Long-term prevention of catheter-associated urinary tract infections among critically ill patients through the implementation of an educational program and a daily checklist for maintenance of indwelling urinary catheters: A quasi-experimental study

Medicine
Mayra Goncalves MeneguetiAna Maria Laus

Abstract

Removing an indwelling urinary catheter as soon as possible is the cornerstone of catheter-associated urinary tract infections (CAUTI) prevention. However, implementing this measure may be challenging in clinical settings. To evaluate the impact of implementing a healthcare workers (HCWs) educational program and a daily checklist for indwelling urinary catheter indications among critical patients on the incidence of CAUTI. This was a quasi-experimental study performed in a general intensive care unit of a tertiary-care hospital over a 12 years period, from January 1, 2005 to December 31, 2016. Rates of urinary catheter use and incidence density of CAUTI were monthly evaluated following the Centers for Disease Control and Prevention (CDC) criteria throughout the study period. Phase I (2005-2006) was the pre-intervention period. In phase II (2007-2010), HCWs routine training on CAUTI prevention was performed twice-a-year. In phase III (2011-2014), we implemented a daily checklist for indwelling urinary catheter indications, in addition to the biannual training. In phase IV, (2015-2016) the biannual training was replaced by training only newly hired HCWs and the daily checklist was maintained. The mean rate of urinary catheter uti...Continue Reading

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Citations

Mar 5, 2020·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Nicholas J NassikasAndrew T Levinson
May 15, 2020·British Journal of Nursing : BJN·Evelyn Gyesi-AppiahAndrew Clifton
Aug 10, 2019·Intensive Care Medicine·Henry T StelfoxDaniel J Niven
Oct 4, 2020·Dimensions of Critical Care Nursing : DCCN·Annette M BourgaultMichele J Upvall
Nov 10, 2020·British Journal of Community Nursing·Evelyn Gyesi-AppiahAndrew Clifton
Dec 10, 2019·International Journal of Pharmaceutics·Rafael Gomes Von BorowskiAline Rigon Zimmer
Jan 4, 2022·International Urogynecology Journal·Dong HouWei Liang

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