TABLE 3. INDEPENDENT PREDICTORS OF UTI
Odds ratio (95% confidence interval)
Postoperative superficial surgical site infection 3. 7 ( 1. 4–9. 8)
Study group (versus control)
Group 1 (EMR prompt)
Group 2 (Intraoperative placement)
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( 43 percent), IUC greater than 48
hours ( 30 percent), reinsertion of IUC
( 10 percent), and reinsertion of IUC
for more than 48 hours ( 17 percent).
Among patients who required IUC
reinsertion, IUC for more than 48
hours, or both, 59 percent had pelvic
surgery and more than 10 percent had
pelvic radiation therapy. The patients
who had no risk factors for UTI other
than the perioperative placement of the
IUC were found solely in the control
and intervention 1 groups (see Table 2,
page 35, and Table 3, this page ).
What conclusions did we
draw from the findings?
As the authors of this article reported
in 2014, the protocol of sterile
intraoperative catheter placement
alone essentially eliminated UTIs
associated with catheter placement. 15
The somewhat simple change from
preoperative to intraoperative sterile
urinary catheterization also had
significant impact on reducing UTIs in
our CRS patients. This practice change
was really a culture change that involved
the CRS service. Nursing engagement
continues to drive this practice and
ensure compliance by all team members.
This practice essentially eliminated
UTIs that were associated only by the
fact that an indwelling catheter was
placed under sterile conditions. ♦