Preventing catheter-associated urinary tract infection in the zero-tolerance era

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] .…”

“…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.…”

“…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.…”

“…Mara et al [12] used a different bundling approach to reduce CAUTIs. This was a non-randomized control study conducted from January 2008 to July 2010 in a hospital in Sao Paulo, Brazil with a 38-bed ICU and two 20-bed step down units.…”

Epidemiology of Escherichia coli bacteraemia in England: results of an enhanced sentinel surveillance programme

“…22,25,26 Given the urinary tract is the predominant underlying focus of E. coli bacteraemia, appropriate catheter use and management are obvious interventions, particularly when the catheter is used solely for incontinence where non-invasive treatment options exist. As with the management of UTIs, any such intervention must be targeted at the community and hospital setting as many catheterised patients reside in the former 21 supported by the data here.…”