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