Comparing Adhesive and Elastic Devices for Securing Urinary Catheters in Critically Ill Adults to Reduce Injuries, Discomfort, and Infections

What this Trial Is About

Researchers are evaluating two types of devices used to secure urinary catheters in critically ill patients adhesive devices and elastic wristband-style devices. The study aims to determine which device is more effective at preventing injuries to the urethral meatus, reducing patient discomfort, and lowering the rate of catheter-associated urinary tract infections. This is an experimental, randomized trial conducted in an Intensive Care Unit setting, addressing a significant gap in clinical guidelines and nursing practices regarding catheter securement methods. Participants will be randomly assigned to use either a commercially available adhesive device or an elastic wristband device to secure their urinary catheter on the front of the thigh. The placement is carefully chosen to allow leg movement without tension on the catheter. For adhesive devices, a protective barrier spray is applied before use, while elastic bands are adjusted to minimize movement and maintain circulation. Devices will be replaced every 72 hours or earlier if needed, alternating the thigh used for securement at each change. During the study, participants will be regularly monitored for catheter-related complications such as meatal injuries, discomfort or pain if the patient can communicate, and urinary tract infections. Researchers will collect feedback from communicative patients about their comfort and any issues experienced. The primary outcomes are measured over an average period of 10 days. This monitoring includes clinical assessments and tracking any adverse events like catheter obstruction, skin lesions, or accidental catheter dislodgement.

Adhesive Devices Versus Elastic Devices for Urinary Catheter Securement in Critically Ill Patients Experimental Study