2017 Volume 32 Issue 1 Pages 23-28
The inappropriate management of urinary bladder catheters or contamination of automatic urine collection machines has caused an outbreak of diseases due to antimicrobial resistant bacteria. Therefore, the appropriate hygiene maintenance of urine disposal and indication of urine collection should be observed religiously. In our hospital, the standard procedure manuals for handling urine have not been prepared; hence, the working group comprising multidisciplinary members, including Infection Control Team members, was organized and came into action from 2012. The use of automatic urine collection machines in the patients' room lavatories and reusable plastic urinals was forbidden, and instead, disposable, paper-made urine collection cups were introduced for urine collection. The standard procedure manual for urine disposal was designed and fully disseminated to all employees. As the result, the total number of cases of measuring urinary output and urine collection decreased by 43% and 69% respectively; moreover, the proportion of urine collection decreased significantly from 42.9% to 23.2% (p<0.001) in the next year. In addition, we received favorable opinions from staffs and patients through questionnaires after introducing the manual. We will continue this activity and make an effort to achieve standardized hygienic urine disposal.
