Evaluation of evidence-based practice of catheter associated urinary tract infections prevention in a critical care setting: An integrative review

Henry, Michelle

doi:10.5430/jnep.v8n7p22

Cited by 3 publications

(4 citation statements)

References 14 publications

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“…As a result of the increased risk of post-stroke infections caused by strokeinduced immunosuppression, stroke patients with indwelling urinary catheter are more susceptible to CAUTI. Furthermore, both urinary tract infection and indwelling urinary catheter use are linked to poorer outcomes in stroke patients (Henry, 2018;John et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

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Barriers to Implementation of a Urinary Catheter Care Bundle for Critically Ill Patients with Cerebrovascular Stroke

Mohamed Abdallah,

Abdelhamid Hamad,

Mohamed

et al. 2023

Alexandria Scientific Nursing Journal

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Background: Catheter-associated urinary tract infections (CAUTIs) are the most prevalent healthcare-associated infection in the ICU. Patients with indwelling urinary catheters are more prone to CAUTIs due to the increased risk of post-stroke infections brought on by stroke-induced immunosuppression. Therefore, it is imperative to focus on the barriers related to knowledge deficit, health care organization and nursing practice to overcome bad consequences of developing CAUTIs. Objective: to identify barriers to implementation of a urinary catheter care bundle for critically ill patients with cerebrovascular stroke. Setting: the study was carried out in five ICUs of Health Affairs Directorate hospitals in Alexandria governorate. Subjects: A convenient samples of 130 nurses of both genders who are assigned in the direct care of the newly admitted patients with cerebrovascular stroke in the previously mentioned units. Tools: two tools were used. Tool one: "Urinary catheter care bundle barriers questionnaire tool ". Tool two: "Nurses' knowledge about urinary catheter care bundle for critically ill patients with cerebrovascular stroke questionnaire". Results: The study showed that there was a significant relationship between socio-demographic data and mean score of UCCB implementation overall barriers regarding gender, age, education level and years of experience (P=0.011, P=0.001, P=0.001 and P=0.001 respectively). Furthermore, the study groups exhibited significant relationship between socio-demographic data and percent score of knowledge level about UCCB of studied CCNs regarding gender, age, education level and years of experience (P=0.114, P=0.004, P=0.001 and P=0.002 consequently). Conclusion: the implementation of urinary catheter care bundle was highly effective as it reduced CAUTI rate for critically ill patients with cerebrovascular stroke. Recommendations: critical care nurses should implement a UCCB approach that is tailored to the critically ill patients with cerebrovascular stroke. Hospital administration should establish educational program and workshops about the UCCB approach for critically ill patients with cerebrovascular stroke to critical care nurses.

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Section: Discussionmentioning

confidence: 99%

“…Furthermore, according to Centers for Disease Control and Prevention (CDC) 2020 urinary tract infections made up between 30% and 40% of hospital-related infections. (Henry, 2018;John et al, 2018& CDC, 2020.…”

Section: Introductionmentioning

confidence: 99%

Barriers to Implementation of a Urinary Catheter Care Bundle for Critically Ill Patients with Cerebrovascular Stroke

Mohamed Abdallah,

Abdelhamid Hamad,

Mohamed

et al. 2023

Alexandria Scientific Nursing Journal

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“…6,18,39 Amerika Birleşik Devletleri'nde mesane paketi uygulaması ile kateter ilişkili idrar yolu enfeksiyonu insidansının %30 azaldığını gösteren birçok çalışma olduğu, hatta bir çalışmada mesane paketi uygulamasının kateter ilişkili idrar yolu enfeksiyon gelişimini %50 oranında önlediği ifade edilmektedir. 39 Nörolojik yoğun bakım ünitesinde yapılan tek merkezli bir çalışmada; mesane paketi (kateter uygulamasından kaçınma, sterilitenin sürdürülmesi, ürün standardizasyonu, kateterin erken çıkarılması) uygulamasıyla, kateter kullanımının %100'den %73'e düştüğü belirtilmektedir. Aynı çalışmada, bir günde 1,000 kateterde, kateter ilişkili idrar yolu enfeksiyonu gelişiminin 13,3'ten 4,0'a düştüğü gösterilmiştir.…”

