title: Near-perfect compliance with SCIP Inf-9 had no effect on catheter utilization or urinary tract infections at an academic medical center.
abstract: BACKGROUND
  The Joint Commission's SCIP Inf-9 mandated early removal of indwelling urinary catheters (IUCs), but the impact of compliance on catheter-associated urinary tract infection (CAUTI) and postoperative urinary retention (POUR) are unknown.
  
  
  METHODS
  Retrospective pre- and post-intervention study at a single tertiary academic medical center of all patients undergoing general surgery procedures with an IUC placed at the time of surgery who were admitted for at least two days before and after a Best Practice Advisory was put in place to improve compliance with SCIP Inf-9.
  
  
  RESULTS
  A total of 1036 patients were included (468 pre-intervention; 568 post-intervention). POUR occurred in 13% of patients and CAUTI in 0.8%. There was no change in POUR, CAUTI, or catheter utilization after the Best Practice Advisory was initiated. Both POUR and CAUTI predicted longer lengths of stay.
  
  
  CONCLUSIONS
  Near-perfect SCIP Inf-9 compliance had no effect on the CAUTI rate at our institution.
authors.affiliation: University of California San Francisco, Department of Surgery, San Francisco, CA, USA. Electronic address: Jenny.Kaplan@ucsf.edu.
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Kaplan
authors.affiliation: University of California San Francisco, Department of Surgery, San Francisco, CA, USA.
authors.forename: Jonathan T
authors.initials: JT
authors.lastname: Carter
mesh_terms: D000046:Academic Medical Centers; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D055499:Catheter-Related Infections / Q000453:epidemiology / Q000517:prevention & control*; D002408:Catheters, Indwelling; D003428:Cross Infection / Q000453:epidemiology / Q000517:prevention & control*; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care / Q000379:methods / Q000592:standards / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D017410:Practice Guidelines as Topic; D058996:Quality Improvement / Q000706:statistics & numerical data; D012189:Retrospective Studies; D016896:Treatment Outcome; D014546:Urinary Catheterization / Q000295:instrumentation / Q000592:standards / Q000706:statistics & numerical data*; D062885:Urinary Catheters; D016055:Urinary Retention / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D014552:Urinary Tract Infections / Q000453:epidemiology / Q000517:prevention & control*; D055815:Young Adult
keywords: Health services research; Infection control; Urinary catheterization; Urinary retention; Urinary tract infection