Impact of a multidimensional infection control approach on catheter-associated urinary tract infection rates in adult intensive care units in 10 cities of Turkey: International Nosocomial Infection Control Consortium findings (INICC)

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

“…Additionally, one nurse from each of the units rounded daily on the catheter patients and discussed possible discontinuation of the catheters with the physicians as part of the bundle. Similar to Leblebicioglu et al [11] , findings of this study supported the use of a bundled approach to reduce CAUTIs [12] .…”

“…Daily observations of catheter care were conducted to monitor compliance with the care bundle. Findings supported the use of a care bundle to decrease CAUTIs [11] .…”

“…Minimal studies addressed care practices to reduce infections once catheters were inserted. Of these studies, two were descriptive in design to determine risk factors for CAUTIs during daily care routines [7,8] ; two focused on education interventions to teach clinicians the care techniques to prevent CAUTIs [9,10] ; two were non-random control trials to address a bundled approach somewhat similar to this present study [11,12] ; and one of the above studies also focused on the use of checklists similar to this present study [12] . Only three studies that were found were conducted in the United States.…”

“…The majority of the studies in the CAUTI literature are related to the wellestablished practices of minimizing the number of insertions and early discontinuation. There is minimal information in the literature related to the care of catheters while they reside in patients and prevention of CAUTIs [7][8][9][10][11][12] .…”

“…An intervention during the actual catheter care delivery may have more potential in decreasing CAUTI rates than education alone, such as the bundled approach conducted by Leblebicioglu, et al [11] and Mara, et al [12] Leblebicioglu et al conducted a non-randomized control study from September 2003 to June 2011 in 13 intensive care units (ICUs) in 10 hospitals in Turkey [11] . In each of the ICUs, active surveillance data was obtained for three months prior to the intervention to collect baseline CAUTI incidence rates.…”