Sustaining Reduction of Catheter-associated Urinary Tract Infection (CAUTI) - Outcomes After Two Educational Methods in a Regional University-affiliated Medical Center

Olsen-Scribner, Robin J.; Hayes, Carrie; Pottinger, Paul S.

doi:10.1016/j.ajic.2014.03.069

Cited by 2 publications

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“…Nurse education regarding urinary catheter avoidance, maintenance, insertion, and removal that included one-on-one teaching is preferred, and resulted in higher adherence to CAUTI prevention bundle elements over online education alone. 91 Hands-on training/competency assessments regarding aseptic indwelling catheter insertion Catheter placement by "only properly trained persons" using aseptic technique is recommended. 86 The use of competency assessments in LTC has been studied 12,13,85 in CAUTI bundles, although the individual impact of competency training interventions cannot be assessed from available studies.…”

Section: Education For Aseptic Insertion Of Indwelling Cathetersmentioning

confidence: 99%

Systematic Review of Interventions to Reduce Urinary Tract Infection in Nursing Home Residents

Meddings

Saint

Krein

et al. 2017

Journal of Hospital Medicine

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BACKGROUND Urinary tract infections (UTIs) in nursing homes are common, costly, and morbid. PURPOSE Systematic literature review of strategies to reduce UTIs in nursing home residents DATA SOURCES Ovid MEDLINE, Cochrane Library, CINAHL, Web of Science and Embase through June 22, 2015. STUDY SELECTION Interventional studies with a comparison group reporting at least one outcome for: catheter-associated UTI (CAUTI), UTIs not identified as catheter-associated, bacteriuria, or urinary catheter use. DATA EXTRACTION Two authors abstracted study design, participant and intervention details, outcomes, and quality measures. DATA SYNTHESIS Of 5,794 records retrieved, 20 records describing 19 interventions were included: 8 randomized controlled trials, 10 pre-post non-randomized interventions, and 1 non-randomized intervention with concurrent controls. Quality (range 8-25, median 15) and outcome definitions varied greatly. Thirteen studies employed strategies to reduce catheter use or improve catheter care; nine studies employed general infection prevention strategies (e.g., improving hand hygiene, surveillance, contact precautions, reducing antibiotics). The nineteen studies reported 12 UTI outcomes, 9 CAUTI outcomes, 4 bacteriuria outcomes, and 5 catheter use outcomes. Five studies showed CAUTI reduction (1 significantly); nine studies showed UTI reduction (none significantly); 2 studies showed bacteriuria reduction (none significantly). Four studies showed reduced catheter use (1 significantly). LIMITATIONS Studies were often underpowered to assess statistical significance; none were pooled given variety of interventions and outcomes. CONCLUSIONS Several practices, often implemented in bundles, appear to reduce UTI or CAUTI in nursing home residents such as improving hand hygiene, reducing and improving catheter use, managing incontinence without catheters, and enhanced barrier precautions.

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Section: Education For Aseptic Insertion Of Indwelling Cathetersmentioning

confidence: 99%

Systematic Review of Interventions to Reduce Urinary Tract Infection in Nursing Home Residents

Meddings

Saint

Krein

et al. 2017

Journal of Hospital Medicine

View full text Add to dashboard Cite

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“…Some research show that a longer time of keeping indwelling urinary catheters results in higher incidence of bacteriuria and blood urine and more severe pain in first urination [6]. In USA, among all the infections, incidence of catheter-associated urinary tract infection (CAUTI) is up to 34% [7][8][9]. The urinary tract infection takes up 40% of all that iatrogenic infections and indwelling urinary catheter is a major risk factor of that [10][11].…”

Section: Discussionmentioning

confidence: 99%

The Optimal Time to Remove Urinary Catheters in Laparoscopic Partial Nephrectomy, Laparoscopic Adrenalectomy or Laparoscopic Nephrectomy

Caimei¹,

Guo²,

Huizhao³

et al. 2020

AJNS

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Objective To explore the best time to remove the indwelling urinary catheters after laparoscopic partial nephrectomy (LPN), laparoscopic adrenalectomy (LA) or laparoscopic nephrectomy (LN) so as to reduce the indwelling time of nontherapeutic catheters and thus reduce postoperative complications and enhance recovery. Methods We included 140 patients who have undergone laparoscopic partial nephrectomy, laparoscopic adrenalectomy or laparoscopic nephrectomy and received indwelling urinary catheters during the operation in the Department of Urology in our hospital from January 2019 to December 2019. The patients were averagely randomized into control group and observation group. The indwelling urinary catheters in the control group were kept for 3 d and then nurses removed the catheters following the doctor's advice. In the observation group nurses removed the urinary catheters following the removal procedures after assessing the indications of removal of urinary catheters and necessity of keeping the catheters. After operation, the time of keeping the indwelling urinary catheters, first leaving bed, first passage of gas by anus, average hospital stay, occurrence of constipation and score of painful urination were compared between the two groups. Results In the observation group, after operation, the average time of keeping the indwelling urinary catheters is 7.94±1.54 h, the average time of first leaving bed activity is 18.65±6.14 h, first passage of gas by anus is 16.18±2.44 h, and the average hospital stay is 5.71±1.93 d. Compared with control group, there is a significant difference (P< 0. 05). There is also a significant difference in the occurrence of constipation between the two groups with 6 cases in control group but 0 in observation group (χ 2 =4.353, P=0.037). Patients in both groups have urination discomfort to different degrees and the score of pain is significantly different between the two groups (χ 2 =5.079, P=0.024). Conclusions The indwelling urinary catheters for intraoperative needs are advised to remove within 12 h after laparoscopic partial nephrectomy, laparoscopic adrenalectomy or laparoscopic nephrectomy, which can enhance patients' comfort level and recovery, reduce length of stay and hospitalization costs, and save medical costs.

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Sustaining Reduction of Catheter-associated Urinary Tract Infection (CAUTI) - Outcomes After Two Educational Methods in a Regional University-affiliated Medical Center

Cited by 2 publications

References 0 publications

Systematic Review of Interventions to Reduce Urinary Tract Infection in Nursing Home Residents

Systematic Review of Interventions to Reduce Urinary Tract Infection in Nursing Home Residents

The Optimal Time to Remove Urinary Catheters in Laparoscopic Partial Nephrectomy, Laparoscopic Adrenalectomy or Laparoscopic Nephrectomy

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