Emergency Department Catheter-Associated Urinary Tract Infection Prevention: Multisite Qualitative Study of Perceived Risks and Implemented Strategies

Carter, Eileen J.; Pallin, Daniel J.; Mandel, L.; Sinnette, Corine; Schuur, Jeremiah D.

doi:10.1017/ice.2015.267

Cited by 14 publications

(8 citation statements)

References 17 publications

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“… 80 In a qualitative study of 6 US EDs considered early adopters of CAUTI prevention strategies, inappropriate reasons for UC insertion, limited physician involvement in UC insertion decisions, patterns of UC overuse, and poor insertion technique were all considered ED-specific risk factors for CAUTI. 81 In a study of UC procedures performed in an academic ED, at least one major breach in aseptic technique (eg, breach or contamination of the sterile field, contamination of the UC during preparation or insertion) was observed in more than half of all insertion attempts, underscoring the need for improved education and auditing of UC insertion practices with HCP feedback. 82 …”

Section: Device-associated Infectionsmentioning

confidence: 99%

Infection Prevention for the Emergency Department

Liang

Riethman²,

Fox

2018

Emergency Medicine Clinics of North America

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Infection prevention remains a major challenge in emergency care. Acutely ill and injured patients seeking evaluation and treatment in the emergency department (ED) not only have the potential to spread communicable infectious diseases to healthcare personnel and other patients, but are vulnerable to acquiring new infections associated with the care they receive. This article will evaluate these risks and review the existing literature for infection prevention practices in the ED, ranging from hand hygiene, standard and transmission-based precautions, healthcare personnel vaccination, and environmental controls to strategies for preventing healthcare-associated infections. We will conclude by examining what can be done to optimize infection prevention in the ED and identify gaps in knowledge where further research is needed. Successful implementation of evidence-based practices coupled with innovation of novel approaches and technologies tailored specifically to the complex and dynamic environment of the ED are the keys to raising the standard for infection prevention and patient safety in emergency care.

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Section: Device-associated Infectionsmentioning

confidence: 99%

Infection Prevention for the Emergency Department

Liang

Riethman²,

Fox

2018

Emergency Medicine Clinics of North America

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“…For this reason, catheterised persons and their caregivers feel ill‐prepared for catheter management, especially when faced with problem management 29 . The care of the catheterised patients could, therefore, improve with the involvement of the health professionals, 30 as well as providing them with more information and psychological support.…”

Section: Discussionmentioning

confidence: 99%

Indwelling catheter patient experiences and the potential usability and acceptance of the T‐Control® prototype urinary catheter

Toledo-Chávarri¹,

Bassas‐Parga²,

Endrenyi

et al. 2023

Int J of Uro Nursing

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The aim of this study was to analyse the experience of users of indwelling bladder catheters and evaluate the anticipated usability of a prototype of the T‐Control® urinary catheter (without being inserted) by patients who were able to compare the differences between the T‐Control® prototype and other urinary catheters and urinary catheter accessories. A qualitative study was conducted with people who had lived with an indwelling urinary catheter for at least 1 week. Two user‐centred design techniques were applied: patient experience trajectory map and Think Aloud, a method where the participants were able to express their previous experiences, expectations and preferences while manipulating the devices. The experiential trajectory was collected based on a semi‐structured following interviews. Participants were able to manipulate the new T‐Control® and, based on their previous experiences, compare the potential usability of T‐control® with Foley‐type catheter and its accessories All the participants stated that they had experienced negative emotions concerning bladder catheterisation during the trajectory of use, from the initial prescription and adaptation to the follow‐up, and the forced life changes that a permanent catheterisation implies. The most frequent emotions were rejection and sadness. The new T‐Control® device could potentially improve the patient experience, as all participants perceived advantages related to the closure system, ease of use, safety and discretion. Participants also noted its closure system as an advantage and highlighted its ease of use, although one‐handed operation required some learning. Catheters currently on the market are functional, but some patients do not always have a satisfactory experience. This might negatively affect their quality of life, so there is a wide market opportunity for new devices that improve clinical and psychological care. Based on patient evaluation, the new T‐Control® device with a built‐in valve could provide benefits for patients.

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“…Assess healthcare professional competency in catheter use, catheter care, and maintenance. [79][80][81] (Quality of evidence: LOW)…”

Section: Education and Trainingmentioning

confidence: 99%

Strategies to prevent catheter-associated urinary tract infections in acute-care hospitals: 2022 Update

Patel,

Advani,

Kofman

et al. 2023

Infect. Control Hosp. Epidemiol.

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and purposeThe intent of this document is to highlight practical recommendations in a concise format designed to assist physicians, nurses, and infection preventionists at acute-care hospitals in implementing and prioritizing their catheter-associated urinary tract infection (CAUTI) prevention efforts. This document updates the Strategies to Prevent Catheter-Associated Urinary Tract Infections in Acute-Care Hospitals published in 2014. It is the product of a collaborative effort led by SHEA, the Infectious Diseases Society of America (IDSA), the Association for Professionals in Infection Control and Epidemiology (APIC), the American Hospital Association (AHA), and The Joint Commission.

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Emergency Department Catheter-Associated Urinary Tract Infection Prevention: Multisite Qualitative Study of Perceived Risks and Implemented Strategies

Abstract: Early-adopting EDs redesigned workflow to minimize catheter use and ensure proper insertion technique. Assessment of ED workflow is necessary to identify and modify local practices that may increase CAUTI risk.

Cited by 14 publications

References 17 publications

Infection Prevention for the Emergency Department

Infection Prevention for the Emergency Department

Indwelling catheter patient experiences and the potential usability and acceptance of the T‐Control® prototype urinary catheter

Strategies to prevent catheter-associated urinary tract infections in acute-care hospitals: 2022 Update

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