Designing a protocol to reduce catheter-associated urinary tract infections among hospitalized patients

Gokula, Murthy; Smolen, Dianne M.; Gáspár, Péter; Hensley, Sandra; Benninghoff, Mary C.; Smith, Mindy A

doi:10.1016/j.ajic.2011.12.013

Cited by 9 publications

(3 citation statements)

References 9 publications

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“…We determined that, despite the difference in the methodology applied, the results of the studies are analogous. In the majority of them, there was an intervention phase and a post-intervention one ( 6 - 7 , 9 - 10 , 13 - 14 , 17 ) . Some studies motivate the formation of nurses about the guidelines of prevention of CAUTI, revealing extreme importance in their duties ( 9 , 11 - 15 , 17 ) .…”

Section: Discussionmentioning

confidence: 99%

Prevention of catheter-associated urinary tract infection: implementation strategies of international guidelines

Andrade

Fernandes

2016

Rev. Latino-Am. Enfermagem

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Objectiveto describe strategies used by health professionals on the implementation of the Centers for Disease Control and Prevention guidelines for the prevention of urinary infection related to catheterism. Methodsystematic review on literature based on data from CINAHL(r), Nursing & Allied Health Collection, Cochrane Plus Collection, MedicLatina, MEDLINE(r), Academic Search Complete, ACS - American Chemical Society, Health Reference Center Academic, Nursing Reference Center, ScienceDirect Journals and Wiley Online Library. A sample of 13 articles was selected. Resultsstudies have highlighted the decrease of urinary tract infection related to catheterism through reminder systems to decrease of people submitted to urinary catheterism, audits about nursing professionals practice and bundles expansion. Conclusionthe present review systemizes the knowledge of used strategies by health professionals on introduction to international recommendations, describing a rate decrease of such infection in clinical practice.

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Section: Discussionmentioning

confidence: 99%

Prevention of catheter-associated urinary tract infection: implementation strategies of international guidelines

Andrade

Fernandes

2016

Rev. Latino-Am. Enfermagem

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“…Hence, avoiding unnecessary urinary catheter insertion and shortening the length of catheter placement as possible are crucial in preventing catheter-related UTI. Some experts have proposed protocols to guide appropriate catheter placement, and the UTI rate was successfully reduced under such evidence-based practice [24]. Besides, establishing a good nurse-caregiver partnership would also help to reduce the incidence of UTI [25].…”

Section: Discussionmentioning

confidence: 99%

Incidence and Risk Factors for Urinary Tract Infection in an Elder Home Care Population in Taiwan: A Retrospective Cohort Study

Shih

Chang

Tsou

et al. 2019

IJERPH

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Urinary tract infection (UTI) is a common infection worldwide. Numerous studies have demonstrated risk factors for UTI in facilities and communities. In this study, we aimed to identify risk factors for UTI in home care patients. Patients who received home care for at least three months in 2017 were included. A UTI episode was defined by admission for UTI treatment, and/or a visit to an outpatient department for UTI and receiving antibiotic prescription. A total of 598 patients aged 81.9 years were included. Overall 47% (281) had at least one UTI episode. After analysis, urinary catheter indwelling was the most important risk factor (odds ratio (OR), 3.21). Underlying diseases (coronary artery disease (CAD), chronic kidney disease (CKD), diabetes mellitus (DM)) were related to UTI with OR ranging from 1.46 to 1.79. Higher Alb (albumin) (OR 0.68) and Hb (hemoglobin) (OR 0.91) were inversely related to UTI. Polypharmacy (OR 1.84) and lower Barthel index scores (OR 1.62) were also related to UTI by different degrees. In conclusion, apart from the unmodifiable factors, avoiding prolonged urinary catheter placement, unnecessary prescriptions, and keeping good nutritional status may help to prevent UTI in home care patients.

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“…Maintaining a closed drainage system, keeping the drainage bag below bladder level, catheter care, and removing the catheter as quickly as possible are all interventions recognized by the Centers for Disease Control and Prevention (CDC) and others to decrease CAUTI rates (Association for Profess ionals in Infection Control and Epidemiology [APIC], 2014;Fakih et al, 2012;Gokula, 2012;Gould et al, 2009;Oman et al, 2012;Saint et al, 2009). Barriers to implementing these interventions include difficulty with nurse and physician engagement, patient and family request for indwelling catheters, and cultural habits of leaving catheters in place (Krein, Kowalski, Harrod, Forman, & Saint, 2013).…”

mentioning

confidence: 99%

Evaluation of a Nurse-Driven Protocol to Remove Urinary Catheters: Nurses’ Perceptions

Olson-Sitki¹,

Kirkbride²,

Forbes³

2015

UNJ

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Designing a protocol to reduce catheter-associated urinary tract infections among hospitalized patients

Cited by 9 publications

References 9 publications

Prevention of catheter-associated urinary tract infection: implementation strategies of international guidelines

Prevention of catheter-associated urinary tract infection: implementation strategies of international guidelines

Incidence and Risk Factors for Urinary Tract Infection in an Elder Home Care Population in Taiwan: A Retrospective Cohort Study

Evaluation of a Nurse-Driven Protocol to Remove Urinary Catheters: Nurses’ Perceptions

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