UC [urinary catheter] placement compared to men," the authors conclude. "Our results confirm what has been reported in previous studies, and underscore the significant risk of the very elderly (80 years or older) for inappropriate UC utilization."

The study's findings point to an area of concern among healthcare professionals tackling preventable hospital infections. Urinary tract catheterization is a major risk factor for developing urinary tract infections. The researchers note that at present, urinary tract infections account for more than one-third of all hospital-acquired infections. If urinary catheters are inappropriately placed at high rate in very elderly women, this vulnerable group of patients is at increased risk for developing an infection, according to the investigators.

"The inappropriate UC [urinary catheter] utilization has been a ubiquitous problem in the hospital setting," say the study's authors. "This translates to additional preventable or avoidable urinary tract infections and other complications related to UCs."

The federal government's Centers for Medicare & Medicaid Services considers catheter-associated urinary tract infections to be reasonably preventable through application of evidence-based best practices and as such no longer reimburses for these hospital-acquired infections. The authors noted that the majority of U.S. hospitals do not have formal systems to monitor urinary catheter utilization.

"Because more than half of hospital admissions come through the ED [emergency department], it is important that the ED be seen as the focus for efforts to reduce unnecessary UC utilization," say the authors.


Story Source:

The above story is based on materials provided by Elsevier Health Sciences. Note: Materials may be edited for content and length.


Journal Reference:

  1. Mohamad G. Fakih, Stephen P. Shemes, Margarita E. Pena, Nicholas Dyc, Janice E. Rey, Susan M. Szpunar, Louis D. Saravolatz. Urinary catheters in the emergency department: Very elderly women are at high risk for unnecessary utilization. American Journal of Infection Control, 2010; 38 (9): 683 DOI: 10.1016/j.ajic.2010.04.219

Cite This Page:

Elsevier Health Sciences. "Elderly women at higher risk for unnecessary urinary catheterization, study reports." ScienceDaily. ScienceDaily, 1 November 2010. <www.sciencedaily.com/releases/2010/11/101101171244.htm>.
Elsevier Health Sciences. (2010, November 1). Elderly women at higher risk for unnecessary urinary catheterization, study reports. ScienceDaily. Retrieved September 16, 2014 from www.sciencedaily.com/releases/2010/11/101101171244.htm
Elsevier Health Sciences. "Elderly women at higher risk for unnecessary urinary catheterization, study reports." ScienceDaily. www.sciencedaily.com/releases/2010/11/101101171244.htm (accessed September 16, 2014).

Share This



More Health & Medicine News

Tuesday, September 16, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

President To Send 3,000 Military Personnel To Fight Ebola

President To Send 3,000 Military Personnel To Fight Ebola

Newsy (Sep. 16, 2014) President Obama is expected to send 3,000 troops to West Africa as part of the effort to contain Ebola's spread. Video provided by Newsy
Powered by NewsLook.com
Man Floats for 31 Hours in Gulf Waters

Man Floats for 31 Hours in Gulf Waters

AP (Sep. 16, 2014) A Texas man is lucky to be alive after he and three others floated for more than a day in the Gulf of Mexico when their boat sank during a fishing trip. (Sept. 16) Video provided by AP
Powered by NewsLook.com
EU Ministers and Experts Meet to Discuss Ebola Reponse

EU Ministers and Experts Meet to Discuss Ebola Reponse

AFP (Sep. 15, 2014) The European Commission met on Monday to coordinate aid that the EU can offer to African countries affected by the Ebola outbreak. Duration: 00:58 Video provided by AFP
Powered by NewsLook.com
Despite The Risks, Antibiotics Still Overprescribed For Kids

Despite The Risks, Antibiotics Still Overprescribed For Kids

Newsy (Sep. 15, 2014) A new study finds children are prescribed antibiotics twice as often as is necessary. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins