Ošetřovatelské perspektivy 2021, 4(1):53-69 | DOI: 10.25142/osp.2021.001

MAINTENANCE OF HEALTH DOCUMENTATION AS A PART OF THE PREVENTION OF URINARY TRACT INFECTIONS RELATED TO URINARY BLADDER CATHETERISATION

Jitka Krocová^1,2, Radka Prokešová¹

¹ Ústav ošetřovatelství, porodní asistence a neodkladné péče, Zdravotně sociální fakulta, Jihočeská univerzita v Českých Budějovicích

² Katedra ošetřovatelství a porodní asistence, Fakulta zdravotnických studií, Západočeská univerzita v Plzni

Background:   Catheter-associated  urinary  tract  infection  (CAUTI)  accounts  for  more than a  third  of  healthcare-associated  infections.  Maintaining  documentation  on bladder catheterisation is one of the steps how to prevent the infections in question, and the electronic form of the documentation in the clinical information system is clearly recommended.

Aim: Among other things, the aim of the investigation was to map how to maintain the documentation on urinary catheterisation in hospitals providing acute inpatient  care in the Czech Republic, what data is recorded and whether documentation audits are carried out. The relation
between the data in the catheterisation documentation  and the care of the patient with the urinary catheter and between the individual hospital types was also observed.

Methods: Quantitative research.

Results and discussion: Ten record areas were observed: recording of the catheterisation date, name  of  the  catheterisation  performing  health  care  professional,  records of the catheter size and type catheter care, collection system replacement, indication and complications
related to catheterisation, urine sampling for testing and results,   and  documentation  audits   98.2%   respondents   confirmed   keeping   the   records of the catheterisation date in the documentation. There were statistically significant differences in the type of hospital and answers
to the questions whether urinary catheter care is always recorded in the documentation (p-value = 0.010, G = 13.253) and whether the replacement of the urinary system is always recorded (p-value = 0.002, G = 17.196).

Conclusion: The recommendation of professional companies in the case of CAUTI prevention is, among other measures, the maintenance of catheterisation documentation and, more importantly, control of the records.

Keywords: documentation, bladder catheterisation, preventive measures, infections, quantitative research

Received: January 11, 2021; Revised: February 4, 2021; Accepted: February 12, 2021; Published: September 21, 2021  Show citation