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Feature| April 01 2021 Holly N. Shadle, DNP, CRNP, FNP-BC; Holly N. Shadle, DNP, CRNP, FNP-BC Holly N. Shadle is a nurse practitioner, Neurosurgery Department, Neuroscience Center, UPMC Susquehanna, Williamsport, Pennsylvania. Corresponding author: Holly N. Shadle, dnp, crnp, fnp-bc, upmc Susquehanna Health, 1205 Grampian Blvd, Suite 1A, Williamsport, PA 17701 (email: ). Search for other works by this author on: Valerie Sabol, PhD, MBA, CCRN, ACNP, GNP; Valerie Sabol, PhD, MBA, CCRN, ACNP, GNP Valerie Sabol is a professor and chair, Division of Healthcare in Adult Populations, Duke University School of Nursing. Search for other works by this author on: Amanda Smith, MSN, RN, CCRN; Amanda Smith, MSN, RN, CCRN Amanda Smith is a clinical education specialist, Intensive Care Unit, UPMC Susquehanna. Search for other works by this author on: Heather Stafford, MHA, BSN, RN, CIC; Heather Stafford, MHA, BSN, RN, CIC Heather Stafford is Director of Nursing Education and Director of Infection Prevention and Control, Wound Center, Infusion Center, and Diabetes Nutrition Care Center, UPMC Susquehanna. Search for other works by this author on: Julie A. Thompson, PhD; Julie A. Thompson is a clinical research associate and statistical consultant, Duke University School of Nursing. Search for other works by this author on: Margaret Bowers, DNP, FNP-BC, CHSE, AACC Margaret Bowers, DNP, FNP-BC, CHSE, AACC Margaret Bowers is an associate professor and lead faculty cardiovascular specialty, Duke University School of Nursing. Search for other works by this author on: Crit Care Nurse (2021) 41 (2): 62–71.
Background Catheter-associated urinary tract infections are the second most common health care–associated infections, occurring most frequently in intensive care units. These infections negatively affect patient
outcomes and health care costs. Local Problem The targeted institution for this improvement project reported 13 catheter-associated urinary tract infections in 2018, exceeding the hospital’s benchmark of 4 or fewer such events annually. Six of the events occurred in the intensive care unit. Project objectives included a 30% reduction in reported catheter-associated urinary tract infections, 20% reduction in urinary catheter days, and 75% compliance rating in
catheter-related documentation in the intensive care unit during the intervention phase. Methods This project used a pre-post design over 2 consecutive 4-month periods. The targeted population was critically ill patients aged 18 and older who were admitted to the intensive care unit. A set of bundled interventions was implemented, including staff education, an electronic daily checklist, and a nurse-driven removal protocol for indwelling urinary catheters. Data
were analyzed using mixed statistics, including independent samples t tests and Fisher exact tests. Results No catheter-associated urinary tract infections were reported during the intervention period, reducing the rate by 1.33 per 1000 catheter days. There was a 10.5% increase in catheter days, which was not statistically significant (P = .12). Documentation compliance increased significantly from 50.0% before to 83.3% during the intervention
(P = .01). Conclusions This bundled approach shows promise for reducing catheter-associated urinary tract infections in critical care settings. The concept could be adapted for other health care–associated infections. ©2021 American Association of Critical-Care Nurses 2021 You do not currently have access to this content. Sign inSubscribeSubscribe online and gain access to the entire archive. Short-term AccessPurchase short-term access on a pay-per-article or pay-per-issue basis. $15 72 - hour single article access $30 7 - day full issue access Email alertsWhat helps prevent catheter related urinary tract infections?CAUTI can be prevented by things such as hand washing, not using urine drain tubes and if they must be used, inserting them properly and keeping them clean. Catheters should be put in only when necessary, and removed as soon as possible. Core Prevention Strategies: Insert catheters only for appropriate indications.
What is the most effective way to prevent infection when providing catheter care?How can you help prevent infection?. Always wash your hands well before and after you handle your catheter.. Clean the skin around the catheter daily using soap and water. Dry with a clean towel afterward. ... . When you clean around the catheter, check the surrounding skin for signs of infection.. What are important interventions to reduce CAUTI?ANA Initiative to Prevent CAUTI
There are three areas to improve evidence-based clinical care to reduce the rate of CAUTI: (1) prevention of inappropriate short-term catheter use, (2) nurse-driven timely removal of urinary catheters, and (3) urinary catheter care during placement.
What should the nurse do to prevent catheter associated urinary tract infection?Hand hygiene before and after manipulating the catheter and providing perineal care is imperative for infection prevention. Perform hand hygiene and don gloves immediately before and after accessing the drainage system, emptying the drainage bag, and collecting a urine sample.
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What are 3 interventions that could be implemented to reduce catheter related infection?
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