Results of the audit of indwelling urinary catheter

Results of the audit of indwelling urinary catheter audits in residents receiving care in North Lancashire Anita Watson

Background Urinary tract infections (UTIs) make up a large proportion of HCAIs in the UK. Diagnosis of a UTI can be difficult. Patients can be given inappropriate antibiotics leading to other complications. 4 out of 5 UTI can be traced to indwelling urinary catheters with some of these cases going on to develop bloodstream infection. There is the opportunity for improving the quality of patients’ lives and saving precious healthcare resources by reducing the occurrence of catheter associated UTIs.

Local study NHS North Lancashire carried out a point prevalence study/questionnaire to all local independent care providers. The study was done on 8 th July 2011. The study included the numbers of urinary catheters being used and the responsible person for delivering the catheter care in residential and domiciliary settings. 62 responses were received with 1688 people receiving care from these providers.

Sample of questionnaire

Do you perform risk assessment/review of the need for a urinary catheter? 12 Yes No not answered 12 38

The number of staff trained in the ongoing care/management of urinary catheters 9 7 6 5 4 3 2 1 ce en in nt co ot lg al ha ve g in tra m 4 e, al fe m 6 ey Th Number of staff trained in Al l e al /A N 30 25 24 20 16 14 13 10 9 8 6 5 4 3 2 0 0 Number of care providers 8

40 Are bladder washouts performed 36 35 30 25 20 15 15 10 10 5 0 No Not answered Yes

16 Number of catheters in care homes 14 Number of care homes 12 10 8 6 4 2 0 Number of catheters

35 Reasons for catheterisation 30 25 20 15 10 5 0 Retention Don't Comfort/end know/long of life care term Prostate probs Having an Urostomy Unknow. amputation catheterised ? skin due to management haematuria and bladder problems Ca CVA/ Incontinent Neurogenic bladder MS

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