A quasi-experimental study to test a prevention bundle for catheter-associated urinary tract infections

Blanck, Alyson M.; Donahue, Moreen; Brentlinger, Laurie; Stinger, Kristy Dixon; Polito, Carol

doi:10.5430/jha.v3n4p101

Cited by 7 publications

(6 citation statements)

References 11 publications

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“…This proportion is bigger than the prevalence rate of CAUTI infections in another country all over the world (2,4-35/1000 days of urine catheter using), data of NHSN in 2006-2007 (3,1/1000 days of urine catheter using), and study in other country such as at KNH hospital in East Africa (18%), other developing countries (9,9-35/1000 days of urine catheter using), developed countries (3,(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)4/1000 days of urine catheter using), Europe (5,4/1000 days of urine catheter using), and United States of America (rate of CAUTI incidence 560.000/year).…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Catheter-Associated Urinary Tract Infection and Uropathogen Bacterial Profile in the Intensive Care Unit in Hospitals in Medan, Indonesia

Anggi¹,

Wijaya²,

Ramayani³

2019

Open Access Maced J Med Sci

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AIM: To evaluate the risk factors of CAUTI in ICU patients at Haji Adam Malik General Hospital and Universitas Sumatera Utara Hospital, Medan, Indonesia. METHODS: This hospital-based observational research was an observational analytic research with a cross-sectional study. This research was conducted at Haji Adam Malik General Hospital Medan, Universitas Sumatera Utara Hospital, and Department of Microbiology Medical Faculty of Medicine Universitas Sumatera Utara, on July to August 2018 until the number of samples was fulfilled. The samples were adults aged ≥18 years, admitted to an ICU between July until August 2018 with an indwelling urinary catheter during their admission, admitted in ICU with different complaints and presentations and developed clinical evidence of infection that did not originate from patient’s original admitting diagnosis, in accordance which corresponded to the inclusion criteria by using consecutive sampling technique were included in the study. Patients who were shifted out of the ICU within 48 h of admission were excluded from the study. These critical patients were referred for monitoring, observation, and management from different departments, e.g., medic, general surgery, neurosurgery, gynaecology/obstetrics, and accident/emergency departments. RESULTS: From this research, it was found that fifty-four patients with catheter were screened for UTI infection. Of those, 24 patients (44.4%) were confirmed to have UTI by urine culture. Pseudomonas aeroginosa (16.7%) and Enterococcus faecalis (12.5%) were the most common pathogens. Patients aged > 50 years old (P < 0.03) and catheter use > 6 days (P < 0.03) were both significantly associated with increased risk of developing UTI. CONCLUSION: There are eleven uropathogens identified in this study: Pseudomonas aeruginosa, Enterococcus faecalis, Escherichia coli, Klebsiella pneumonia, MRSA, Salmonella enteric, Acinetobacter baumanii, Acinetobacter lwoffi, Acinetobacter haemoliticus, Burkholderia cepacia, and Staphylococcus sciur.

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Section: Discussionmentioning

confidence: 99%

Risk Factors for Catheter-Associated Urinary Tract Infection and Uropathogen Bacterial Profile in the Intensive Care Unit in Hospitals in Medan, Indonesia

Anggi¹,

Wijaya²,

Ramayani³

2019

Open Access Maced J Med Sci

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“…reported a concordance finding of decrease in the CAUTI rate by 50% (8.4–4.3 per 1000 catheter days). [ 18 ] Davis et al . also reported a similar decline of 50% reduction in the mean monthly CAUTI rate in Philadelphia.…”

Section: Discussionmentioning

confidence: 99%

Care bundle approach to reduce device-associated infections in a tertiary care teaching hospital, South India

et al. 2017

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CONTEXT:The care bundle approach is a set of evidence-based practices that when performed collectively and reliably have been shown to improve the patient outcome.AIMS:To evaluate the impact of the bundle care approach on reducing device-associated infections (DAIs).SETTINGS AND DESIGN:The study was conducted at a tertiary care hospital, South India. The study period was from January 2016 to September 2016 which was divided into three phases, each comprising 3 months.SUBJECTS AND METHODS:During the implementation phase, bundle care forms were implemented in all Intensive Care Units (ICUs) and the ICU staff were given a basic education on the importance of bundle care approach. The DAI rates (ventilator-associated pneumonia [VAP] rates, central line-associated bloodstream infection [CLABSI] rate, and catheter-associated urinary tract infection [CAUTI] rate) were calculated throughout the study period.STATISTICAL ANALYSIS USED:Statistical analysis was performed using SPSS 19 software.RESULTS:During preimplementation phase, the VAP rate, CLABSI rate, and CAUTI rate were 14.79, 4.98, and 4.86 per 1000 device days, respectively. Rates were reduced to 13.03, 3.98, and 3.39 per 1000 device days, respectively, during the implementation phase and further reduced into 11.91, 3.49, and 2.36 per 1000 device days during the postimplementation phase. The month-wise decreasing trend of DAI rates was significant for medical ICUs as compared to surgical and pediatric ICUs.CONCLUSIONS:The month-wise decreasing trend of VAP rate, CLABSI rate, and CAUTI rate was noted, which signifies that the use of care bundle approach has a great impact on reducing DAIs

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“…Inflammation and mechanical damage to the urinary epithelium not only increases the risk of UTI but also compromises the patient's ability to mount an effective immune response to bacteria in the bladder. Catheter care is completed primarily by the nursing staff hence the importance of prevention of CAUTI by use of the bundle [21].…”

Section: Nursing Practice On Utilization and Adherence To Cauti Bundlementioning

confidence: 99%

Evaluation of the Utilization of Catheter Associated Urinary Tract Infection Bundle Among Critical Care Nurses - Kenyatta National Hospital

Assanga¹

2016

AJNS

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A quasi-experimental study to test a prevention bundle for catheter-associated urinary tract infections

Cited by 7 publications

References 11 publications

Risk Factors for Catheter-Associated Urinary Tract Infection and Uropathogen Bacterial Profile in the Intensive Care Unit in Hospitals in Medan, Indonesia

Risk Factors for Catheter-Associated Urinary Tract Infection and Uropathogen Bacterial Profile in the Intensive Care Unit in Hospitals in Medan, Indonesia

Care bundle approach to reduce device-associated infections in a tertiary care teaching hospital, South India

Evaluation of the Utilization of Catheter Associated Urinary Tract Infection Bundle Among Critical Care Nurses - Kenyatta National Hospital

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