Asymptomatic Bacteriuria Guideline Implementation Study
Completed · Not applicable
Conditions studied: Infection Due to Indwelling Urinary Catheter, Asymptomatic Bacteriuria
In brief
Overtreatment of asymptomatic bacteriuria (ABU) is a quality, safety, and cost issue, particularly as unnecessary antibiotics lead to emergence of resistant pathogens. The investigators' proposal to bring clinical practice in line with published guidelines has significant potential to reduce unnecessary antibiotic use for ABU in the VA healthcare system, thus improving the quality and safety of veterans' healthcare. The investigators' study will also provide important insights about how to implement and sustain evidence-based clinical practice within VA hospitals.
Key facts
- Study ID
- NCT01052545
- Run by
- VA Office of Research and Development
- People needed
- 1598
- Starts
- 2011-07-01
- Expected to finish
- 2013-06-01
- Last updated by the study team
- 2019-02-25
Who can join
Age: any. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- For Objective 1 (Clinical Outcomes), all inpatients at the MEDVAMC or STVHCS on the units of interest (medicine or ECL) during the 3 year period of the study will be included in the chart review process.
- For Objective 2, modifying health care provider knowledge and behavior through audit-feedback and surveys, the investigators will attempt to involve all health care providers on rotation at the VA on the targeted wards during the study period.
- The audit-feedback intervention will be applied to the health care providers on the targeted wards who make the decision to treat CAUTI.
You may not qualify if…
- None.
- For the chart review component, the investigators want to capture all available data about the clinical outcomes during the study period.
- review the inpatient rosters on the wards of interest several times per week to determine how many of the patients have urinary catheters, etc.
- survey as many health care providers as possible who rotate on the wards of interest during the study period.
- the investigators anticipate that all health care providers who work at the VA hospital will be competent to provide or refuse consent to participate.
Where it is running
- Michael E. DeBakey VA Medical Center, Houston, TX — Houston, Texas, United States
Full record on ClinicalTrials.gov
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