Effectiveness of Catheter Reminder and Evaluation Program

Study Overview
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Brief Summary
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The investigators will conduct a cluster randomized controlled trial to evaluate the efficacy of Catheter Reminder and Evaluation program (CARE) in reducing the duration of catheter use and the number of infection relating to catheter use.

Official Title
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Effectiveness of Catheter Reminder and Evaluation (CARE) Program in Reducing the Catheter-day and Prevention of Catheter-associated Infections

Conditions
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All Hospitalized Patients, With and Without Catheter

Intervention / Treatment
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* Procedure: Catheter Reminder and Evaluation Program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All hospitalized adults in 6 general medical wards at Siriraj Hospital With or Without catheter Exclusion Criteria: None

Ages Eligible for Study
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Minimum Age: 15 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: CARE<br>All patients in the intervention wards will receive the Catheter Reminder and Evaluation (CARE) intervention. | Procedure: Catheter Reminder and Evaluation Program<br>* This intervention will be implemented by ward nurses and responsible physicians. The details of intervention are shown below. Nurse: Every morning, a ward nurse will check if any patient has a urinary catheter or a central venous catheter in place. An order sheet will be marked with a CARE-rubber stamp and the following information will be added by hand-writing. Type and duration of urinary catheter use. Indication of urinary catheter _________ Type and duration of central venous catheter use Indication of urinary catheter _________ Responsible physician: During a morning round, a physician needs to fill the indication of catheter use. If a given physician does not fill the indication of urinary catheter use, the catheter will be automatically removed. If a given physician does not fill the indication of central venous catheter, the CARE team will be notified.<br>|
| No Intervention: Control<br>All patients in the control wards will receive usual care without the CARE intervention. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Urinary catheter day | Total duration of urinary catheter use (day) | participants will be followed for the duration of hospital stay, an expected average of 3 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| CA-UTI | Number of catheter-associated urinary tract infection episode | participants will be followed for the duration of hospital stay, an expected average of 3 weeks |