Decreasing Catheter-Associated Urinary Tract Infection (CAUTI) at a community academic medical center using a multidisciplinary team employing a multi-pronged approach during the COVID-19 pandemic

Whitaker, Amy; Colgrove, Gail; Scheutzow, Maria; Ramic, Meghan; Monaco, Kim; Hill, James L

doi:10.1016/j.ajic.2022.08.006

Cited by 5 publications

(3 citation statements)

References 10 publications

(16 reference statements)

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“…Similarly, 15 studies reported the impact of the COVID-19 pandemic on CAUTIs [22,28,[30][31][32][33][34][35][36][39][40][41][42][43][44]. Seven studies demonstrated a 10.5% to 46.8% decrease in CAUTIs during the pandemic [28,33,35,36,[42][43][44], while three studies reported a 20.5% to 74.7% increase in CAUTIs during the pandemic [31,34,41].…”

Section: The Effect Of Covid-19 Pandemic On Catheter-associated Urina...mentioning

confidence: 99%

“…Six studies compared the overall prevalence of HAIs between the period before the COVID-19 pandemic and during the pandemic [22][23][24][25][26][27]. CLABSIs (n = 15; 40.5%) [28][29][30][31][32][33][34][35][36][37][38][39][40][41][42], CAUTIs (n = 15; 40.5%) [22,28,[30][31][32][33][34][35][36][39][40][41][42][43][44], and CDI (n = 14; 37.8%) [28,[30][31][32]34,36,40,43,[45][46][47][48][49][50] were the most reported HAIs in the selected studies. Table…”

Section: Study Characteristicsmentioning

confidence: 99%

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Impact of COVID-19 Pandemic on Healthcare-Associated Infections: A Systematic Review and Meta-Analysis

Abubakar,

Awaisu,

Khan

et al. 2023

Antibiotics

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This study investigated how the Coronavirus Disease 2019 (COVID-19) pandemic has affected the rate of healthcare-associated infections (HAIs). PubMed, Scopus and Google Scholar were searched to identify potentially eligible studies published from December 2019 to September 2022. A random effect model was used to determine the changes in the rate of HAIs during the pandemic. Thirty-seven studies, mostly from the United States (n = 13), were included. Fifteen studies described how the pandemic affected the rate of CLABSIs and CAUTIs, and eight of them showed a significant increase in CLABSIs. The risk of CLABSIs and CDIs was 27% (pooled odds ratio [OR]: 0.73; confidence interval [CI]: 0.61–0.89; p < 0.001) and 20% (pooled OR: 1.20; CI: 1.10–1.31; p < 0.001) higher during the pandemic compared to before the COVID-19 pandemic period, respectively. However, the overall risk of HAIs was unaffected by the pandemic (pooled OR: 1.00; 95 CI: 0.80–1.24; p = 0.990). Furthermore, there were no significant changes in the risk of CAUTIs (pooled OR: 1.01; 95 CI: 0.88–1.16; p = 0.890), and SSIs (pooled OR: 1.27; CI: 0.91–1.76; p = 0.16) between the two periods. The COVID-19 pandemic had no effect on the overall risk of HAIs among hospitalized patients, but an increased risk of CLABSIs and CDI were observed during the pandemic. Therefore, more stringent infection control and prevention measures and prudent interventions to promote the rational use of antibiotics are warranted across all healthcare facilities to reduce the burden of HAIs.

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Section: The Effect Of Covid-19 Pandemic On Catheter-associated Urina...mentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Impact of COVID-19 Pandemic on Healthcare-Associated Infections: A Systematic Review and Meta-Analysis

Abubakar,

Awaisu,

Khan

et al. 2023

Antibiotics

View full text Add to dashboard Cite

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“…In addition to the joint reporting of IUC utilization and indwelling CAUTI rates, FEUWD utilization and FEUWD-UTI rates should be reported, as well as skin-and mobility-related complications associated with FEUWD use. Although some studies have reported measures of FEUWD use, they vary greatly and are often not expressed as device-days per patient-days 22,23,25,27,30,32,33,46,63 . It would also be useful for researchers to report IUC utilization and indwelling CAUTI rates among female patients only so that evaluations of the relationship between FEUWD and IUC use are specific to the patient population of interest.…”

Section: Recommendationsmentioning

confidence: 99%

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.

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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.

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Reduction in catheter-associated urinary tract infections following a diagnostic stewardship intervention

Awoyomi,

Wang,

Bakare

et al. 2024

American Journal of Infection Control

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Decreasing Catheter-Associated Urinary Tract Infection (CAUTI) at a community academic medical center using a multidisciplinary team employing a multi-pronged approach during the COVID-19 pandemic

Cited by 5 publications

References 10 publications

Impact of COVID-19 Pandemic on Healthcare-Associated Infections: A Systematic Review and Meta-Analysis

Impact of COVID-19 Pandemic on Healthcare-Associated Infections: A Systematic Review and Meta-Analysis

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

Reduction in catheter-associated urinary tract infections following a diagnostic stewardship intervention

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