Urinary Inconsistencies and Overactive Bladder
Nursing homework help: In males with urinary inconsistencies, dementia, an overactive bladder, or even those going through alcohol withdrawal, what is the effect of condom catheterization as compared to the use of Foley catheterization on the prevention of CAUTIs a condition referred to as Catheter-Associated Urinary Tract Infections (CAUTIs)?
Article #
Author & Date
Evidence Type
Sample, Sample Size, & Setting
Study findings that help answer the EBP question
Limitations
Evidence Level & Quality
1
Agrawal, M., Gite, V. A., & Sankapal, P. (2020)
Case Study
· 2 case studies that presented to the emergency department
Evidence of the importance of proper care and maintenance of condom catheters.
No
recommendations
to improve
Level V
Quality B
2
Jabbour, Y., Abdoulazizi, B., Karmouni, T., El Khader, K., Koutani, A., & Iben Attya Andaloussi, A. (2018).
Pilot Study
· 1 case that presented to the emergency department
The importance of catheter management and potential complication of poor maintenance of a condom catheter.
Small sample size
Level V- High
Quality
3
Li, F., Song, M., Xu, L., Deng, B., Zhu, S., & Li, X. (2019)
Meta-analysis
· 23,738 patients and 25 hospitals
The cause of urinary tract infection in relation to prolong use of catheters in bedridden patients.
Too broad of sample size
Level V
Quality B
4
Majumder, M. M. I., Ahmed, T., Ahmed, S., & Khan, A. R. (2018)
Mix method
study
· No individual studies
The rational and un rational use of the catheter use and what ultimately leads to infection development.
No sample sizes. No individual studies.
Level V
Quality B
5
Hariati, H., Suza, D. E., & Tarigan, R. (2019)
A Pilot Study
· 82 Patients treated in the General Hospital of Medan
Provides analysis of the risk factors activating CAUTI
Small sample size,
lack of completed
data & terminology
Level IV
Quality A
6
Majumder, I., Ahmed, T., Ahmed, S. (2018)
Pilot Study
· 100 patients with indwelling catheters at Dhiraj General Hospital
This study discovered the most known pathogens (E. coli and Klebsiella) to be created by CAUTI’s.
Reliability
dependent on
author’s
interpretation of
primary literature
Level III
Quality B
7
Gnade, C., Storm, D., & Ten Eyck, P. (2017)
Qualitative
Interview Study
· 150 patients undergoing major urologic oncology surgery
It encourages the use of alternative methods other than catheterization
Initial sample group not clear,
Individual
organization
Level III
Quality B
8
Gnade, C., Wu, C., Ten Eyck, P., Leder, L., & Storm, D. (2020)
Quantitative research study
· Inpatient CAUTI database. No sample study
Measures the catheter utilization and CAUTI rate using binomial scattering and compares the result
No sample study
Level III
Quality A
9
Advani, S. D., & Fakih, M. G. (2019)
Literature
Review
· No sample study. Healthcare associated urinary tract infections
It suggests that the chances of CAUTI to develop into secondary complications is very minimal.
No sample group
Level V
Quality B
10
Dehghanrad, F., Gholamzadeh, S., Ghorbani, M., Nobakht-e-Ghalati, Z., Rosenthal, V., Zand, F. (2019)
Quasi-experimental study
· 330 patients in the hospital setting
It advices the use of standardize device utilization ratio which provides a good surrogate that inhibits damages associated with catheter.
No
recommendation
for improvement
Level IIIHigh
Quality
A
Be sure to include the sample (population of interest), sample size (# of participants), setting (location of the participants)
References
Advani, S. D., & Fakih, M. G. (2019). The evolution of catheter-associated urinary tract infection (CAUTI): is it time for more inclusive metrics? Infection Control & Hospital Epidemiology, 40(6), 681-685.
Agrawal, M., Gite, V. A., & Sankapal, P. (2020). Penile gangrene: A rare but disastrous complication of the improper application of condom catheters. Journal of Clinical Urology, 2051415820961915.
Dehghanrad, F., Nobakht-e-Ghalati, Z., Zand, F., Gholamzadeh, S., Ghorbani, M., & Rosenthal, V. (2019). Effect of instruction and implementation of a preventive urinary tract infection bundle on the incidence of catheter associated urinary tract infection in intensive care unit patients. Electronic Journal of General Medicine, 16(2), 1–9. https://doi.org/10.29333/ejgm/94099
Jabbour, Y., Abdoulazizi, B., Karmouni, T., El Khader, K., Koutani, A., & Iben Attya Andaloussi, A. (2018). Penile gangrene and necrosis leading to death secondary to strangulation by condom catheter. Case reports in urology, 2018.
Li, F., Song, M., Xu, L., Deng, B., Zhu, S., & Li, X. (2019). Risk factors for catheter‐associated urinary tract infection among hospitalized patients: A systematic review and meta‐analysis of observational studies. Journal of advanced nursing, 75(3), 517-527.
Majumder, M. M. I., Ahmed, T., Ahmed, S., & Khan, A. R. (2018). Microbiology of catheter associated urinary tract infection (p. 31). IntechOpen.
Hariati, H., Suza, D. E., & Tarigan, R. (2019). Risk Factors Analysis for Catheter-Associated Urinary Tract Infection in Medan, Indonesia. Open access Macedonian journal of medical sciences, 7(19), 3189.
Gnade, C., Storm, D., & Ten Eyck, P. (2017). MP92-02 BPA alert effect on CAUTI hospital-wide at UIHC. The Journal of Urology, 197(4S), e1226-e1226.
Gnade, C., Wu, C., Ten Eyck, P., Leder, L., & Storm, D. (2020). The Influence of an Electronic Medical Record Embedded Best Practice Alert on Rate of Hospital Acquired Catheter Associated Urinary Tract Infections: Do Best Practice Alerts Reduce CAUTIs? Urology, 141, 71-76.
Md. Mahabubul Islam Majumder, Tarek Ahmed, Saleh Ahmed and Ashiqur Rahman Khan (November 5th 2018). Microbiology of Catheter Associated Urinary Tract Infection, Microbiology of Urinary Tract Infections – Microbial Agents and Predisposing Factors, Payam Behzadi, IntechOpen, DOI: 10.5772/intechopen.80080. Available from: https://www.intechopen.com/books/microbiology-of-urinary-tract-infections-microbial-agents-and-predisposing-factors/microbiology-of-catheter-associated-urinary-tract-infection
