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January 15, 2003

Safety of Urinary Catheters

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;289(3):300-301. doi:10.1001/jama.289.3.300-b

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.