Decreasing Catheter-Associated Urinary Tract Infections in the Neurological Intensive Care Unit: One Unit's Success.

Abstract:

BACKGROUND:Catheter-associated urinary tract infections are preventable adverse outcomes that increase hospital morbidity, mortality, and costs. These infections are particularly prevalent in intensive care units. OBJECTIVES:To describe the success of an 18-bed neurological intensive care unit in using several nurse-implemented strategies that reduced the number of catheter-associated urinary tract infections. METHODS:A prospective, interventional design with application of evidence-based practices to reduce catheter-associated urinary tract infections was used. RESULTS:Before implementation of the strategies, 40 catheter-associated urinary tract infections were reported for 2012 and 38 for 2013. The standardized infection ratio was 2.04 for 2012 (95% CI, 1.456-2.775) and 2.34 (95% CI, 1.522-3.312) for 2013. After implementation of the strategies, significantly fewer catheter-associated urinary tract infections were reported. In 2014, a total of 15 infections were reported, and the standardized infection ratio was less than 1.0 (95% CI, 0.685-1.900). CONCLUSIONS:Application of current evidence-based practices resulted in a substantial decrease in the number of catheter-associated urinary tract infections and a lower standardized infection ratio. These findings support current recommendations for "bundling" to maximize outcomes.

journal_name

Crit Care Nurse

journal_title

Critical care nurse

authors

Richards B,Sebastian B,Sullivan H,Reyes R,D'Agostino JF,Hagerty T

doi

10.4037/ccn2017742

subject

Has Abstract

pub_date

2017-06-01 00:00:00

pages

42-48

issue

3

eissn

0279-5442

issn

1940-8250

pii

37/3/42

journal_volume

37

pub_type

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