Decreasing Catheter-Associated Urinary Tract Infections in Urologic Oncology Patients Discharged With an Indwelling Urinary Catheter: A Quality Improvement Project

Spencer, Tammy; Makic, Mary Beth Flynn; Shaw, Kathy N.

doi:10.1016/j.jopan.2018.07.002

Cited by 6 publications

(2 citation statements)

References 13 publications

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“…32 Furthermore, some patient education initiatives to improve clinical maintenance of indwelling urinary catheters and central lines have been associated with reduced CLABSI 33,34 and CAUTI rates. 35 Efforts to enhance the effective delivery of patient education may therefore have the potential to improve patient safety outcomes. Some limitations should be considered when interpreting the results of this study.…”

Section: Discussionmentioning

confidence: 99%

Perspectives of hospital leaders and staff on patient education for the prevention of healthcare-associated infections

MacEwan

Beal

Gaughan

et al. 2021

Infect. Control Hosp. Epidemiol.

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Objective: Device-related healthcare-associated infections (HAIs), such as catheter-associated urinary tract infections (CAUTIs) and central-line–associated bloodstream infections (CLABSIs), are largely preventable. However, there is little evidence of standardized approaches to educate patients about how they can help prevent these infections. We examined the perspectives of hospital leaders and staff about patient education for CAUTI and CLABSI prevention to understand the challenges to patient education and the opportunities for improvement. Methods: In total, 471 interviews were conducted with key informants across 18 hospitals. Interviews were analyzed deductively and inductively to identify themes around the topic of patient education for infection prevention. Results: Participants identified patient education topics specific to CAUTI and CLABSI prevention, including the risks of indwelling urinary catheters and central lines, the necessity of hand hygiene, the importance of maintenance care, and the support to speak up. Challenges, such as lack of standardized education, and opportunities, such as involvement of patient and family advisory groups, were also identified regarding patient education for CAUTI and CLABSI prevention. Conclusions: Hospital leaders and staff identified patient education topics, and ways to deliver this information, that were important in the prevention of CAUTIs and CLABSIs. By identifying both challenges and opportunities related to patient education, our results provide guidance on how patient education for infection prevention can be further improved. Future work should evaluate the implementation of standardized approaches to patient education to better understand the potential impact of these strategies on the reduction of HAIs.

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Section: Discussionmentioning

confidence: 99%

Perspectives of hospital leaders and staff on patient education for the prevention of healthcare-associated infections

MacEwan

Beal

Gaughan

et al. 2021

Infect. Control Hosp. Epidemiol.

View full text Add to dashboard Cite

show abstract

“…To prevent the incidence of UTIs in patients with urinary catheter, several strategies have been recommended including the use of a sterile closed system, emphasis on aseptic catheter insertion technique, catheter care, shortterm antibiotic therapy, the use of antimicrobials around the urethra, addition of antimicrobial drugs to the urine bag, and application of catheters impregnated with antimicrobial agents (13). However, this complication, as an important health problem, threatens the health of patients.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Effect of Perineal Care with Normal Saline and 2% Chlorhexidine Solution on the Rate of Catheter-Associated Urinary Tract Infection in Women Hospitalized in Intensive Care Units: A Quasi-Experimental Study

et al. 2020

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Background: Urinary tract infection is the most common site of infection associated with health care in the Intensive Care Unit (ICU) patients. Long-term catheterization is the most important risk factor for Urinary Tract Infections (UTIs). These infections are more common in women than in men. Colonized microorganisms in the perineal skin and around the urethra may move into the urinary system through the external surfaces of the urinary catheter to cause infection. Objectives: The present study aimed to compare the effect of perineal care with normal saline and 2% chlorhexidine solution on the rate of catheter-associated urinary tract infection (CAUTI) in women hospitalized in ICUs. Methods: A quasi-experimental study was performed on 70 female patients hospitalized in the ICU of Khatam-Al-Anbia Hospital of Zahedan in 2019. The research units meeting the inclusion criteria were selected using convenience sampling and then randomly divided into two groups of normal saline (n = 35) and chlorhexidine (n = 35). The perineal area of patients in the first group was washed with normal saline and the second group with 2% chlorhexidine solutions twice a day for seven days in both groups. To diagnose UTIs, urine samples were cultured on the first and seventh days. Data were analyzed using SPSS 21 via the independent t-test, chi-square test, and Fisher’s exact test at a significance level of less than 0.05. Results: Finally, 60 participants completed the study. The two groups did not differ significantly in terms of age, marital status, level of education, cause of hospitalization, antibiotic use, underlying diseases, fluid intake, and urinary output. At the end of the seventh day after the intervention, the incidence of UTIs was significantly lower in the chlorhexidine group (13.3%) than in the normal saline group (76.7%) (P = 0.001). Conclusions: The results showed that washing the perineal area every 12 hours with 2% chlorhexidine solution compared to normal saline reduces the incidence of CAUTIs in women hospitalized in ICUs. Therefore, perineal care with a 2% chlorhexidine solution is recommended for perineal care of female patients with urinary catheters hospitalized in ICUs.

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Examining instruments used to measure knowledge of catheter-associated urinary tract infection prevention in health care workers: A systematic review

Abubakar

Boehnke

Burnett

et al. 2021

American Journal of Infection Control

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Decreasing Catheter-Associated Urinary Tract Infections in Urologic Oncology Patients Discharged With an Indwelling Urinary Catheter: A Quality Improvement Project

Cited by 6 publications

References 13 publications

Perspectives of hospital leaders and staff on patient education for the prevention of healthcare-associated infections

Perspectives of hospital leaders and staff on patient education for the prevention of healthcare-associated infections

Comparison of the Effect of Perineal Care with Normal Saline and 2% Chlorhexidine Solution on the Rate of Catheter-Associated Urinary Tract Infection in Women Hospitalized in Intensive Care Units: A Quasi-Experimental Study

Examining instruments used to measure knowledge of catheter-associated urinary tract infection prevention in health care workers: A systematic review

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