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. 2022 Jul;23(4):149-154.
doi: 10.1177/17571774211060423. Epub 2022 Mar 20.

A single institution pre-/post-comparison after introduction of an external urinary collection device for female medical patients

Nathan Jasperse  1 , Oscar Hernandez-Dominguez  2 , Jacob S Deyell  3 , Janani P Prasad  3 , Charlene Yuan  3 , Meril Tomy  3 , Catherine M Kuza  4 , Areg Grigorian  3 , Jeffry Nahmias  3
Affiliations

A single institution pre-/post-comparison after introduction of an external urinary collection device for female medical patients

Nathan Jasperse et al. J Infect Prev. 2022 Jul.

Abstract

Background: External urinary collection devices (EUCDs) may serve as an alternative to indwelling urinary catheters (IUCs) and decrease the rate of catheter associated urinary tract infections (CAUTIs). PureWick® is a novel female EUCD; however, no study has definitively proven benefit regarding reduction of CAUTIs.

Aim: We sought to compare the CAUTI rate and IUC days before and after availability of the PureWick® EUCD at a single institution. We provide a descriptive analysis of female medical patients receiving an EUCD.

Methods: A retrospective review of adult female patients admitted to a single institution on a medical service who received an IUC and/or an EUCD was performed. Patients who received an IUC in the 3 months before EUCD availability (PRE) were compared to patients who received an IUC and/or EUCD in the 12 months after (POST).

Results: Out of 848 female patients, 292 received an EUCD in the POST cohort and overall, 656 received an IUC (259 (100%) PRE vs. 397 (67.4%) POST). Compared to the PRE cohort, the POST cohort had a higher number of IUC days (median, 3 vs 2 days, p = 0.001) and a higher rate of CAUTI (infections per 1000 catheter days, 9.3 vs 2.3, p = 0.001). The rate of UTI associated with EUCD use was 9.8 infections per 1000 device days.

Discussion: While EUCDs might appear to be a promising alternative to IUCs for female patients, this single center pre-/post-analysis found that both the number of IUC days and the CAUTI rate increased after introduction of a female EUCD.

Keywords: Catheter associated urinary tract infection; external urinary collection device; indwelling urinary catheter.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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