Reducing Catheter-associated Urinary-tract Infections in Cancer Patients: A Nurse and Infection Preventionist-led Interprofessional Program

Srisatidnarakul, Suwannee; Tarver, Christine; Luna, Fátima; Flood, Annemarie

doi:10.1016/j.ajic.2021.04.050

Cited by 2 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While seemingly easy practices to implement, the context of the healthcare setting often provides multiple barriers to engaging in these practices successfully. One such barrier is lack of effective interprofessional teamwork, which is crucial for HAI prevention ( Han et al, 2019 ; Srisatidnarakul, Tarver, Luna, & Flood, 2021 ). For example, in the case of timely line and Foley removal, nurses and physicians must work together to ensure this occurs, which can present challenges related to communication and coordination.…”

Section: Introductionmentioning

confidence: 99%

A Qualitative Examination of Interprofessional Teamwork for Infection Prevention: Development of a Model and Solutions

et al. 2022

View full text Add to dashboard Cite

Health care–associated infections (HAIs), such as central line-associated bloodstream infections (CLABSIs) and catheter-associated urinary tract infections (CAUTIs), are associated with patient mortality and high costs to the health care system. These are largely preventable by practices such as prompt removal of central lines and Foley catheters. While seemingly straightforward, these practices require effective teamwork between physicians and nurses to be enacted successfully. Understanding the dynamics of interprofessional teamwork in the HAI prevention context requires further examination. We interviewed 420 participants (physicians, nursing, others) across 18 hospitals about interprofessional collaboration in this context. We propose an Input-Mediator-Output-Input (IMOI) model of interprofessional teamwork in the context of HAI prevention, suggesting that various organizational processes and structures facilitate specific teamwork attitudes, behaviors, and cognitions, which subsequently lead to HAI prevention outcomes including timeliness of line and Foley removal, ensuring sterile technique, and hand hygiene. We then propose strategies to improve interprofessional teamwork around HAI prevention.

show abstract

Section: Introductionmentioning

confidence: 99%

A Qualitative Examination of Interprofessional Teamwork for Infection Prevention: Development of a Model and Solutions

et al. 2022

View full text Add to dashboard Cite

show abstract

Clinical outcomes of female external urine wicking devices as alternatives to indwelling catheters: a systematic review and meta-analysis

Pryor,

Wang,

Young

et al. 2024

Infect. Control Hosp. Epidemiol.

View full text Add to dashboard Cite

Background: Female patients using indwelling urinary catheters (IUCs) are disproportionately at risk for developing catheter-associated urinary tract infections (CAUTIs) compared to males. Female external urine wicking devices (FEUWDs) have emerged as potential alternatives to IUCs for incontinence management. Objectives: To assess the clinical risks and benefits of FEUWDs as alternatives to IUCs. Methods: Ovid MEDLINE, Embase, Scopus, Web of Science Core Collection, CINAHL Complete, and ClinicalTrials.gov were searched from inception to July 10, 2023. Included studies used FEUWDs as an intervention and reported measures of urinary tract infections and secondary outcomes related to incontinence management. Results: Of 2,580 returned records, 50 were systematically reviewed. Meta-analyses assessed rates of indwelling CAUTIs and IUC utilization. Following FEUWD implementation, IUC utilization rates decreased 14% (RR = 0.86, 95% CI = [0.76, 0.97]) and indwelling CAUTI rates nonsignificantly decreased up to 32% (IRR = 0.68, 95% CI = [0.39, 1.17]). Limited only to studies that described protocols for implementation, the incidence rate of indwelling CAUTIs decreased significantly up to 54% (IRR = 0.46, 95% CI = [0.32, 0.66]). Secondary outcomes were reported less routinely. Conclusions: Overall, FEUWDs nonsignificantly reduced indwelling CAUTI rates, though reductions were significant among studies describing FEUWD implementation protocols. We recommend developing standard definitions for consistent reporting of non-indwelling CAUTI complications such as FEUWD-associated UTIs, skin injuries, and mobility-related complications.

show abstract

Reducing Catheter-associated Urinary-tract Infections in Cancer Patients: A Nurse and Infection Preventionist-led Interprofessional Program

Cited by 2 publications

References 0 publications

A Qualitative Examination of Interprofessional Teamwork for Infection Prevention: Development of a Model and Solutions

A Qualitative Examination of Interprofessional Teamwork for Infection Prevention: Development of a Model and Solutions

Clinical outcomes of female external urine wicking devices as alternatives to indwelling catheters: a systematic review and meta-analysis

Contact Info

Product

Resources

About