Section: üSt üRiner Sistem Testleri Ve üRiner Stentlerin Yerleştirilmesiunclassified

Sağlık Hizmeti İlişkili İdrar Yolu Enfeksiyonunun Önlenmesine Yönelik Kanıtlar ve Uygulama Önerileri

Karamanoğlu

Gıersbergen

2023

Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi

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Sağlık hizmeti ilişkili enfeksiyonlar, tüm dünyada olduğu gibi ülkemizde de önemli bir sağlık sorunudur. Sağlık hizmeti ilişkili idrar yolu enfeksiyonları, kateter uygulamaları ve ürolojik girişimler sonucunda oluşmaktadır. Sağlık hizmeti ilişkili idrar yolu enfeksiyonları nedeniyle hastanede kalınan gün sayısının %4, maliyetlerin %13 arttığı ve %33’ünün önlenebilir enfeksiyonlar olduğu belirtilmektedir. Literatürde, kateter ve ürolojik girişimlerle ilişkili idrar yolu enfeksiyonlarını önlemeye yönelik çok sayıda çalışma ve rehber bulunmaktadır. Bu makalede, ürolojik işlemler ve üriner sistemin kontrastlı uygulamaları, ürolojik endoskopların dezenfeksiyonu/ sterilizasyonu, ürolojik girişimlerde antibiyotik profilaksisi ve üriner kateter yönetimi ele alınmış ve bu alanda geliştirilen rehberlere yer verilmiştir.

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“…CAUTI preventive strategies are known and recommended in several evidence-based clinical guidelines [ 3 , 6 ]. The strategies include inserting the UC only when appropriate, aseptic insertion technique, proper maintenance, and timely removal of the IUC [ 17 , 20 , 21 ]. Implementation of the recommendations results in a significant reduction in CAUTI rates [ 4 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

Healthcare workers’ compliance with the catheter associated urinary tract infection prevention guidelines: an observational study in Yemen

Al-Sayaghi,

Alqalah,

Alkubati

et al. 2023

Antimicrob Resist Infect Control

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Background Catheter-associated urinary tract infection is a global problem but it can be prevented with the appropriate implementation of evidence-based guidelines. This study was conducted to assess the level of compliance of healthcare workers with the catheter-associated urinary tract infection prevention guidelines during the insertion of a urinary catheter. Methods An observational study using a descriptive cross-sectional design was conducted at Sana’a City hospitals, Yemen. All the nurses and physicians from the governmental, teaching, and private hospitals were eligible to participate in the study. The data collection was performed through convenience sampling from March 2020 to December 2020, using a structured observational checklist prepared specifically for this study. Results The majority of the urinary catheter insertions were performed by nurses. There were no written policy or procedures for an urinary catheter insertion and no in-service education or training departments in the majority of the hospitals. The overall mean score of compliance was 7.31 of 10. About 71% of the healthcare workers had a high or acceptable level of compliance and 29% had an unsafe level of compliance. Compliance was low for maintaining aseptic technique throughout the insertion procedure, using a single use packet of lubricant jelly, performing hand hygiene immediately before insertion, and securing the urinary catheter once inserted. Factors affecting the healthcare workers compliance were gender, the working ward/unit of the healthcare workers, the availability of a written policy/procedure and a department or unit for in-service education. Conclusion Yemeni healthcare workers’ overall compliance was acceptable but it was unsafe in several critical measures. There is an urgent need for developing, implementing, and monitoring national guidelines and institutional policy and procedures for catheter-associated urinary tract infection prevention. Periodical in-service education and training programs and adequate access to the necessary materials and supplies are paramount.

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Evaluation of evidence-based practice of catheter associated urinary tract infections prevention in a critical care setting: An integrative review

Cited by 3 publications

References 14 publications

Barriers to Implementation of a Urinary Catheter Care Bundle for Critically Ill Patients with Cerebrovascular Stroke

Barriers to Implementation of a Urinary Catheter Care Bundle for Critically Ill Patients with Cerebrovascular Stroke

Sağlık Hizmeti İlişkili İdrar Yolu Enfeksiyonunun Önlenmesine Yönelik Kanıtlar ve Uygulama Önerileri

Healthcare workers’ compliance with the catheter associated urinary tract infection prevention guidelines: an observational study in Yemen

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