Gentamicin Bladder Instillation on CAUTI
A Randomized Controlled Trial to Evaluate the Effectiveness of Gentamicin Bladder Instillation on CAUTI
St. Joseph's Hospital and Medical Center, Phoenix
400 participants
Oct 9, 2023
INTERVENTIONAL
Conditions
Summary
Urinary tract infections in catheterized patients is an unacceptable complication and has been termed a 'never event' by the Center for Medicare \& Medicaid Services (CMS); however there is not consensus among clinicians on how to best prevent CAUTIs. We propose a prospective randomized controlled trial to test the efficacy of prophylactic gentamicin bladder irrigation in elimination of CAUTIs.
Eligibility
Inclusion Criteria3
- age greater than 18
- admitted with a trauma, surgical, or neuro-critical care diagnosis
- indwelling foley catheter in place
Exclusion Criteria5
- Documented positive UA or Urine Culture within the past 7 days or upon admission
- Traumatic bladder injury
- Gross hematuria
- Chronic indwelling urethral or chronic suprapubic foley catheter
- allergy to gentamicin or similar aminoglycosides
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Interventions
random assignment to gentamicin or placebo bladder instillation to prevent CAUTI (catheterized urinary track infection)
Locations(1)
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NCT06332040