Implementation of a Nurse-Driven Protocol to Prevent Catheter-Associated Urinary Tract Infections

被引:28
作者
Alexaitis, Irene [1 ,2 ]
Broome, Barbara [3 ]
机构
[1] Univ Florida, Nursing Serv, Hlth Shands Hosp, Gainesville, FL USA
[2] Univ Florida, Patient Serv, Hlth Shands Hosp, Gainesville, FL USA
[3] Univ S Alabama, Dept Nursing, Mobile, AL 36688 USA
关键词
bladder ultrasound; catheter-associated urinary tract infections; intermittent catheterization; nurse-driven protocol; quality improvement; urinary tract infections;
D O I
10.1097/NCQ.0000000000000041
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
This article describes a quality improvement project to decrease catheter-associated urinary tract infections (CAUTIs) at an academic medical center. A criteria-based, nurse-driven protocol for discontinuation of indwelling catheters and use of bladder ultrasonography in conjunction with intermittent catheterizations was the foundation for change. The CAUTI rate, the number of CAUTIs, cost of medications and supplies associated with treating CAUTIs, catheter duration, and intensive care unit length of stay decreased after protocol implementation.
引用
收藏
页码:245 / 252
页数:8
相关论文
共 50 条
  • [31] Antibiotic prophylaxis in catheter-associated urinary infections
    Petronella, Pasquale
    Scorzelli, Marco
    Fiore, Andrea
    Corbisiero, Maria Carmela
    Agresti, Ettore
    Esposito, Silvano
    Freda, Fulvio
    NEW MICROBIOLOGICA, 2012, 35 (02) : 191 - 198
  • [32] Reducing Catheter-Associated Urinary Tract Infections: A Quality-Improvement Initiative
    Davis, Katherine Finn
    Colebaugh, Ann M.
    Eithun, Benjamin L.
    Klieger, Sarah B.
    Meredith, Dennis J.
    Plachter, Natalie
    Sammons, Julia Shaklee
    Thompson, Allison
    Coffin, Susan E.
    PEDIATRICS, 2014, 134 (03) : E857 - E864
  • [33] Effectiveness of an External Urinary Device for Female Anatomy and Trends in Catheter-Associated Urinary Tract Infections
    Beeson, Terrie
    Pittman, Joyce
    Davis, Carmen R.
    JOURNAL OF WOUND OSTOMY AND CONTINENCE NURSING, 2023, 50 (02) : 137 - 141
  • [34] Prevention of catheter-associated urinary tract infection: implementation strategies of international guidelines
    Fonseca Andrade, Vera Lucia
    Veludo Fernandes, Filipa Alexandra
    REVISTA LATINO-AMERICANA DE ENFERMAGEM, 2016, 24
  • [35] Economic evaluation of quality improvement interventions to prevent catheter-associated urinary tract infections in the hospital setting: a systematic review
    McCleskey, Sara G.
    Shek, Lili
    Grein, Jonathan
    Gotanda, Hiroshi
    Anderson, Laura
    Shekelle, Paul G.
    Keeler, Emmett
    Morton, Sally
    Nuckols, Teryl K.
    BMJ QUALITY & SAFETY, 2022, 31 (04) : 308 - 321
  • [36] A Multidisciplinary Intervention to Prevent Catheter-Associated Urinary Tract Infections Using Education, Continuum of Care, and Systemwide Buy-In
    Bell, Marvin Moe
    Alaestante, Greg
    Finch, Charles
    OCHSNER JOURNAL, 2016, 16 (01) : 96 - 100
  • [37] A Smartphone App for Engaging Patients With Catheter-Associated Urinary Tract Infections: Protocol for an Interrupted Time-Series Analysis
    Gerard, Robbert
    Veldkamp, Karin Ellen
    Chavannes, Niels H.
    JMIR RESEARCH PROTOCOLS, 2021, 10 (03):
  • [38] Preventing pediatric catheter-associated urinary tract infections utilizing urinary catheter Kamishibai cards (K-cards)
    Lehane, Renee
    Svensson, Catherine
    Ormsby, Jennifer A.
    Yuen, Jenny Chan
    Priebe, Gregory P.
    Sandora, Thomas J.
    Vaughan-Malloy, Ana M.
    AMERICAN JOURNAL OF INFECTION CONTROL, 2023, 51 (08) : 919 - 925
  • [39] Using Evidence-Based Practice to Reduce Catheter-Associated Urinary Tract Infections
    Magers, Tina L.
    AMERICAN JOURNAL OF NURSING, 2013, 113 (06) : 32 - 40
  • [40] Preventing Catheter-Associated Urinary Tract Infection A Multipronged Collaborative Approach
    Mundle, William
    Howell-Belle, Carnett
    Jeffs, Lianne
    JOURNAL OF NURSING CARE QUALITY, 2020, 35 (01) : 83 - 87