Indwelling urinary catheter management and catheter-associated urinary tract infection prevention practices in Nurses Improving Care for Healthsystem Elders hospitals

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

“…In the first study, Fink et al surveyed 255 hospitals in the United States and Canada with 75 responses returned. Results demonstrated much variability among the hospitals in practices of meatal care and anchoring, supporting the need for improvement in standardization of catheter care to prevent CAUTIs [7] . In Tsuchida et al's study, 555 adult patients with urinary catheters from five hospitals in Japan were observed to determine patterns of care provided to these patients to identify at-risk behaviors.…”

“…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] .…”

“…Fink et al [7] and Tsuchida et al [8] conducted descriptive studies to identify common risk factors for CAUTIs. Fink et al used a self-reporting survey to determine each hospital's degree of adherence to national CAUTI prevention standards, while Tsuchida et al conducted a prospective observational study to identify patterns of care that may lead to CAUTI risk.…”

Infection Control in the Use of Urethral Catheter: Knowledge and Practises of Nurses

“…7 A research study was conducted in New-York University showed that prevention practises commonly followed included wearing gloves (97%), hand washing (89%), maintaining a sterile barrier (81%) and using a no-touch insertion technique (73%). Silver-coated catheter was used to varying the degrees in (59%) of the hospitals; 4% reported, never using a catheter securing device.…”