Link to the University of Pittsburgh Homepage
Link to the University Library System Homepage Link to the Contact Us Form

Clean-Catch Urine Specimen and Urinary Tract Infection Rates Analysis at a Psychiatric Inpatient Hospital

Kluver, Mikaela (2022) Clean-Catch Urine Specimen and Urinary Tract Infection Rates Analysis at a Psychiatric Inpatient Hospital. Master Essay, University of Pittsburgh.

Download (1MB) | Preview


Background: Urinary tract infections are among the most common hospital-acquired infections nationally. These infections are distinguished between catheter-associated and those that are not catheter-associated. Diagnostic tools for urinary tract infections include dipstick urine analysis and urine culture, which are collected from a clean-catch urine specimen. Urine specimen contamination is an issue in correct diagnosis of urinary tract infections. Understanding the gaps in literature, including non-catheter-associated urinary tract infections, is imperative to learn current medical practices’ downfalls. This review aims to investigate the cause of clean-catch urine specimen contamination through a retrospective data analysis and survey of healthcare workers to gain their perspective.

Methods: Retrospective data mining was performed for all clean-catch urine samples during 2020. Electronic health records were investigated to analyze commonalities between patient symptoms, demographics, and charting quality. A tailored survey was administered to the Integrated Health and Aging Population unit since they had the highest counts of clean-catch urine ordered and contamination. Healthcare workers were asked about their knowledge, beliefs, perceptions, and causation of contamination to clean-catch urine samples. Results were collectively investigated for a comprehensive look at clean-catch urine specimen contamination in relation to urinary tract infection health outcomes.

Results: The 2020 retrospective data found 389 clean-catch orders were collected, with 163 (41.9%) urine samples contaminated. The Integrated Health and Aging Population Unit reported that 64 of the 140 urine samples were contaminated. Healthcare workers had knowledge, beliefs, and perceptions, which indicate the need for more education, staff training, accessibility to ready-made clean catch kits, and improved patient collection training. In addition, electronic health records support a review of current clinical definitions and guidelines for urinary tract infections to tailor to specific populations, such as the memory-impaired elderly.

Conclusion: The need for increased education and research regarding clean-catch urine in a vulnerable population such as the memory-impaired elderly needs to be addressed to increase positive public health outcomes.


Social Networking:
Share |


Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Kluver, Mikaelamwk40@pitt.edumwk40
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairHaggerty, Catherinehaggertyc@edc.pitt.eduhaggertycUNSPECIFIED
Committee MemberMartinson, Jeremyjmartins@pitt.edujmartinsUNSPECIFIED
Committee MemberTatar, Janina-Marietatarj@upmc.eduUNSPECIFIEDUNSPECIFIED
Date: 1 July 2022
Date Type: Completion
Submission Date: 22 June 2022
Access Restriction: 2 year -- Restrict access to University of Pittsburgh for a period of 2 years.
Number of Pages: 44
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Epidemiology
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Uncontrolled Keywords: clean catch; urine; UTI; antibiotic resistance; quality improvement
Date Deposited: 01 Jul 2022 20:34
Last Modified: 01 Jul 2024 05:15


Monthly Views for the past 3 years

Plum Analytics

Actions (login required)

View Item View Item