Reducing unnecessary urethral catheter use in Japanese intensive care units: A multicenter interventional study

Akira Kuriyama; Karen E Fowler; Jennifer Meddings; Hiromasa Irie; Daisuke Kawakami; Hiroshi Iwasaki; Masaaki Sakuraya; Kohta Katayama; Yasuharu Tokuda; Sanjay Saint

doi:10.1017/ice.2019.258

Reducing unnecessary urethral catheter use in Japanese intensive care units: A multicenter interventional study

Infect Control Hosp Epidemiol. 2019 Nov;40(11):1272-1274. doi: 10.1017/ice.2019.258.

Authors

Akira Kuriyama¹, Karen E Fowler², Jennifer Meddings^{2

3

4}, Hiromasa Irie⁵, Daisuke Kawakami⁶, Hiroshi Iwasaki⁷, Masaaki Sakuraya⁸, Kohta Katayama⁹, Yasuharu Tokuda¹⁰, Sanjay Saint^{2

3}

Affiliations

¹ Emergency and Critical Care Center, Kurashiki Central Hospital, Kurashiki, Okayama, Japan.
² Center for Clinical Management Research, US Department of Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan, United States.
³ Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, United States.
⁴ Division of General Pediatrics, Department of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor, Michigan, United States.
⁵ Department of Anesthesiology, Kurashiki Central Hospital, Okayama, Japan.
⁶ Department of Anesthesiology, Kobe City Medical Center General Hospital, Hyogo, Japan.
⁷ Critical Care Center, Kobe City Medical Center General Hospital, Hyogo, Japan.
⁸ Department of Emergency and Intensive Care Medicine, JA Hiroshima General Hospital, Hiroshima, Japan.
⁹ Department of General Medicine, Mito Kyodo General Hospital, Ibaraki, Japan.
¹⁰ Muribushi Okinawa for Teaching Hospitals, Okinawa, Japan.

PMID: 31558172
DOI: 10.1017/ice.2019.258

Abstract

We conducted a preintervention-postintervention study to assess the effectiveness of a multimodal approach to reduce unnecessary urethral catheters in 5 Japanese intensive care units. After the intervention urethral catheter point prevalence decreased by 18%, from 79% preintervention to 61% postintervention, and catheter appropriateness increased by 28%, from 57% preintervention to 85% postintervention.

Publication types

Multicenter Study
Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

Catheter-Related Infections / epidemiology
Catheter-Related Infections / prevention & control*
Catheters, Indwelling / adverse effects*
Humans
Infection Control / methods
Intensive Care Units*
Japan / epidemiology
Prevalence
Unnecessary Procedures / statistics & numerical data*
Urinary Catheterization / statistics & numerical data*
Urinary Catheters / adverse effects*