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.

Written by:
Blodgett TJ, Gardner SE, Blodgett NP, Peterson LV, Pietraszak M.   Are you the author?
Valparaiso University, IN, USA; University of Iowa, Iowa City, USA; Purdue University Calumet, Hammond, IN, USA; Franciscan St. Margaret Health, Hammond, IN, USA.  

Reference: Clin Nurs Res. 2014 Sep 22. pii: 1054773814550506.
doi: 10.1177/1054773814550506

PubMed Abstract
PMID: 25246536