Near-perfect compliance with SCIP Inf-9 had no effect on catheter utilization or urinary tract infections at an academic medical center

Jennifer A. Kaplan; Jonathan T. Carter

doi:10.1016/j.amjsurg.2017.03.039

Near-perfect compliance with SCIP Inf-9 had no effect on catheter utilization or urinary tract infections at an academic medical center

Jennifer A. Kaplan, Jonathan T. Carter

Research output: Contribution to journal › Article › peer-review

9 Scopus citations

Abstract

Background The Joint Commission's SCIP Inf-9 mandated early removal of indwelling urinary catheters (IUCs), but the impact of compliance on catheter-associated urinary tract infection (CAUTI) and postoperative urinary retention (POUR) are unknown. Methods Retrospective pre- and post-intervention study at a single tertiary academic medical center of all patients undergoing general surgery procedures with an IUC placed at the time of surgery who were admitted for at least two days before and after a Best Practice Advisory was put in place to improve compliance with SCIP Inf-9. Results A total of 1036 patients were included (468 pre-intervention; 568 post-intervention). POUR occurred in 13% of patients and CAUTI in 0.8%. There was no change in POUR, CAUTI, or catheter utilization after the Best Practice Advisory was initiated. Both POUR and CAUTI predicted longer lengths of stay. Conclusions Near-perfect SCIP Inf-9 compliance had no effect on the CAUTI rate at our institution.

Original language	English (US)
Pages (from-to)	23-27
Number of pages	5
Journal	American journal of surgery
Volume	215
Issue number	1
DOIs	https://doi.org/10.1016/j.amjsurg.2017.03.039
State	Published - Jan 2018
Externally published	Yes

Bibliographical note

Funding Information:
The authors thank Pamela Derish from the UCSF Department of Surgery for editing this manuscript. They also acknowledge the assistance of Joyce Nacario and Nancy Lui from the UCSF department of Quality Improvement and Susan Garritson from the UCSF Department of Hospital Epidemiology & Infection Control for their assistance with the acquisition of patient data for this project. This work was also supported by the National Institute of Diabetes and Digestive and Kidney Diseases ( T32 5T32DK007573-23 ).

Funding Information:
The authors thank Pamela Derish from the UCSF Department of Surgery for editing this manuscript. They also acknowledge the assistance of Joyce Nacario and Nancy Lui from the UCSF department of Quality Improvement and Susan Garritson from the UCSF Department of Hospital Epidemiology & Infection Control for their assistance with the acquisition of patient data for this project. This work was also supported by the National Institute of Diabetes and Digestive and Kidney Diseases (T32 5T32DK007573-23).

Publisher Copyright:
© 2017 Elsevier Inc.

Keywords

Health services research
Infection control
Urinary catheterization
Urinary retention
Urinary tract infection

Publisher link

10.1016/j.amjsurg.2017.03.039

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5628106

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title = "Near-perfect compliance with SCIP Inf-9 had no effect on catheter utilization or urinary tract infections at an academic medical center",

abstract = "Background The Joint Commission's SCIP Inf-9 mandated early removal of indwelling urinary catheters (IUCs), but the impact of compliance on catheter-associated urinary tract infection (CAUTI) and postoperative urinary retention (POUR) are unknown. Methods Retrospective pre- and post-intervention study at a single tertiary academic medical center of all patients undergoing general surgery procedures with an IUC placed at the time of surgery who were admitted for at least two days before and after a Best Practice Advisory was put in place to improve compliance with SCIP Inf-9. Results A total of 1036 patients were included (468 pre-intervention; 568 post-intervention). POUR occurred in 13% of patients and CAUTI in 0.8%. There was no change in POUR, CAUTI, or catheter utilization after the Best Practice Advisory was initiated. Both POUR and CAUTI predicted longer lengths of stay. Conclusions Near-perfect SCIP Inf-9 compliance had no effect on the CAUTI rate at our institution.",

keywords = "Health services research, Infection control, Urinary catheterization, Urinary retention, Urinary tract infection",

