Impact of Implementing Key Performance Indicators on Catheter-Associated Urinary Tract Infection (CAUTI) Rates Among Adult ICU Patients in Saudi Arabia

Abstract

Background The prevalence of catheter-associated urinary tract infections (CAUTIs) in hospitals characterizes one of the most significant problems in healthcare. This study aims to assess whether the implementation of impact of key performance indicators (KPIs) checklist reduces the number of CAUTI in adults present in intensive care unit (ICU) with indwelling catheters. Methods This is a retrospective analytical study conducted in a tertiary hospital in Riyadh, Saudi Arabia, from June 2020 to June 2021. One hundred and thirty-four patients with CAUTIs met the criteria and were included in the study. Socio-demographic data was collected to enable informed analysis based on personal information (age, gender, marital status, monthly income, level of education, and department) and medical history (duration of catheterization, types of organisms, history of chronic illness, and duration of hospitalization). The research also used a prevention of CAUTI checklist containing 26 items. The outcome measures were 1) the rate of CAUTIs measured pre- and post-implementing performance measurement indicators (KPI) of CAUTIs prevention practice and 2) the prevention of catheter-associated urinary tract infection in three areas: general information recording, insertion practices, and maintenance practices. Results The study found that there was compliance with the prevention of CAUTIs in terms of recording the general patient’s information (72%), insertion practices (52%), and maintenance practices (50%). However, most safety practices, including poor hygiene and safety standards, patient handling, and audited protocol programs, were not strictly followed, resulting in increased risk factors for CAUTIs. Conclusion Compliance with the prevention of CAUTIs in terms of recording the general patient’s information, insertion practices, and maintenance practices lies within the range of 50–75%, and the recommended practices are usually followed. A targeted education on CAUTI-prevention practices curtailing the most aggravating risk factors and adopting a safety culture driven by a patient handling and audited protocol program should be explored to reduce hospital CAUTIs.

Effectiveness of nursing instructions on reducing urinary tract infections in critically ill patients

“…The present study finding was consistent with (Alhabdan et al, 2023) [15] , who revealed the majority of the participants were married. The present study finding contradicted (Hak et al, 2022) [14], who indicated that one-third of the study group were married.…”

“…Also, it may have poor healthcare facilities. The present finding was consistent with (Hak et al, 2022) [14], who revealed slightly more than half of the patients in the study group belonged to rural areas.…”

“…The investigator's perspective is that the diploma level of education is widely recognized among low-income people and some of Egypt's rural culture does not allow individuals to complete their educational level. The present study finding was consistent with (Hak et al, 2022) [14], who revealed that less than half of the study group had secondary and university education. The present study results revealed that about two-thirds of IG were married.…”

Evaluation of Extended-Spectrum Beta-Lactamase Resistance in Uropathogenic Escherichia coli Isolates from Urinary Tract Infection Patients in Al-Baha, Saudi Arabia

“…Furthermore, urinary tract infections (UTIs) have been shown to result in elevated levels of morbidity and death, particularly in instances of bacteremia. The current patterns of antibiotic-resistant organisms have further complicated the management of these infections [37]. Our recommendation for first-line empirical therapy for UTIs includes carbapenems, amikacin, colistin, and nitrofurantoin, with the latter being less preferred due to its comparatively higher incidence of side effects [21,30].…”

“…Additionally, the annual program known as World Antibiotic Awareness Week plays a significant role in increasing patient awareness regarding the appropriate use of antibiotics. Furthermore, the effective surveillance of microbial resistance to antibiotics, as evidenced by the antibiogram conducted in microbiology laboratories, along with the implementation of the Antimicrobial Stewardship Program at KFH, further contributes to this outcome [37]. Moreover, it is plausible that the COVID-19 epidemic and the implementation of social distancing measures have indirectly contributed to the notable decline in isolated E. coli ESBL cases.…”