American Journal of Nursing Research
ISSN (Print): 2378-5594 ISSN (Online): 2378-5586 Website: http://www.sciepub.com/journal/ajnr Editor-in-chief: Apply for this position
Open Access
Journal Browser
Go
American Journal of Nursing Research. 2019, 7(5), 836-845
DOI: 10.12691/ajnr-7-5-17
Open AccessArticle

Evaluating the Impact of Utilizing Urinary Catheter Care Bundle on Minimizing the Incidence of Catheter-associated Urinary Tract Infection (CAUTI) among Intensive Care Patients

Hala Ibrahim Zaiton1, , Joyce Toriente Relloso2 and Jocelyn Magtalas Medinah3

1Medical-Surgical Nursing Department, Faculty of Nursing, Zagazig University, Elsharkia Governorate Egypt

2Nursing Management, College of Nursing, Taibah University, Medina, Kingdom of Saudi Arabia

3College of Nursing, Taibah University, Medina, Kingdom of Saudi Arabia

Pub. Date: August 09, 2019

Cite this paper:
Hala Ibrahim Zaiton, Joyce Toriente Relloso and Jocelyn Magtalas Medinah. Evaluating the Impact of Utilizing Urinary Catheter Care Bundle on Minimizing the Incidence of Catheter-associated Urinary Tract Infection (CAUTI) among Intensive Care Patients. American Journal of Nursing Research. 2019; 7(5):836-845. doi: 10.12691/ajnr-7-5-17

Abstract

Urinary tract infection (UTIs) is the most common type of hospital-acquired infection that is mostly linked with indwelling urinary catheter use, that is, catheter-associated UTIs (CAUTIs). Aim: The study evaluated the impact of utilizing urinary catheter care bundle on minimizing the incidence of Catheter-Associated Urinary Tract Infection (CAUTI) among surgical intensive care patients. This study is a quasi-experimental and was conducted in the Surgical Intensive Care Unit (SICU) at King Fahad Hospital in Madina Kingdom of Saudi Arabia. The study subjects are divided into two groups: Thirty (30) nurses who are providing nursing care for the patient during urinary catheter insertion and through on-going maintenance of the catheter, the other group are eighty (80) patients with a urinary catheter that are divided into a control and intervention group. Tools of the study. Three (3) different instruments were used in the study: The first tool was patient devolvement assessment sheet for reporting the symptoms of Catheter-associated Urinary Tract Infection (CAUTI); the Second tool was a structured observational checklist, and the Third tool was urinary catheter care bundle. Findings: The study findings concluded that implementation of catheter care bundle minimizes the incidence of (CAUTI) compared to routine care of urinary catheter. It also enhances positive changes in the nursing practice and patient outcome that was observed among the intervention group who received urinary catheter bundle.

Keywords:
minimizing –incidence urinary catheter care bundle CAUTIs ICU patients

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Center for disease control and prevention. (CDC). (2014). National and state health care associated infection: progress report. Available from: http://www.cdc.gov/HAI/pdf/progress-report-2014pdf Accessed date Jan 2016.
 
[2]  Vergidis P, Patel R. Novel approaches to the diagnosis, prevention, and treatment of medical device-associated infections. Infect Dis Clin North Am. 2012 Mar. 26(1): 173-86.
 
[3]  Burton, D.C., Edwards, J.R., Srinivasan, A., Fridkin, S.K., Gould, C.V., 2011. Trends incatheter-associated urinary tract infections in adult intensive care units-UnitedStates, 1990-2007. Infect. Control Hosp. Epidemiol. 32 (8), 748-756.
 
[4]  Gould CV, Umscheid CA, Agarwal RK, Kuntz G, Pegues DA. Guideline for prevention of catheter- associated urinary tract infections 2009. Infect Control Hosp Epidemiol. 2010 Apr. 31(4): 319-26.
 
[5]  Gray, G., Nussle, R., Cruz, A., Kane, and Toomey, A., (2016). Effects of a catheter-associated urinary tract infection prevention campaign on infection rate, catheter utilization, and health care workers' perspective at a community safety net hospital, American Journal of Infection Control 44, 115-6.
 
[6]  The Joint Of Commission, (2006). Raising The Bar With Bundle s, Joint Commission Perspectives On Patient Safety, 6(4). 5-6.
 
[7]  Gould CV, Umscheid CA, Agarwal RK, Kuntz G, Pegues DA. Healthcare Infection Control Practices Advisory Committee Guideline for prevention of catheter-associated urinary tract infections 2009. Infect Control Hosp Epidemiol 20103131926.
 
[8]  http://www.documents.hps.scot.nhs.uk/hai/infection-control/bundles/cauti/uc-acute-v1.pdf.
 
[9]  Chenoweth and Saint, 2013, C. Chenoweth, S. Saint, Preventing catheter-associated urinary tract infections in the intensive care unit, Crit Care Clin, Vol. 29, Iss. 1, 2013, 19-32.
 
[10]  Klompas M, Yokoe D. Automated surveillance of health care-associated Infections. Clin Infect Dis 2009; 48: 1268-75.
 