author = "Kaplan, {Jennifer A.} and Carter, {Jonathan T.}",

note = "Funding Information: The authors thank Pamela Derish from the UCSF Department of Surgery for editing this manuscript. They also acknowledge the assistance of Joyce Nacario and Nancy Lui from the UCSF department of Quality Improvement and Susan Garritson from the UCSF Department of Hospital Epidemiology & Infection Control for their assistance with the acquisition of patient data for this project. This work was also supported by the National Institute of Diabetes and Digestive and Kidney Diseases ( T32 5T32DK007573-23 ). Funding Information: The authors thank Pamela Derish from the UCSF Department of Surgery for editing this manuscript. They also acknowledge the assistance of Joyce Nacario and Nancy Lui from the UCSF department of Quality Improvement and Susan Garritson from the UCSF Department of Hospital Epidemiology & Infection Control for their assistance with the acquisition of patient data for this project. This work was also supported by the National Institute of Diabetes and Digestive and Kidney Diseases (T32 5T32DK007573-23). Publisher Copyright: {\textcopyright} 2017 Elsevier Inc.",

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doi = "10.1016/j.amjsurg.2017.03.039",

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volume = "215",

pages = "23--27",

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T1 - Near-perfect compliance with SCIP Inf-9 had no effect on catheter utilization or urinary tract infections at an academic medical center

AU - Kaplan, Jennifer A.

AU - Carter, Jonathan T.

N1 - Funding Information: The authors thank Pamela Derish from the UCSF Department of Surgery for editing this manuscript. They also acknowledge the assistance of Joyce Nacario and Nancy Lui from the UCSF department of Quality Improvement and Susan Garritson from the UCSF Department of Hospital Epidemiology & Infection Control for their assistance with the acquisition of patient data for this project. This work was also supported by the National Institute of Diabetes and Digestive and Kidney Diseases ( T32 5T32DK007573-23 ). Funding Information: The authors thank Pamela Derish from the UCSF Department of Surgery for editing this manuscript. They also acknowledge the assistance of Joyce Nacario and Nancy Lui from the UCSF department of Quality Improvement and Susan Garritson from the UCSF Department of Hospital Epidemiology & Infection Control for their assistance with the acquisition of patient data for this project. This work was also supported by the National Institute of Diabetes and Digestive and Kidney Diseases (T32 5T32DK007573-23). Publisher Copyright: © 2017 Elsevier Inc.

PY - 2018/1

Y1 - 2018/1

N2 - Background The Joint Commission's SCIP Inf-9 mandated early removal of indwelling urinary catheters (IUCs), but the impact of compliance on catheter-associated urinary tract infection (CAUTI) and postoperative urinary retention (POUR) are unknown. Methods Retrospective pre- and post-intervention study at a single tertiary academic medical center of all patients undergoing general surgery procedures with an IUC placed at the time of surgery who were admitted for at least two days before and after a Best Practice Advisory was put in place to improve compliance with SCIP Inf-9. Results A total of 1036 patients were included (468 pre-intervention; 568 post-intervention). POUR occurred in 13% of patients and CAUTI in 0.8%. There was no change in POUR, CAUTI, or catheter utilization after the Best Practice Advisory was initiated. Both POUR and CAUTI predicted longer lengths of stay. Conclusions Near-perfect SCIP Inf-9 compliance had no effect on the CAUTI rate at our institution.

AB - Background The Joint Commission's SCIP Inf-9 mandated early removal of indwelling urinary catheters (IUCs), but the impact of compliance on catheter-associated urinary tract infection (CAUTI) and postoperative urinary retention (POUR) are unknown. Methods Retrospective pre- and post-intervention study at a single tertiary academic medical center of all patients undergoing general surgery procedures with an IUC placed at the time of surgery who were admitted for at least two days before and after a Best Practice Advisory was put in place to improve compliance with SCIP Inf-9. Results A total of 1036 patients were included (468 pre-intervention; 568 post-intervention). POUR occurred in 13% of patients and CAUTI in 0.8%. There was no change in POUR, CAUTI, or catheter utilization after the Best Practice Advisory was initiated. Both POUR and CAUTI predicted longer lengths of stay. Conclusions Near-perfect SCIP Inf-9 compliance had no effect on the CAUTI rate at our institution.

KW - Health services research

KW - Infection control

KW - Urinary catheterization

KW - Urinary retention

KW - Urinary tract infection

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Near-perfect compliance with SCIP Inf-9 had no effect on catheter utilization or urinary tract infections at an academic medical center

Abstract

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