A Tool to Assess the Signs and Symptoms of Catheter-Associated Urinary Tract Infection: Development and Reliability.

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Blodgett, TJ; Gardner, SE; Blodgett, NP; Peterson, LV; Pietraszak, M

Published Date

  • August 2015

Published In

Volume / Issue

  • 24 / 4

Start / End Page

  • 341 - 356

PubMed ID

  • 25246536

Pubmed Central ID

  • PMC4369445

Electronic International Standard Serial Number (EISSN)

  • 1552-3799

International Standard Serial Number (ISSN)

  • 1054-7738

Digital Object Identifier (DOI)

  • 10.1177/1054773814550506

Language

  • eng