Postnatal prevalence of bacteriuria in women with or without catheter
Research type
Research Study
Full title
Postnatal prevalence of bacteriuria in women with catheter versus no catheter in labour: a prospective cohort study
IRAS ID
258925
Contact name
Mark James
Contact email
Sponsor organisation
Gloucestershire Research Support Service
Clinicaltrials.gov Identifier
N/A, N/A
Duration of Study in the UK
0 years, 3 months, 1 days
Research summary
Introduction
Catheterisation is an accepted tool in intrapartum bladder care and indwelling catheters are used routinely before elective caesarean sections. However, urinary catheters are associated with an increased rate of urinary tract infections which can lead to complications including increased maternal morbidity and prolonged hospital stay. A Cochrane Review (2014) concluded that there is insufficient evidence to assess the routine use of indwelling bladder catheters in women undergoing caesarean section. The incidence and causation of catheter-associated infection in this population is unknown. We propose to provide this data, which will be vital in conducting future research into potential change in policy on routine catheterisation. This will be beneficial to patients as it could reduce the burden of catheterisation by reducing their chance of developing a UTI and by reducing the associated morbidity.
Research Question
Is the intrapartum use of a catheter – either intermittent or indwelling – associated with an increased incidence of postnatal bacteriuria when compared with women who are not catheterised?
Method
Pregnant women will be recruited at Gloucestershire Royal Hospital Maternity Department from 37 weeks gestation. Once eligibility is met, they will be asked to provide a mid-stream urine sample which will be tested for microscopy, culture and sensitivity (MC&S). They will be analysed according to their mode of delivery. Their notes will be scrutinised to assess whether or not a catheter was sited during their labour. Postnatally, they will be asked to provide an MSU on day 3 and day 28, which will both be sent for MC&S. A comparative analysis between each MSU will be performed and correlated to whether intrapartum catheterisation was undertaken.
Data Collection & Analysis
The data collection phase will take approximately three months, with data analysis and write-up estimated to take a further six months.
REC name
North West - Greater Manchester South Research Ethics Committee
REC reference
19/NW/0428
Date of REC Opinion
24 Jul 2019
REC opinion
Further Information Favourable Opinion