Urinary Tract Infections in Patients Admitted to Rehabilitation from Acute Care Settings: A Descriptive Research Study

Authors

  • Diane Romito BSN RN CRRN,

    Director of Rehabilitation Services, Corresponding authorSearch for more papers by this author
    • Diane Romito, BSN RN CRRN, is the director of rehabilitation services at Scripps Memorial Hospital Rehabilitation Center in Encinitas, CA.

  • JoAnn M. Beaudoin BSN RN,

    Manager of Patient Care Medical ServicesSearch for more papers by this author
    • JoAnn M. Beaudoin, BSN RN, is a manager of patient care medical services at Scripps Memorial Hospital in Encinitas, CA.

  • Patricia Stein BSN RN MAOL CNOR

    Clinical Documentation SpecialistSearch for more papers by this author
    • Patrician Stein, BSN RN MAOL CNOR, is a clinical documentation specialist at Scripps Green Hospital in La Jolla, CA.


Romito.Diane@Scrippshealth.org.

Abstract

The use of an indwelling urinary catheter comes with associated risks. At a hospital in southern California, nurses on the acute rehabilitation unit suspected their patients were arriving from acute care with undiagnosed urinary tract infections (UTIs). This descriptive research study quantified the incidence of UTI on admission to a rehabilitation unit and correlations with catheter use. During the study period, 132 patients were admitted to acute rehabilitation from an acute care setting, and 123 met criteria to participate in the study. Among participants, 12% had a UTI upon admission. Questionnaires examined nursing attitudes toward appropriate urinary catheter use and proactive catheter removal. The data revealed that nurses want to be involved in decisions about urinary catheter use and that medical/surgical and rehabilitation nurses agree strongly about advocating for patients with indwelling urinary catheters.

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