Do System-Based Interventions Affect Catheter-Associated Urinary Tract Infection?

Halm, Margo A.; OʼConnor, Nancy

doi:10.4037/ajcc2014689

Cited by 8 publications

(8 citation statements)

References 28 publications

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“…In ICU patients, urinary catheters are not universally required, and policies that promote early removal reduce catheter-associated urinary tract infection. 26–28 Catheters may be indicated in ICU patients when strict input/output recording is required during the first 48 h of shock, during active titration of vasopressors or inotropes, during diuresis for acute cardiac or pulmonary failure (when hourly monitoring is required to assess therapy), for active monitoring of acute or impending renal failure, or for frequent assessment of intravascular volume in patients with neurologic conditions that disrupt normal fluid balance ( e.g. , diabetes insipidus).…”

Section: Catheter-associated Urinary Tract Infectionmentioning

confidence: 99%

“…25 In ICU patients, urinary catheters are not universally required, and policies that promote early removal reduce catheter-associated urinary tract infection. [26][27][28] Catheters may be indicated in ICU patients when strict input/output recording is required during the first 48 h of shock, during active titration of vasopressors or inotropes, during diuresis for acute cardiac or pulmonary failure (when hourly monitoring is required to assess therapy), for active monitoring of acute or impending renal failure, or for frequent assessment of intravascular volume in patients with neurologic conditions that disrupt normal fluid balance (e.g., diabetes insipidus). 22,27,28 The U.S. Agency for Healthcare Research and Quality (Rockville, Maryland) lists numerous tools for implementing policies, procedures, and practices for reducing catheter-associated urinary tract infection with a comprehensive unit-based safety program (https://www.ahrq.gov/hai/ tools/cauti-hospitals/toolkit-impl.html [accessed ).…”

Section: Catheter-associated Urinary Tract Infectionmentioning

confidence: 99%

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Prevention of Healthcare-associated Infections in Intensive Care Unit Patients

2021

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Section: Catheter-associated Urinary Tract Infectionmentioning

confidence: 99%

Section: Catheter-associated Urinary Tract Infectionmentioning

confidence: 99%

Prevention of Healthcare-associated Infections in Intensive Care Unit Patients

2021

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“…It is an important and necessary procedure for patient management in clinical settings. Approximately 100 million IUCs are used annually in the world and 16–33% of all [ 2 , 4 ] hospitalized patients undergo urinary catheterization at least once during their hospitalization [ 5 ]. A IUC has many infectious and non-infectious complications, including catheter associated urinary tract infection (CAUTI), mechanical trauma, nonbacterial urethral inflammation, purulent urethritis, urethral strictures, prostatitis, and bladder urolithiasis [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…CAUTI is the most prevalent type of HAIs globally [ 9 , 10 ], and accounts for 30-40% of all HAIs [ 5 , 10 ]. Internationally, the mean CAUTI incidence is 5.07 per 1,000 catheter days in 703 ICUs in 50 countries [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Healthcare workers’ compliance with the catheter associated urinary tract infection prevention guidelines: an observational study in Yemen

Al-Sayaghi,

Alqalah,

Alkubati

et al. 2023

Antimicrob Resist Infect Control

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Background Catheter-associated urinary tract infection is a global problem but it can be prevented with the appropriate implementation of evidence-based guidelines. This study was conducted to assess the level of compliance of healthcare workers with the catheter-associated urinary tract infection prevention guidelines during the insertion of a urinary catheter. Methods An observational study using a descriptive cross-sectional design was conducted at Sana’a City hospitals, Yemen. All the nurses and physicians from the governmental, teaching, and private hospitals were eligible to participate in the study. The data collection was performed through convenience sampling from March 2020 to December 2020, using a structured observational checklist prepared specifically for this study. Results The majority of the urinary catheter insertions were performed by nurses. There were no written policy or procedures for an urinary catheter insertion and no in-service education or training departments in the majority of the hospitals. The overall mean score of compliance was 7.31 of 10. About 71% of the healthcare workers had a high or acceptable level of compliance and 29% had an unsafe level of compliance. Compliance was low for maintaining aseptic technique throughout the insertion procedure, using a single use packet of lubricant jelly, performing hand hygiene immediately before insertion, and securing the urinary catheter once inserted. Factors affecting the healthcare workers compliance were gender, the working ward/unit of the healthcare workers, the availability of a written policy/procedure and a department or unit for in-service education. Conclusion Yemeni healthcare workers’ overall compliance was acceptable but it was unsafe in several critical measures. There is an urgent need for developing, implementing, and monitoring national guidelines and institutional policy and procedures for catheter-associated urinary tract infection prevention. Periodical in-service education and training programs and adequate access to the necessary materials and supplies are paramount.

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“…[1][2][3][4] Once analysed in a cumulative way, this infection represents significant morbidity for patients and high costs for health systems. 1,[5][6][7][8] Hospital acquired urinary tract infections (HAUTI) are also the most frequent cause of secondary bacteraemia.…”

Section: Introductionmentioning

confidence: 99%

Hospital-Acquired Urinary Tract Infections: Results of a Cohort Study Performed in an Internal Medicine Department

Lobão¹,

Sousa²

2017

Acta Med Port

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33% -48%) of which in the absence of clinical criteria for that procedure. The global cumulative incidence rate for nosocomial urinary tract infections was 4.6% (95% CI: 2.5% -6.7%). Most hospital acquired urinary tract infections (61.1%) were related to bladder catheter use. We quantified 3.06 infections / 1000 patient-days and 14.5 infections / 1000 catheter-days. Catheter associated urinary tract infection occurred at an early stage of hospitalization. The vast majority of patients (66.7%) that developed a catheter associated urinary tract infection were subjected to bladder catheter placement at emergency department. Seventy one per cent of catheter associated urinary tract infection occurred in patients that were subjected to bladder catheter placement without criteria. Discussion: These results point to an excessive and inadequate use of urinary catheters, highlighting the need for judicious use taking into account the formal clinical indications. The incidence of catheter associated urinary tract infection is similar to what we found in other studies. Nevertheless we found a very high incidence density per catheter-days that may foresee a problem probably related to the absence of early withdrawal of the device, and to both bladder catheter placement and maintenance practices. A significant part of catheter associated urinary tract infection occurred in patients that had the bladder catheter placed in the emergency department, before the admission to the internal medicine ward, which highlights the need to assess the urinary catheterization practices in those departments. Conclusion:The high rate of catheter associated urinary tract infection that occurred in the absence of bladder placement indication reinforces the need to implement prevention strategies that contemplate the reduction of its use. Emergency departments should be part of quality improvement projects in this area. Causes for the early onset of catheter associated urinary tract infection in this cohort should be investigated.

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Do System-Based Interventions Affect Catheter-Associated Urinary Tract Infection?

Cited by 8 publications

References 28 publications

Prevention of Healthcare-associated Infections in Intensive Care Unit Patients

Prevention of Healthcare-associated Infections in Intensive Care Unit Patients

Healthcare workers’ compliance with the catheter associated urinary tract infection prevention guidelines: an observational study in Yemen

Hospital-Acquired Urinary Tract Infections: Results of a Cohort Study Performed in an Internal Medicine Department

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