{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T08:23:48Z","timestamp":1793262228801,"version":"4.5.0"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec>\n            <jats:title>PURPOSE:<\/jats:title>\n            <jats:p>The purpose of this study was to examine the effectiveness of an external female urinary management system (external urinary device for female anatomy [EUDFA]) in critically ill women unable to self-toilet and to identify rates of indwelling catheter use, catheter-associated urinary tract infections (CAUTIs), urinary incontinence (UI), and incontinence-associated dermatitis (IAD) before and after the introduction of the EUDFA.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>DESIGN:<\/jats:title>\n            <jats:p>Prospective, observational, and quasi-experimental design.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>SUBJECTS AND SETTING:<\/jats:title>\n            <jats:p>The sample comprised 50 adult female patients in 4 critical\/progressive care units using an EUDFA at a large academic hospital in the Midwestern United States. All adult patients in these units were included in the aggregate data.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS:<\/jats:title>\n            <jats:p>Prospective data collected from the adult female patients over 7 days included urine diverted from the device to a canister and total leakage. Aggregate unit rates of indwelling catheter use, CAUTIs, UI, and IAD were retrospectively examined during 2016, 2018, and 2019. Means and percentages were compared using <jats:italic toggle=\"yes\">t<\/jats:italic> tests or chi-square tests.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS:<\/jats:title>\n            <jats:p>The EUDFA successfully diverted 85.5% of patients' urine. Indwelling urinary catheter use was significantly lower in 2018 (40.6%) and 2019 (36.6%) compared with 2016 (43.9%) (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; .01). The rate of CAUTIs was lower in 2019 than in 2016, but not significantly (1.34 per 1000 catheter-days vs 0.50, <jats:italic toggle=\"yes\">P<\/jats:italic> = .08). The percentage of incontinent patients with IAD was 69.2% in 2016 and 39.5% in 2018-2019 (<jats:italic toggle=\"yes\">P<\/jats:italic> = .06).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSIONS:<\/jats:title>\n            <jats:p>The EUDFA was effective in diverting urine from critically ill female incontinent patients and indwelling catheter utilization.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/won.0000000000000951","type":"journal-article","created":{"date-parts":[[2023,3,3]],"date-time":"2023-03-03T09:03:26Z","timestamp":1677834206000},"page":"137-141","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Effectiveness of an External Urinary Device for Female Anatomy and Trends in Catheter-Associated Urinary Tract Infections"],"prefix":"10.1097","volume":"50","author":[{"given":"Terrie","family":"Beeson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joyce","family":"Pittman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen R.","family":"Davis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"2","key":"R1-20250806","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"},{"issue":"3","key":"R2-20250806","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1310\/sci2503-228","article-title":"Pathophysiology, treatment, and prevention of catheter-associated urinary tract 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Clin"},{"issue":"2","key":"R12-20250806","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1097\/WON.0000000000000313","article-title":"Incidence and predictors of incontinence-associated skin damage in nursing home residents with new-onset incontinence","volume":"44","author":"Bliss","year":"2017","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"2","key":"R13-20250806","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1097\/WON.0000000000000865","article-title":"Moisture-associated skin damage: expanding and updating practice based on the newest ICD-10-CM codes","volume":"49","author":"Gray","year":"2022","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"11","key":"R14-20250806","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1097\/01.ASW.0000525627.54569.da","article-title":"Management of moisture-associated skin damage: a scoping review","volume":"30","author":"Woo","year":"2017","journal-title":"Adv Skin Wound Care"},{"issue":"3","key":"R15-20250806","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1097\/WON.0b013e3182549118","article-title":"Incontinence-associated dermatitis: consensus statements, evidence-based guidelines for prevention and treatment, and current challenges","volume":"39","author":"Doughty","year":"2012","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"6","key":"R16-20250806","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1097\/WON.0000000000000818","article-title":"Incontinence and incontinence-associated dermatitis in acute care: a retrospective analysis of total cost of care and patient outcomes from the Premier Healthcare Database","volume":"48","author":"Kayser","year":"2021","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"1","key":"R17-20250806","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1097\/WON.0000000000000390","article-title":"Incontinence-associated dermatitis, characteristics and relationship to pressure injury: a multisite epidemiologic analysis","volume":"45","author":"Gray","year":"2018","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"3","key":"R18-20250806","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1097\/WON.0000000000000225","article-title":"Pressure ulcer risk in the incontinent patient: analysis of incontinence and hospital-acquired pressure ulcers from the International Pressure Ulcer Prevalence Survey","volume":"43","author":"Lachenbruch","year":"2016","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"6","key":"R19-20250806","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1097\/WON.0000000000000704","article-title":"Interventions Post Catheter Removal (iPCaRe) in the acute care setting: an evidence- and consensus-based algorithm","volume":"47","author":"Gray","year":"2020","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"1","key":"R20-20250806","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1097\/WON.0000000000000601","article-title":"Reducing the risk of indwelling catheter-associated urinary tract infection in female patients by implementing an alternative female external urinary collection device: a quality improvement project","volume":"47","author":"Eckert","year":"2020","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"5","key":"R21-20250806","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1017\/ice.2020.1259","article-title":"Effect of an external urinary collection device for women on institutional catheter utilization and catheter-associated urinary tract infections","volume":"42","author":"Rearigh","year":"2021","journal-title":"Infect Control Hosp Epidemiol"},{"issue":"6","key":"R22-20250806","doi-asserted-by":"crossref","first-page":"764","DOI":"10.1016\/j.ajic.2020.10.023","article-title":"Implementation of an external female urinary catheter 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