AI Article Synopsis
- The study evaluated the effectiveness of bladder ultrasound for assessing urinary catheter placement and its impact on urinary tract infections and healthcare costs.
- The method involved a comparison between two groups of patients: one that had catheter placements without ultrasound and another that used ultrasound for placement.
- Results showed a significant decrease in inappropriate catheterization from 22.6% to 0%, a reduction in urinary tract infections from 8.5% to 6.3%, and a 74.2% decrease in associated costs, highlighting the benefits of integrating bladder ultrasound into clinical practice.
Article Abstract
Unlabelled: . Assessing the impact of bladder ultrasound on catheter-associated urinary tract infections and health-care costs: an observational pre-post study.
Introduction: The placement of a urinary catheter is a standard procedure, but it can cause discomfort, increase the risk of infections and costs. Pelvic ultrasound is a non-invasive assessment of the bladder and bladder catheter placement that can be performed by nurses.
Aim: To assess the appropriateness of urinary catheter placement using bladder ultrasound, to monitor urinary catheter-associated urinary tract infections and costs associated with catheter use.
Methods: A single-centre pre-post observational study was conducted from September 2021 to August 2022 in patients aged >18 years requiring urinary monitoring; the first 6 months patients were assessed without the use of bladder ultrasound (control group), while the last 6 months with bladder ultrasound.
Results: 189 patients were included in the pre-ultrasound group and 175 patients in the post-ultrasound group; the demographic and clinical characteristics of the two groups were comparable. The rate of inappropriate catheterisation was 22.6% in the pre-group, whereas no inappropriate catheterisation was performed in the post-group. There was a 2.2% of absolute reduction in the rate of urinary tract infections (from 8.5% to 6.3%). Costs associated with the use of urinary catheters were reduced by 74.2% (from 173 to 44.8 euros).
Conclusions: Bladder ultrasound in clinical practice is feasible and reduced the inappropriate use of bladder catheters, reducing patient risks and healthcare costs.
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| http://dx.doi.org/10.1702/4095.40917 | DOI Listing |
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