Catheter Associated Urinary Tract Infection

Presenters

Neneh JallowFollow

Disciplines

Nursing

Abstract (300 words maximum)

Abstract

Background: A catheter-associated urinary tract infection (CAUTI) is an infection that occurs when bacteria enters the urinary tract via a urinary catheter. Despite hospitals spending a lot of money and resources on the issue, it continues to be one of the most hospitals acquired infections.

Purpose: The purpose of this project is to educate unit staff using evidence-based research on how to prevent CAUTIs. After looking at the unit-based review on the previous CAUTI, it was stated that peri care and catheter care were not performed on every shift for the patient. It was also stated that the patient had a catheter inserted five times during her stay and a non-invasive alternative like a pure wick or intermittent catheter wasn’t attempted.

Brief Literature Review: I performed a systematic literature review guided by the Johns Hopkins Evidence-Based Practice Model. Some of the databases used by CINAHL, EBSCOhost, and PubMed. The keywords I searched were hospitalized patients, CAUTI prevention, peer-reviewed articles, English-only, and scholarly articles. Only articles within the last five years were utilized.

Methods: First I would ask the unit manager or the assistant manager for a copy of the unit-based review of the previous CAUTI incident. I would focus my education based on the unit’s weaknesses or the factors that may have contributed to the CAUTI. This includes performing daily assessments and providing peri and foley care every shift. To help reinforce the education I provide, there would be a daily reminder of which patients have CAUTIs.

Evaluation: Documentation will be reviewed daily for compliance with catheter/peri care. There would also be a weekly review of nurses’ catheter care and documentation. CAUTI rates will be reviewed monthly and compared to previous quality data to assess the effectiveness of the interventions.

Academic department under which the project should be listed

Department of Nursing

Primary Investigator (PI) Name

Christie Emerson

Additional Faculty

Lilian Chira, Nursing, lchira@kennesaw.edu

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Catheter Associated Urinary Tract Infection

Abstract

Background: A catheter-associated urinary tract infection (CAUTI) is an infection that occurs when bacteria enters the urinary tract via a urinary catheter. Despite hospitals spending a lot of money and resources on the issue, it continues to be one of the most hospitals acquired infections.

Purpose: The purpose of this project is to educate unit staff using evidence-based research on how to prevent CAUTIs. After looking at the unit-based review on the previous CAUTI, it was stated that peri care and catheter care were not performed on every shift for the patient. It was also stated that the patient had a catheter inserted five times during her stay and a non-invasive alternative like a pure wick or intermittent catheter wasn’t attempted.

Brief Literature Review: I performed a systematic literature review guided by the Johns Hopkins Evidence-Based Practice Model. Some of the databases used by CINAHL, EBSCOhost, and PubMed. The keywords I searched were hospitalized patients, CAUTI prevention, peer-reviewed articles, English-only, and scholarly articles. Only articles within the last five years were utilized.

Methods: First I would ask the unit manager or the assistant manager for a copy of the unit-based review of the previous CAUTI incident. I would focus my education based on the unit’s weaknesses or the factors that may have contributed to the CAUTI. This includes performing daily assessments and providing peri and foley care every shift. To help reinforce the education I provide, there would be a daily reminder of which patients have CAUTIs.

Evaluation: Documentation will be reviewed daily for compliance with catheter/peri care. There would also be a weekly review of nurses’ catheter care and documentation. CAUTI rates will be reviewed monthly and compared to previous quality data to assess the effectiveness of the interventions.