A multifaceted nursing process to reduce catheter-associated urinary tract infections in a medical intensive care unit in the era of COVID-19 - 13/06/25
, Rachel K. Ussery, DNP, RN b, Scott Woodby, BSN, RN b, Robert Hastedt, BSN, RN b, Brenda Tyler, BS, CIC a, Mary Ann Demaet, MSN, RN, CIC a, Janak Patel, MD a, c
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
Artículo gratuito.
Conéctese para beneficiarse!
Resumen |
Background |
The catheter-associated urinary tract infection (CAUTI) rate started to rise in October 2020 in our medical intensive care unit during the early months of coronavirus disease 2019 (COVID-19) pandemic. A multidisciplinary taskforce, therefore, took the initiative in developing the CAUTI reduction process.
Methods |
In this quality improvement initiative, the effectiveness of the CAUTI reduction process was examined retrospectively during the 25-month period from October 2020 to October 2022 in the medical intensive care unit. The processes utilized a multifaceted approach, incorporating nurse-driven protocol for the removal of indwelling urinary catheters. The urinary catheter device utilization ratios (DURs) and CAUTI rates from preintervention and postintervention were monitored and compared.
Results |
The DUR decreased significantly from 0.59 in the preintervention period to 0.39 in the postintervention phase 1 (33.9% reduction, P = .002). The significant reduction continued through the postintervention phase 2. In association with decline in DUR, the CAUTI rates reduced significantly from 3.14 in the preintervention period to 0.57 CAUTI per 1,000 catheter days in the postintervention phase 2 (81.8% reduction, P = .029).
Conclusions |
The CAUTI reduction process effectively decreased the DURs, and in turn, the CAUTI rates. Our effort highlights the success achieved through sustained multidisciplinary team participation.
El texto completo de este artículo está disponible en PDF.Highlights |
• | A CAUTI reduction process was developed at the medical ICU to reduce CAUTIs. |
• | The implementation of the process was through a multidisciplinary team approach. |
• | The CAUTI reduction process effectively decreased the DURs and CAUTI rates. |
• | The report presents an additional CAUTI prevention strategy. |
Key Words : CAUTI, Reduction process, Urinary catheter DUR, CAUTI rate
Esquema
| Conflicts of interest: None to report. |
Vol 53 - N° 7
P. 747-752 - juillet 2025 Regresar al número
Artículo precedente
- Information for Authors
- Empowering patients through a perioperative prevention bundle to reduce surgical site infections in colorectal surgery
- Vladimir Nikolic, Ljiljana Markovic-Denic, Stefan Kmezic, Aleksandar Radovanovic, Djordje Nektarijevic, Jelena Djokic-Kovac, Djordje Knezevic, Andrija Antic
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.