Retained Urine Volume and Bacteriuria in Traditional Versus Vented Urine Drainage Systems
Study Details
Study Description
Brief Summary
The purpose of this study is to see if there are differences in urine drainage between two types of indwelling bladder catheter systems (Foley catheter) in hospitalized patients. The difference between the two catheters is that one catheter is vented (the study catheter) and the other is a standard non-vented catheter. The vented catheter may drain urine better than a standard non-vented catheter.
If a vented catheter drains the bladder better than a non-vented catheter it may lower the risk of retained urine in the bladder which could help prevent urinary tract infections.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 1 |
Detailed Description
During hospitalization, while in the surgical intensive care unit beginning the day after surgery, measurements of the subject's urine drainage system will be taken at daily study visits: retained urine volume, dependent loops, incidence of bacteriuria, and thigh diameter.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Vented urinary drainage system This group will be catheterized with a vented urinary drainage system. Several data sets will be evaluated to compare the two arms of the study: retained urine volume, the difference (ΔH) in meniscus heights in the dependent loops, time necessary for drainage of dependent loops, and incidence of bacteriuria. |
Device: Vented urinary drainage system
This group will be catheterized with a vented urinary drainage system. Several data sets will be evaluated to compare the two arms of the study: retained urine volume, the difference (ΔH) in meniscus heights in the dependent loops, time necessary for drainage of dependent loops, and incidence of bacteriuria.
Other Names:
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Active Comparator: Non-vented urinary drainage system This group will be catheterized with a non-vented urinary drainage system. Several data sets will be evaluated to compare the two arms of the study: retained urine volume, the difference (ΔH) in meniscus heights in the dependent loops, time necessary for drainage of dependent loops, and incidence of bacteriuria. |
Device: Non-vented urinary drainage system
This group will be catheterized with a non-vented urinary drainage system. Several data sets will be evaluated to compare the two arms of the study: retained urine volume, the difference (ΔH) in meniscus heights in the dependent loops, time necessary for drainage of dependent loops, and incidence of bacteriuria.
Other Names:
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Outcome Measures
Primary Outcome Measures
- Bacteriuria [7 days]
Evidence of bacteriuria, a potential precursor to Catheter Associated Urinary Tract Infection (CAUTI), will be used to study the potential effect of the vented urinary drainage system intervention on CAUTI.
Secondary Outcome Measures
- Retained Urine [7 days]
One potential source for the risk of developing a Urinary Tract Infection (UTI) is related to residual urine volume in the bladder
- Presence of biofilms in catheter materials [7 days]
A key contributor to bacteriuria is formation of biofilms in the catheter and catheter tubing.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Scheduled for a planned surgery
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Anticipated indwelling bladder catheter placement for greater than 24 hours
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Anticipated post-op admission to a surgical ICU
Exclusion Criteria:
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Unstable renal function as self-reported
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Anticipated bandaged postoperative suprapubic incisions
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Anatomical deformity that precludes appropriate suprapubic access for ultrasound bladder scanning
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Surgical procedure that prevents accurate core body temperature by any means other than by bladder temperature
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- University of Florida
Investigators
- Principal Investigator: William B. Smith, MD, University of Florida
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 201300634