[11]  Gray, G., Nussle, R., Cruz, A., Kane, and Toomey, A., (2016)Effects of a catheter-associated urinary tract infection prevention campaign on infection rate, catheter utilization, and health care workers' perspective at a community safety net hospital, American Journal of Infection Control 44, 115-6 .
 
[12]  Chenoweth and Saint, 2013, C. Chenoweth, S. Saint, Preventing catheter-associated urinary tract infections in the intensive care unit, Crit Care Clin, Vol. 29, Iss. 1, 2013, 19-32.
 
[13]  Newhouse, R.P., Dearholt, S.L., Poe, S.S., Paugh, L.C., & White, K.M. (2007). John Hopkins Nursing evidence-based practice model& guidelines, In Sigma The Twa Intervention .
 
[14]  Pellowe CM, Pratt RJ, Harper HP et al. (2003). Prevention of healthcare-associated infections in primary and community care. Journal of Hospital Infection. 55, Suppl 2, S5-S127.
 
[15]  Rosenthal VD, Guzman S, Safdar N. Effect of education and performance feedback on rates of catheter-associated urinary tract infection in intensive care units in Argentina. Infect Control Hosp Epidemiol 2004; 25: 47-50.
 
[16]  Ellingson, K., Haas, J.P., Aiello, A.E., Kusek, L., Maragakis, L.L., Olmsted, R.N., Yokoe,D.S., 2014. Strategies to prevent healthcare-associated infections through handhygiene. Infect. Control Hosp. Epidemiol. 35 (Suppl. 2), S155-178.
 
[17]  Cooper FP, Alexander CE, Sinha S, Omar MI. Policies for replacing long-term indwelling urinary catheters in adults. Cochrane Database Syst Rev. 2016 Jul 26. 7: CD011115.
 
[18]  Saint S, Kaufman SR, Thompson M, Rogers MA, Chenoweth CE. (2015). A reminder reduces urinary catheterization in hospitalised patients. Joint Commission Journal on Quality and Patient Safety. 31, 8, 455-462.
 
[19]  Pratt RJ, Pellowe CM, Wilson JA, Loveday HP, Harper PJ, Jones SR, McDougall C, Wilcox MH. epic2: National evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England. J Hosp Infect. 2007 Feb;65 Suppl 1: S1-64.
 
[20]  Infusion Nurses Society (2011): Infusion Nursing Standards of Practice. J Inf Nurs. Jan–Feb; 34 Suppl 1: S1-110.
 
[21]  Department of Health (2014) Bardex 1C: Silver Alloy Coated Hydrogel Catheters. www.hpa.org.uk/infections/topics_az/rapid_review/pdf/bardex2.pdf (Last accessed: October 10 2005.
 
[22]  Bonfill X, Rigau D, Esteban-Fuertes M, Barrera-Chacón JM, Jáuregui-Abrisqueta ML, Salvador S, et al. Efficacy and safety of urinary catheters with silver alloy coating in patients with spinal cord injury: a multicentric pragmatic randomized controlled trial. The ESCALE trial. Spine J. 2017 May 31.
 
[23]  Pickard R, Lam T, MacLennan G, Starr K, Kilonzo M, McPherson G, et al. Antimicrobial catheters for reduction of symptomatic urinary tract infection in adults requiring short-term catheterisation in hospital: a multicentre randomised controlled trial. Lancet. 2012 Dec 1. 380(9857): 1927-35.
 
[24]  Lo E, Nicolle L, Classen D, Arias KM, Podgorny K, Anderson DJ, et al. Strategies to prevent catheter-associated urinary tract infections in acute care hospitals. Infect Control Hosp Epidemiol. 2012 Oct. 29 Suppl 1: S41-50.
 
[25]  Dailly, S. (2012). Auditing urinary catheter care. Nursing Standard, (20), 35. avilable from:http://41.33.243.106:2048/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edsgao&AN=edsgcl.280004376 &site=eds-live.
 
[26]  Pomfret I, Tew L (2004). Urinary catheters and associated UTIs. Journal of Community Nursing. 18, 9, 15-20.
 
[27]  Logan K. (2013). Indwelling catheters: developing an integrated care pathway package. Nursing Times. 99, 44, 49-51.
 
[28]  Seymour C. (2015). New guidelines for transfer of catheterized patients. British Journal of Community Nursing. 10, 5, 204.
 
[29]  .Dimond B. (2005). Exploring the legal status of Healthcare documentation in the UK. British Journal of Nursing. 14, 9, 517-518.
 
[30]  Hidron A, Edwards J, Patel J et al (2008) NHSN annual update: antimicrobial-resistant pathogens associated with healthcare-associated infections: annual summary of data reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2006-2007. Infection Control and Hospital Epidemiology. 29, 11, 996-1011.
 
[31]  Padawer D, Pastukh N, Nitzan O, Labay K, Aharon I, Brodsky D, et al. Catheter-associated candiduria: Risk factors, medical interventions, and antifungal susceptibility. Am J Infect Control. 2015 Jul 1. 43 (7): e19-22.