In Pursuit of Appropriate Urinary Catheter Indications: Details Matter

Ann Intern Med. 2015;162:S1-S34. doi:10.7326/M14-1304


Although effective interventions to improve urinary catheter use have been published, reducing use in hospitals has proved difficult. The 2009 Guideline for Prevention of Catheter-Associated Urinary Tract Infections from the Centers for Disease Control and Prevention (CDC) provides a list of examples of appropriate and inappropriate indications for indwelling urinary catheters to help guide facilities in promoting appropriate use. However, because of the lack of published evidence to guide the indications, the CDC list was based primarily on expert consensus, and some of the indications have been subject to broad and variable interpretation. One example is the “need for accurate measurements of urine output in critically ill patients”, which is often applied to patients who do not need frequent (for example, hourly) measurement of urine output to guide management. In addition, certain conditions, such as chronic urine retention, and nonindwelling catheters were not addressed.

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Exhaustivo trabajo publicado en Annals (Suppl. Mayo 2015) donde se pretende reducir la utilización del sondare vesícal a través de una metodología especifica "RAND/UCLA Appropriateness Method"  que permite consensuar sobre las indicaciones de los cateteres urinarios.


The Ann Arbor Criteria for Appropriate Urinary Catheter

Use inHospitalized Medical Patients

Meddings, MD, MSc; Sanjay Saint, MD, MPH; Karen E. Fowler, MPH; Elissa Gaies, MD, MPH; Andrew Hickner, MSI; Sarah L. Krein, PhD, RN; and Steven J. Bernstein, MD, MPHAnn Intern Med. 2015;162(9_Supplement):S1-S34. doi:10.7326/M14-1304


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