A prevalence survey of patients with indwelling urinary catheters on district nursing caseloads in the United Kingdom: the community urinary catheter management (CCaMa) study

Prieto, JA, Wilson, Jennie ORCID: https://orcid.org/0000-0002-4713-9662 and Loveday, Heather ORCID: https://orcid.org/0000-0003-2259-8149 (2020) A prevalence survey of patients with indwelling urinary catheters on district nursing caseloads in the United Kingdom: the community urinary catheter management (CCaMa) study. Journal of Infection Prevention, 21 (4). pp. 129-135. ISSN 1757-1774

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Loveday,_Prieto,_and_Wilson_JIP_2020_A_prevalence_survey_of_patients_with_indwelling_urinary_catheters_on_district_nursing_caseloads_in_the_United_Kingdom_the_community_urinary_catheter_management_(CCaMa)_study.pdf - Accepted Version

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Abstract

Background: Catheter-associated urinary tract infection (CAUTI) is common in both hospitals and the community.
Aim: To investigate the prevalence of indwelling urinary catheters on district nursing caseloads in the United Kingdom (UK). Method: Participants were recruited through the Infection Prevention Society (IPS). An electronic survey was undertaken on a single day between November 2017 and January 2018. Data were analysed using
descriptive statistics.
Findings: 49,575 patients were included in the survey of whom 5352 had an indwelling urinary catheter. This gave a point prevalence of 10.8% [95%CI 10.53-11.07], which varied between organisations, ranging from 2.36% [95% CI 2.05-2.73] to 22.02% [95% CI 20.12-24.05]. 5% of catheters were newly-placed (within four weeks). Of these, most (77%) had a documented indication for insertion. Only half of patients with a newly-placed catheter had a plan for its removal. This varied between organisations from 20% to 96%. Only 13% of patients had a patient held management plan or ‘catheter passport’ but these patients were significantly more likely to also have an active removal plan (28/36, 78% vs 106/231, 46%, p< 0.0001). Alternative bladder management strategies had been considered for 70/267 (26%) patients.
Discussion: The management of patients with an indwelling urinary catheter represents a significant component of district nursing caseloads. Given the high proportion of newly-catheterised patients without an active management plan for removal of the catheter, the establishment
of an optimal management pathway should be the focus of future prevention efforts.

Item Type: Article
Additional Information: Copyright © 2020, © SAGE Publications. Under SAGE's Green Open Access policy, the Accepted Version of the article may be posted in the author's institutional repository and reuse is restricted to non-commercial and no derivative uses.
Uncontrolled Keywords: Urinary catheter, prevalence survey, community nursing, documentation, catheter management, catheter plan, catheter-associated urinary tract infection
Subjects: Medicine and health
Related URLs:
Depositing User: Jennie Wilson
Date Deposited: 10 Feb 2020 10:42
Last Modified: 30 Jul 2020 10:17
URI: http://repository.uwl.ac.uk/id/eprint/6746

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