Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
In Reply: We share Dr Johnson's concern about
the need to decrease inappropriate catheter use. However, our intent was to
identify practices with supporting evidence, not strategies based on common
sense or current theories of patient safety.
Evidence addressing the potential impact of automatic stop orders for
urinary catheters appeared in abstract form1 after
we published our article. However, even with reduced inappropriate use, millions
of patients each year will continue to receive urinary catheters and thus
would benefit from strategies that reduce catheter-associated infection.
Shojania KG, Wachter RM. Safety of Urinary Catheters. JAMA. 2003;289(3):300-301. doi:10.1001/jama.289.3.300-b