Evidence map›Paper›PMID 32655693›Full record

ArticleJournal of infection prevention2020

A prevalence survey of patients with indwelling urinary catheters on district nursing caseloads in the United Kingdom: The Community Urinary Catheter Management (CCaMa) Study.

Jacqui Prieto, Jennie Wilson, Aggie Bak, Andrea Denton, Ashley Flores, Gail Lusardi, Matthew Reid, Lesley Shepherd, Niamh Whittome, Heather Loveday

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In one paragraph

Article in Journal of infection prevention, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jacqui PrietoUniversity of Southampton, Southampton, UK.ORCID https://orcid.org/0000-0002-5524-6775
Jennie WilsonRichard Wells Research Centre, University of West London, London, UK.ORCID https://orcid.org/0000-0002-4713-9662
Aggie BakRichard Wells Research Centre, University of West London, London, UK.
Andrea DentonUniversity of Huddersfield, Huddersfield, UK.ORCID https://orcid.org/0000-0003-1506-5870
Ashley FloresSurrey and Sussex NHS Trust, Redhill, Surrey, UK.
Gail LusardiHealth Protection Wales, Cardiff, UK.
Matthew ReidRoyal Wolverhampton NHS Trust, Wolverhampton, UK.
Lesley ShepherdHealth Protection Scotland, Glasgow, UK.
Niamh WhittomeBuckinghamshire NHS Trust, Stoke Mandeville, UK.
Heather LovedayRichard Wells Research Centre, University of West London, London, UK.ORCID https://orcid.org/0000-0003-2259-8149

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCatheter-associated urinary tract infection (CAUTI) is common in both hospitals and the community.

aimTo investigate the prevalence of indwelling urinary catheters on district nursing caseloads in the UK.

methodsParticipants 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.

findingsA total of 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% confidence interval [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). Of catheters, 5% 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 in the range of 20%-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%]; 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.

Indexed as

catheter-associated urinary tract infectioncatheter managementcatheter plancommunity nursingdocumentationprevalence surveyUrinary catheter

Identifiers

PMID32655693
PMCPMC7328505

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