Week 10 Summary Of Evidence – Discussion

Week 10 Summary Of Evidence – Discussion:

Assignment –

Using the document supplied in the Canvas course, summarize each level of evidence and indicate quality.  The summary should be the content from all references in that level, not each article individually.  Place your recommendations for the change(s) in practice at the end of the summary table.

Appendix A : Individual Evidence Summary

EBP QUESTION: In males with urinary inconsistencies, dementia, an overactive bladder, or even those going through alcohol withdrawal, what is the effect of condom catheterization as compared to the use of Foley catheterization on the prevention of CAUTIs a condition referred to as Catheter-Associated Urinary Tract Infections (CAUTIs)?

Article #Author & DateEvidence TypeSample, Sample Size, & SettingStudy findings that help answer the EBP questionLimitationsEvidence Level & Quality
1Agrawal, M., Gite, V. A., & Sankapal, P. (2020)Case Study· 2 case studies that presented to the emergency departmentEvidence of the importance of proper care and maintenance of condom catheters.Norecommendationsto improveLevel VQuality B
2Jabbour, Y., Abdoulazizi, B., Karmouni, T., El Khader, K., Koutani, A., & Iben Attya Andaloussi, A. (2018).Pilot Study· 1 case that presented to the emergency departmentThe importance of catheter management and potential complication of poor maintenance of a condom catheter.Small sample sizeLevel V- HighQuality
3Li, F., Song, M., Xu, L., Deng, B., Zhu, S., & Li, X. (2019)Meta-analysis· 23,738 patients and 25 hospitalsThe cause of urinary tract infection in relation to prolong use of catheters in bedridden patients.Too broad of sample sizeLevel VQuality B
4Majumder, M. M. I., Ahmed, T., Ahmed, S., & Khan, A. R. (2018)Mix methodstudy· No individual studiesThe rational and un rational use of the catheter use and what ultimately leads to infection development.No sample sizes. No individual studies.Level VQuality B
5Hariati, H., Suza, D. E., & Tarigan, R. (2019)A Pilot Study· 82 Patients treated in the General Hospital of MedanProvides analysis of the risk factors activating CAUTISmall sample size,lack of completeddata & terminologyLevel IVQuality A
6Majumder, I., Ahmed, T., Ahmed, S. (2018)Pilot Study· 100 patients with indwelling catheters at Dhiraj General HospitalThis study discovered the most known pathogens (E. coli and Klebsiella) to be created by CAUTI’s.Reliabilitydependent onauthor’sinterpretation ofprimary literatureLevel IIIQuality B
7Gnade, C., Storm, D., & Ten Eyck, P. (2017)QualitativeInterview Study· 150 patients undergoing major urologic oncology surgeryIt encourages the use of alternative methods other than catheterizationInitial sample group not clear,IndividualorganizationLevel IIIQuality B
8Gnade, C., Wu, C., Ten Eyck, P., Leder, L., & Storm, D. (2020)Quantitative research study· Inpatient CAUTI database. No sample studyMeasures the catheter utilization and CAUTI rate using binomial scattering and compares the resultNo sample studyLevel IIIQuality A
9Advani, S. D., & Fakih, M. G. (2019)LiteratureReview· No sample study. Healthcare associated urinary tract infectionsIt suggests that the chances of CAUTI to develop into secondary complications is very minimal.No sample groupLevel VQuality B
10Dehghanrad, F., Gholamzadeh, S., Ghorbani, M., Nobakht-e-Ghalati, Z., Rosenthal, V., Zand, F. (2019)Quasi-experimental study· 330 patients in the hospital settingIt advices the use of standardize device utilization ratio which provides a good surrogate that inhibits damages associated with catheter.Norecommendationfor improvementLevel IIIHighQualityA

Be sure to include the sample (population of interest), sample size (# of participants), setting (location of the participants)

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Advani, S. D., & Fakih, M. G. (2019). The evolution of catheter-associated urinary tract infection (CAUTI): is it time for more inclusive metrics? Infection Control & Hospital Epidemiology40(6), 681-685.

Agrawal, M., Gite, V. A., & Sankapal, P. (2020). Penile gangrene: A rare but disastrous complication of the improper application of condom catheters. Journal of Clinical Urology, 2051415820961915.

Dehghanrad, F., Nobakht-e-Ghalati, Z., Zand, F., Gholamzadeh, S., Ghorbani, M., & Rosenthal, V. (2019). Effect of instruction and implementation of a preventive urinary tract infection bundle on the incidence of catheter associated urinary tract infection in intensive care unit patients. Electronic Journal of General Medicine, 16(2), 1–9. https://doi.org/10.29333/ejgm/94099

Jabbour, Y., Abdoulazizi, B., Karmouni, T., El Khader, K., Koutani, A., & Iben Attya Andaloussi, A. (2018). Penile gangrene and necrosis leading to death secondary to strangulation by condom catheter. Case reports in urology2018.

Li, F., Song, M., Xu, L., Deng, B., Zhu, S., & Li, X. (2019). Risk factors for catheter‐associated urinary tract infection among hospitalized patients: A systematic review and meta‐analysis of observational studies. Journal of advanced nursing75(3), 517-527.

Majumder, M. M. I., Ahmed, T., Ahmed, S., & Khan, A. R. (2018). Microbiology of catheter associated urinary tract infection (p. 31). IntechOpen.

Hariati, H., Suza, D. E., & Tarigan, R. (2019). Risk Factors Analysis for Catheter-Associated Urinary Tract Infection in Medan, Indonesia. Open access Macedonian journal of medical sciences7(19), 3189.

Gnade, C., Storm, D., & Ten Eyck, P. (2017). MP92-02 BPA alert effect on CAUTI hospital-wide at UIHC. The Journal of Urology197(4S), e1226-e1226.

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Gnade, C., Wu, C., Ten Eyck, P., Leder, L., & Storm, D. (2020). The Influence of an Electronic Medical Record Embedded Best Practice Alert on Rate of Hospital Acquired Catheter Associated Urinary Tract Infections: Do Best Practice Alerts Reduce CAUTIs? Urology141, 71-76.

Md. Mahabubul Islam Majumder, Tarek Ahmed, Saleh Ahmed and Ashiqur Rahman Khan (November 5th 2018). Microbiology of Catheter Associated Urinary Tract Infection, Microbiology of Urinary Tract Infections – Microbial Agents and Predisposing Factors, Payam Behzadi, IntechOpen, DOI: 10.5772/intechopen.80080. Available from: https://www.intechopen.com/books/microbiology-of-urinary-tract-infections-microbial-agents-and-predisposing-factors/microbiology-of-catheter-associated-urinary-tract-infection



Appendix : Synthesis and Recommendations


Category (Level Type) *Total Number of SourcesOverall Quality RatingSynthesis of FindingsEvidence That Answers the EBP Question
Level I· Experimental study· Randomized control trial· Systematic review of RCTs with/without meta-analysis
Level II· Quasi-experimental study· Systematic review of combination of RCTs and quasi-experimental, or non-experimental with/without meta-analysis
Level III· Non-experimental study· Systematic review of combined RCTs, quasi-experimental, and non-experimental studies only, with/without meta-analysis· Qualitative study or systematic review of qualitative studies with/without meta-synthesis
Level IV· Opinion of respected authorities and/or reports of nationally recognized expert committees/ consensus panels based on scientific evidence
Level V· Evidence obtained from literature reviews, quality improvement, program evaluation, financial evaluation, or case reports· Opinion of nationally recognized experts based on experiential evidence
Recommendations Based on Evidence Synthesis and Selected Translation Pathway

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