{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T22:55:44Z","timestamp":1790808944498,"version":"4.1.0"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background:<\/jats:title>\n Catheter-associated urinary tract infections (CAUTIs) can lead to complications that prolong hospital stays and result in patient discomfort as well as increased health care costs and mortality. At our academic medical center in New York City, in 2016-17, 21 of 87 CAUTI cases (24%) were in bedbound female patients in whom indwelling catheters were used for incontinence. Although condom catheters were available as an alternative to indwelling urinary catheters for male patients, there was a lack of effective products for female patients.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n A team of clinical nurse specialists (CNSs) conducted a literature search, reviewed internal data on CAUTI rates and catheter use, and searched for available catheter alternatives that would meet the needs of bedbound female patients. The team identified two different external female urinary catheters and piloted both with a focus on efficacy as well as stakeholder satisfaction.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n In 2019-20, external female catheters were used in 1,195 unique patients. Approximately 90% of external female catheter use was to avoid using an indwelling urinary catheter. With a cost avoidance of $13,786 per patient, $16,473,912 in costs to the organization were avoided. CAUTI rates in bedbound female patients decreased after implementation of the external female catheters.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n This initiative demonstrates that external female urinary catheters can be used at other hospitals to decrease indwelling urinary catheter use and CAUTI rates in bedbound female patients.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/01.naj.0000911540.75111.b4","type":"journal-article","created":{"date-parts":[[2022,12,22]],"date-time":"2022-12-22T06:00:36Z","timestamp":1671688836000},"page":"50-55","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":8,"title":["Addressing CAUTIs with an External Female Catheter"],"prefix":"10.1097","volume":"123","author":[{"given":"Christine","family":"Tran","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debra","family":"Rodrigue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tasina","family":"Jones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Bell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250607","author":"Gould","year":"2019","journal-title":"Guideline for prevention of catheter-associated urinary tract infections 2009"},{"issue":"10","key":"R4-20250607","doi-asserted-by":"crossref","first-page":"1611","DOI":"10.1093\/cid\/ciz021","article-title":"Clinical practice guideline for the management of asymptomatic bacteriuria: 2019 update by the Infectious Diseases Society of America","volume":"68","author":"Nicolle","year":"2019","journal-title":"Clin Infect Dis"},{"issue":"1","key":"R6-20250607","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1007\/s40520-020-01712-y","article-title":"Urinary incontinence and quality of life: a systematic review and meta-analysis","volume":"33","author":"Pizzol","year":"2021","journal-title":"Aging Clin Exp Res"},{"issue":"2","key":"R7-20250607","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1097\/WON.0000000000000417","article-title":"Urinary management with an external female collection device","volume":"45","author":"Beeson","year":"2018","journal-title":"J Wound Ostomy Continence Nurs"},{"key":"R8-20250607","author":"Newton","year":"2016","journal-title":"Measuring safety, effectiveness and ease of use of PureWick in the management of urinary incontinence in bedbound women: case studies"},{"issue":"5","key":"R9-20250607","doi-asserted-by":"crossref","first-page":"916","DOI":"10.2215\/CJN.11501015","article-title":"How to sustain change and support continuous quality improvement","volume":"11","author":"Silver","year":"2016","journal-title":"Clin J Am Soc Nephrol"},{"issue":"4","key":"R10-20250607","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1097\/01.NUMA.0000531173.00718.06","article-title":"Supporting successful mentoring","volume":"49","author":"Goodyear","year":"2018","journal-title":"Nurs Manage"},{"issue":"6","key":"R11-20250607","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1097\/NUR.0000000000000482","article-title":"Building a renowned clinical nurse specialist team: recruitment, role development, and value identification","volume":"33","author":"Fischer-Cartlidge","year":"2019","journal-title":"Clin Nurse Spec"},{"issue":"3","key":"R12-20250607","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1097\/NUR.0000000000000205","article-title":"Nursing morbidity and mortality: the clinical nurse specialist role in improving patient outcomes","volume":"30","author":"Zavotsky","year":"2016","journal-title":"Clin Nurse Spec"}],"container-title":["AJN, American Journal of Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/01.NAJ.0000911540.75111.b4","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,7]],"date-time":"2025-06-07T16:03:43Z","timestamp":1749312223000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/01.NAJ.0000911540.75111.b4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.1097\/01.naj.0000911540.75111.b4","relation":{},"ISSN":["0002-936X"],"issn-type":[{"value":"0002-936X","type":"print"}],"subject":[],"published":{"date-parts":[[2023,1]]}}}