Impact of introducing external urinary devices on reducing indwelling urinary catheter days: A quality improvement initiative at a midwestern academic medical center

Am J Infect Control. 2024 Dec;52(12):1469-1471. doi: 10.1016/j.ajic.2024.08.023. Epub 2024 Sep 2.

Abstract

External urinary device (EUD) use and modification of the electronic medical record system with defaulting EUD for selected indications significantly decreased the utilization of indwelling urinary catheters while there was no observed significant reduction in catheter-associated urinary tract infections. The introduction of EUD alone may not decrease catheter-associated urinary tract infections and a comprehensive approach involving various strategies from different perspectives will be necessary, particularly diagnostic stewardship.

Keywords: Catheter-associated urinary tract infection; External urinary device; Foley; Incontinence.

MeSH terms

  • Academic Medical Centers*
  • Adult
  • Aged
  • Aged, 80 and over
  • Catheter-Related Infections* / prevention & control
  • Catheters, Indwelling* / adverse effects
  • Female
  • Humans
  • Male
  • Middle Aged
  • Quality Improvement*
  • Retrospective Studies
  • Urinary Catheterization / adverse effects
  • Urinary Catheters* / adverse effects
  • Urinary Tract Infections* / prevention & control