Implementing a Nurse-Driven Protocol to Reduce Catheter-Associated Urinary Tract Infections in a Long-Term Acute Care Hospital

Journal of Continuing Education in Nursing
Joyce Zurmehly

Abstract

Catheter-associated urinary tract infections (CAUTIs) are the second most common health care-associated infection. CAUTIs represent a serious threat to chronic critically ill patients in long-term acute care hospitals (LTACHs). Evidence-based guidelines have been shown to reduce the risk of infection in acute care settings but are not well documented in LTACHs. An evidence-based urinary catheter protocol was developed and implemented across three units in a large LTACH. RNs were oriented to the new protocol through online educational modules. During the evaluation period, 120 patients were admitted with a urinary catheter who qualified for chart review for CAUTI incidence. Overall catheter-days and CAUTI rates were compared, and changes in practice were noted. After the education intervention, overall urinary catheter-days decreased by 10.1%, and CAUTI incidence decreased by 74% (4.82 CAUTI per 1,000 patient-days to 1.24). The absolute risk reduction was 3.58 infections per 1,000 catheter-days. The findings were statistically significant (z = 1.00, p < .03). Significant reductions were noted in total catheter-days, and CAUTI rates improved after implementation of an education program and an evidence-based urinary catheter proto...Continue Reading

References

Aug 3, 2010·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Jennifer MeddingsSanjay Saint
Jul 6, 2011·British Journal of Nursing : BJN·Catriona M Doody, Owen Doody
Mar 5, 2013·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Yin-Yin ChenFu-Der Wang
May 15, 2013·The American Journal of Nursing·Tina L Magers
Jun 19, 2013·American Journal of Infection Control·Michael F ParryMerima Sestovic
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Jul 3, 2016·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Taryn MillerJohn Tote
Jul 25, 2018·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Alicia ShugartAlexander J Kallen

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Citations

May 31, 2020·Nursing·Llynne C Kiernan, Darlene M Olsen

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Software Mentioned

ANA CAUTI
LTACH

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