Effectiveness of a simple intervention for prevention of catheter-associated urinary tract infections in a community teaching hospital - 12/08/11
, Marjorie Keegan, RN, MSN, CIC b, Adnan Lakhani, BSc c, Ingram M. Roberts, MD a, Joanne Passalacqua, MD a, b
Address correspondence to Jackrapong Bruminhent, MD, 2800 Main St, 3rd Floor, Bridgeport, CT 06606.Abstract |
Background |
Catheter-associated urinary tract infection (CA-UTI) is the most common health care–associated infection. Instrumentation of the urinary tract, mainly urinary catheterization, is the most important risk factor for CA-UTI. It is believed that proper catheter management can reduce the incidence of CA-UTI.
Methods |
This was a prospective preintervention and postintervention study conducted to assess the effect of an intervention aimed at preventing CA-UTI. A reminder sticker was placed on each patient’s medical record binder to remind the physicians to consider discontinuing any unnecessary urinary catheters.
Results |
There was a statistically significant increase in the number of appropriately retained urinary catheters at 3 months (57% vs 73%; P = .007) and 6 months postintervention (57% vs 86%; P < .001). There was also a statistically significant reduction in the rate of CA-UTI after 3 months (7.02 vs 2.08; P < .001) and 6 months postintervention (7.02 vs 2.72; P < .001).
Conclusion |
A simple intervention using a sticker placed on patients’ medical record binder to remind physicians to remove unnecessary urinary catheters can significantly increase the appropriate utilization of urinary catheters and decrease the rate of CA-UTI in community teaching hospitals.
Il testo completo di questo articolo è disponibile in PDF.Key Words : Urinary catheter, infection control, utilization, health care–associated infection
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| Conflicts of interest: None to report. |
Vol 38 - N° 9
P. 689-693 - novembre 2010 Ritorno al numero
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