{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T03:59:49Z","timestamp":1784260789965,"version":"3.55.0"},"reference-count":50,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,7,2]],"date-time":"2024-07-02T00:00:00Z","timestamp":1719878400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Clinical practice guidelines for the prevention of catheter associated urinary tract infection (CAUTI) recommend urinary catheter securement in critical patients although there is scant research on its effectiveness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To analyse whether securement of an indwelling urinary catheter (IUC) reduces the risk of CAUTI and meatal pressure injury among intensive care unit (ICU) patients and assess medical adhesive\u2010related skin injury (MARSI) associated with the securement device.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Open randomized controlled trial involving patients admitted to two ICUs in Spain. In the intervention group (<jats:italic>n<\/jats:italic>\u2009=\u2009169 patients), the IUC was secured to the thigh using an in\u2010house device piloted as part of this trial. Controls (<jats:italic>n<\/jats:italic>\u2009=\u2009181) received standard care, including non\u2010securement of the IUC. Barrier film spray was applied to the securement site with the aim of preventing MARSI. The definitions of the main outcomes were: CAUTI was diagnosed according to the criteria of the European Centre for Disease Prevention and Control, meatal pressure injury was categorized into four grades and MARSI was classified as either erythema or skin tears. Bivariate analysis and multivariate logistic regression were performed. Log\u2010rank and Cox regressions were used to compare risk over time to CAUTI and meatal pressure injury in the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Data from 350 patients were analysed, 169 (48.29%) from IG and 181 (51.71%) from CG. In the multiple logistic regression analysis, IUC securement was an independent protective factor against both CAUTI (RR\u2009=\u20090.2, 95% CI [0.05, 0.67]) and meatal pressure injury (RR\u2009=\u20090.31, 95% CI [0.15, 0.58]). The incidence of MARSI was 7.1%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Effective IUC securement significantly reduces the risk of CAUTI and meatal pressure injury among ICU patients. The in\u2010house device piloted in the present trial is simple for nurses to use, and the incidence of MARSI was low. These results underline the benefits of IUC securement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to Clinical Practice<\/jats:title><jats:p>Indwelling urinary catheter (IUC) securement reduces the risk of urinary tract infection. IUC securement helps prevent meatal pressure injury. IUC securement with in\u2010house devices is safe and effective.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nicc.13111","type":"journal-article","created":{"date-parts":[[2024,7,3]],"date-time":"2024-07-03T01:23:55Z","timestamp":1719969835000},"page":"1788-1798","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Effectiveness and safety of a simple catheter securement device aimed at preventing catheter\u2010associated urinary tract infection in intensive care unit patients: A randomized controlled trial"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2709-9322","authenticated-orcid":false,"given":"Neus","family":"Calpe\u2010Damians","sequence":"first","affiliation":[{"name":"Intensive Care Unit Hospital Universitari General de Catalunya  Barcelona Spain"},{"name":"Nursing Department, Medicine and Health Sciences Faculty Universitat Internacional de Catalunya  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6811-1343","authenticated-orcid":false,"given":"Laia","family":"Wennberg\u2010Capellades","sequence":"additional","affiliation":[{"name":"Nursing Department, Medicine and Health Sciences Faculty Universitat Internacional de Catalunya  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arminda","family":"Ventura\u2010Rosado","sequence":"additional","affiliation":[{"name":"Intensive Care Unit Hospital Universitari General de Catalunya  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Remei","family":"Gonzalez\u2010Engroba","sequence":"additional","affiliation":[{"name":"Intensive Care Unit Hospital Universitari General de Catalunya  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuria","family":"Enr\u00edquez\u2010P\u00e9rez","sequence":"additional","affiliation":[{"name":"Intensive Care Unit Hospital Universitari General de Catalunya  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4233-6538","authenticated-orcid":false,"given":"Concepci\u00f3n","family":"Vicario\u2010Martos","sequence":"additional","affiliation":[{"name":"Intensive Care Unit Hospital Universitari General de Catalunya  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anabel","family":"Roldos\u2010Gales","sequence":"additional","affiliation":[{"name":"Intensive Care Unit Hospital de la Santa Creu i Sant Pau  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thais","family":"Guri\u2010L\u00f3pez","sequence":"additional","affiliation":[{"name":"Intensive Care Unit Hospital Parc de Salut Mar  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonia","family":"Rafart\u2010Aguado","sequence":"additional","affiliation":[{"name":"Intensive Care Unit Hospital Parc de Salut Mar  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angie","family":"Ram\u00edrez\u2010Ramon","sequence":"additional","affiliation":[{"name":"Intensive Care Unit Hospital Parc de Salut Mar  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5123-0581","authenticated-orcid":false,"given":"Mireia","family":"Llaurad\u00f3\u2010Serra","sequence":"additional","affiliation":[{"name":"Nursing Department, Medicine and Health Sciences Faculty Universitat Internacional de Catalunya  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,2]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.idc.2021.08.003"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/2047\u20102994\u20103\u201023s"},{"key":"e_1_2_13_4_1","unstructured":"Catalan GonzalezM Nuvials CasalsX Gimeno CostaR et al.Estudio Nacional De Vigilancia De Infecci\u00f3n Nosocomial (Envin\u2010Helics). 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