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 journalArticlepeer-review

6 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 languageEnglish (US)
Pages (from-to)23-27
Number of pages5
JournalAmerican journal of surgery
Volume215
Issue number1
DOIs
StatePublished - Jan 2018

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).

Keywords

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

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