title: A Tool to Assess the Signs and Symptoms of Catheter-Associated Urinary Tract Infection: Development and Reliability.
abstract: The purpose of this pilot study was to determine the inter-rater reliability of four clinical manifestations of catheter-associated urinary tract infections (CAUTI) among hospitalized adults with short-term indwelling urinary catheters using a tool developed for this purpose: the CAUTI Assessment Profile (CAP). Study participants included 30 non-pregnant English-speaking adults, recruited from two community hospitals. Three nurses assessed each participant for fever, suprapubic tenderness, flank tenderness, and delirium using standardized techniques. Based on the generalized Kappa statistic and 95% confidence intervals, there was evidence of strong inter-rater reliability for fever (K = 1.00, 0.793-1.207), suprapubic tenderness (K = 0.39, 0.185-0.598), and delirium (K = 0.58, 0.379-0.792), but not for flank tenderness (K = 0.29, -0.036 to 0.617). This study provides preliminary evidence that the CAP can be used to consistently identify these clinical signs and symptoms of CAUTI in hospitalized adults.
authors.affiliation: Valparaiso University, IN, USA tom.blodgett@valpo.edu.
authors.forename: Tom J
authors.initials: TJ
authors.lastname: Blodgett
authors.affiliation: University of Iowa, Iowa City, USA.
authors.forename: Sue E
authors.initials: SE
authors.lastname: Gardner
authors.affiliation: Purdue University Calumet, Hammond, IN, USA.
authors.forename: Nicole P
authors.initials: NP
authors.lastname: Blodgett
authors.affiliation: Franciscan St. Margaret Health, Hammond, IN, USA.
authors.forename: Lisa V
authors.initials: LV
authors.lastname: Peterson
authors.affiliation: Franciscan St. Margaret Health, Hammond, IN, USA.
authors.forename: Melissa
authors.initials: M
authors.lastname: Pietraszak
mesh_terms: D002408:Catheters, Indwelling / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D015203:Reproducibility of Results; D014552:Urinary Tract Infections / Q000209:etiology* / Q000503:physiopathology
keywords: CAUTI; Kappa; catheter-associated urinary tract infection; reliability; urinary tract infection