{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T12:37:58Z","timestamp":1773319078595,"version":"3.50.1"},"reference-count":36,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2015,1,2]],"date-time":"2015-01-02T00:00:00Z","timestamp":1420156800000},"content-version":"unspecified","delay-in-days":2742,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2007,7]]},"abstract":"<jats:sec id=\"S0195941700046750_abs1\"><jats:title>Objective.<\/jats:title><jats:p>To evaluate the efficacy of a multifaceted hospitalwide quality improvement program that featured an intervention to remind physicians to remove unnecessary urinary catheters.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700046750_abs2\"><jats:title>Methods.<\/jats:title><jats:p>A hospitalwide preintervention-postintervention study was conducted over 2 years (July 1, 2004, through June 30, 2006). The intervention consisted of nurse-generated daily reminders that were used by an intervention team to remind physicians to remove unnecessary urinary catheters, beginning 3 days after insertion. Clinical, microbiological, pharmaceutical, and cost data were collected.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700046750_abs3\"><jats:title>Results.<\/jats:title><jats:p>A total of 2,412 patients were enrolled in the study. No differences were found in the demographic and\/or clinical characteristics of patients between the preintervention and postintervention periods. After the intervention, reductions were found in the rate of inappropriate urinary catheterization (mean rate, preintervention vs postintervention, 20.4% vs 11% [<jats:italic>P<\/jats:italic> = .04]), the rate of catheter-associated urinary tract infection (CA-UTI) (mean rate, 21.5 vs 5.2 infections per 1,000 catheter-days [<jats:italic>P<\/jats:italic> &lt;.001]), the duration of urinary catheterization (mean, 11 vs 3 days [<jats:italic>P<\/jats:italic> &lt; .001]), and the total length of hospitalization (mean, 16 vs 5 days [<jats:italic>P<\/jats:italic> &lt; .001]). A linear relationship was seen between the monthly average duration of catheterization and the rate of CA-UTI (<jats:italic>r<\/jats:italic> = 0.89; <jats:italic>P<\/jats:italic> &lt; .001). The intervention had the greatest impact on the rate of CA-UTI in the intensive care units (mean rate, preintervention vs postintervention, 23.4 vs 3.5 infections per 1,000 catheter-days [<jats:italic>P<\/jats:italic> = .01]). The monthly hospital costs for antibiotics to treat CA-UTI were reduced by 63% (mean, $3,739 vs $1,378 [<jats:italic>P<\/jats:italic> &lt; .001]), and the hospitalization cost for each patient during the intervention was reduced by 58% (mean, $366 vs $154 [<jats:italic>P<\/jats:italic> &lt; .001]).<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700046750_abs4\"><jats:title>Conclusions.<\/jats:title><jats:p>This study suggests that a multifaceted intervention to remind physicians to remove unnecessary urinary catheters can significantly reduced the duration of urinary catheterization and the CA-UTI rate in a hospital in a developing country.<\/jats:p><\/jats:sec>","DOI":"10.1086\/518453","type":"journal-article","created":{"date-parts":[[2007,6,11]],"date-time":"2007-06-11T15:19:34Z","timestamp":1181575174000},"page":"791-798","source":"Crossref","is-referenced-by-count":76,"title":["Effectiveness of Multifaceted Hospitalwide Quality Improvement Programs Featuring an Intervention to Remove Unnecessary Urinary Catheters at a Tertiary Care Center in Thailand"],"prefix":"10.1017","volume":"28","author":[{"given":"Anucha","family":"Apisarnthanarak","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kanokporn","family":"Thongphubeth","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sirinaj","family":"Sirinvaravong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danai","family":"Kitkangvan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chananart","family":"Yuekyen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Boonyasit","family":"Warachan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David K.","family":"Warren","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria J.","family":"Fraser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2015,1,2]]},"reference":[{"key":"S0195941700046750_ref005","first-page":"267","volume-title":"Hospital Epidemiology and Infection 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