Does Straight Catheterization in Short Gynecologic Procedures Cause Bacteriuria?
| Status: | Recruiting |
|---|---|
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/2/2016 |
| Start Date: | July 2013 |
| Contact: | Emily G Parent, D.O. |
| Email: | eparent@amh.org |
| Phone: | 215-481-7663 |
Intraoperative One-Time Catheterization in Short Gynecologic Procedures and Its Potential Effect on Symptomatic and Asymptomatic Bacteriuria
This is a prospective randomized controlled trial to look into the reduction of catheter
associated urinary tract infections in the postoperative period. It will specifically look
at short gynecologic procedures such as D&C (dilation and curettage), hysteroscopies and
LEEP procedures and the need to perform intraoperative catheterization. If a patient
urinates immediately before a short operation then there is no need to drain the bladder
with a catheter during the procedure. The investigators hypothesize that eliminating
catheterization during these short procedures may decrease postoperative urinary tract
infections. The hope is that this study would provide evidence to support a change in
practice.
associated urinary tract infections in the postoperative period. It will specifically look
at short gynecologic procedures such as D&C (dilation and curettage), hysteroscopies and
LEEP procedures and the need to perform intraoperative catheterization. If a patient
urinates immediately before a short operation then there is no need to drain the bladder
with a catheter during the procedure. The investigators hypothesize that eliminating
catheterization during these short procedures may decrease postoperative urinary tract
infections. The hope is that this study would provide evidence to support a change in
practice.
The majority of research currently concentrates on indwelling catheters rather than one-time
catheterization. Current practice at our institution in the gynecologic operating room is to
perform a one time catheterization on patient's undergoing short procedures, yet it is
unclear if this is a necessary intervention. If patients are asked to void immediately
before their procedure it would eliminate the need for intra-operative catheterization and
eliminate a potential source of infection.
The study is designed to determine whether routine catheterization prior to a minor OB/GYN
procedure causes symptomatic or asymptomatic bacteria in the urine. Current practice is
one-time catheterization of patients undergoing minor OB/GYN procedures prior to the
beginning of the procedure. The investigators hypothesize that this causes asymptomatic or
symptomatic bacteriuria.
catheterization. Current practice at our institution in the gynecologic operating room is to
perform a one time catheterization on patient's undergoing short procedures, yet it is
unclear if this is a necessary intervention. If patients are asked to void immediately
before their procedure it would eliminate the need for intra-operative catheterization and
eliminate a potential source of infection.
The study is designed to determine whether routine catheterization prior to a minor OB/GYN
procedure causes symptomatic or asymptomatic bacteria in the urine. Current practice is
one-time catheterization of patients undergoing minor OB/GYN procedures prior to the
beginning of the procedure. The investigators hypothesize that this causes asymptomatic or
symptomatic bacteriuria.
Inclusion Criteria:
- The patient must be 18 years of age or older.
- The patient must be female.
- The patient must be undergoing a same-day gynecologic procedure where catheterization
is usually performed.
- The patient must have general anesthesia or monitored anesthesia care (MAC). This
includes IV sedation.
Exclusion Criteria:
- The patient cannot be undergoing intermittent one-time catheterization.
- The patient can not have had an indwelling catheter placed in the past 6 months.
- The patients cannot have a concomitant pelvic infection.
- The procedure cannot require spinal anesthesia.
- The patient cannot be taking immunosuppressive medications.
- The patient cannot be taking antibiotics and/or suppressive therapy for chronic
urinary tract infections.
- The patient cannot receive pre-operative or intra-operative antibiotics.
We found this trial at
1
site
Abington Memorial Hospital Abington Memorial Hospital (AMH) is a 665-bed, regional referral center and teaching...
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