Effect of Appropriate Management of the Urine Collection Bag in the Operation Room

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  • MATSUSHITA Mana
    Surgery Unit, Kyoto University Hospital
  • KIMURA Mio
    Surgery Unit, Kyoto University Hospital
  • HASHIMOTO Akiko
    Nursing Department, Kyoto University Hospital Department of Infection Control and Prevention, Kyoto University Hospital
  • IGAWA Junko
    Nursing Department, Kyoto University Hospital
  • YAMANAKA Hiroe
    Nursing Department, Kyoto University Hospital
  • NAGAO Miki
    Department of Infection Control and Prevention, Kyoto University Hospital
  • TAKAKURA Syunji
    Department of Infection Control and Prevention, Kyoto University Hospital
  • ICHIYAMA Satoshi
    Department of Infection Control and Prevention, Kyoto University Hospital

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Other Title
  • 手術室における蓄尿バッグの適正管理に対する介入の効果検討
  • シュジュツシツ ニ オケル チクニョウ バッグ ノ テキセイ カンリ ニ タイスル カイニュウ ノ コウカ ケントウ

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Abstract

  Catheter-associated urinary tract infection (CAUTI) accounts for approximately 40% of hospital infections, and 80% of CAUTI cases occur after operation involving urethra catheters and urine collection bags (urine bag). A preliminary investigational study found that urine bags were left on the floor and those bags might be contaminated. In order to implement appropriate handling of urine bags, holders were installed for urine collection bags (holder) and buckets for urine waste fluid (bucket). However, knowledge and motivation about CAUTI prevention among operating room nurses and the utilization rate of those products remained low before this study. The aim of this study was to increase appropriate handling of holders and buckets to prevent CAUTI due to contaminated urine bags. As a multi-disciplinary intervention including educational meetings, post-hoc tests, and on-site audit activities, utilization rate of holders rose from 35.9% to 81.8% and that of buckets was kept high. Use of a holder was effective to prevent contamination of the drainage port by stability in the urine bag. Giving concise information on the effectiveness of holders and prevention of CAUTI as well as feedback of on-site audit were useful for raising the motivation of operating room nurses to prevent CAUTI by using holders and buckets.<br>

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