Summary of the Prevention of Catheter-Associated Urinary Tract Infection in An Intensive Care Unit
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Background: Catheter-associated urinary tract infection is the most common type of nosocomial infection in an intensive care unit. The aim of this study was to examine the existing evidence of preventative measures against catheter-associated urinary tract infection being implemented to reduce urinary tract infection in intensive care units.
Method: Databases were used to identify potential articles, namely Scopus, Pubmed, EBSCO and Proquest, limited to those published within the last 5 years from 2013 to 2018. The literature review used the keyword prevention, CAUTI and ICU. In the article search using "AND”, only 14 studies met the inclusion criteria. Across the 14 studies, 42486 participants and a mean 3540 per trial were included.
Discussion: Nursing round, CAUTI bundle, bacitracin and cranberry, Nurse-driven protocol, protocol by team/ developmental protocol, surveillance of CAUTI, education, performance feedback, and general cultural practices alongside the American College of Critical Care Medicine and the Infectious Disease Society of America present guidelines that recommend CAUTI preventive practices that can be implemented to reduce the incidence of CAUTI in ICUs.
Conclusion: From the several strategies used to prevent CAUTI, the most effective is the multidimensional approach because this approach combines several interventions and it also involves other practitioners. A multidimensional approach is more effective than a single dimensional approach in ICU.Al-Hameed, F., Ahmed, G., AlSaedi, A., Bhutta, M., Al-Hameed, F., & AlShamrani, M. (2018). Applying preventive measures leading to significant reduction of catheter-associated urinary tract infections in adult intensive care unit. Saudi Medical Journal, 39(1), 97–102. https://doi.org/10.15537/smj.2018.1.20999
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Leblebicioglu, H., Ersoz, G., Rosenthal, V. D., Nevzat-Yalcin, A., Akan, Ö. A., Sirmatel, F., ... Bacakoglu, F. (2013). Impact of a multidimensional infection control approach on catheter-associated urinary tract infection rates in adult intensive care units in 10 cities of Turkey: International Nosocomial Infection Control Consortium findings (INICC). American Journal of Infection Control, 41(10), 885–891. https://doi.org/10.1016/j.ajic.2013.01.028
Mullin, K. M., Kovacs, C. S., Fatica, C., Einloth, C., Neuner, E. A., Guzman, J. A., ... Fraser, T. G. (2017). A multifaceted approach to reduction of catheter-associated urinary tract infections in the intensive care unit with an emphasis on stewardship of culturing. Infection Control and Hospital Epidemiology, 38(2), 186–188. https://doi.org/10.1017/ice.2016.266
Navoa-Ng, J. A., Berba, R., Rosenthal, V. D., Villanueva, V. D., Tolentino, M. C. V, Genuino, G. A. S., ... Mantaring, J. B. V. (2013). Impact of an International Nosocomial Infection Control Consortium multidimensional approach on catheter-associated urinary tract infections in adult intensive care units in the Philippines: International Nosocomial Infection Control Consortium (INICC) fi. Journal of Infection and Public Health, 6(5), 389–399. https://doi.org/10.1016/j.jiph.2013.03.002
Sorour, K., Care, C., Nuzzo, E., Resident, I. M., Tuttle, M., Chief, I. M., ... Medical, D. (2016). Addition of bacitracin and cranberry to standard Foley care reduces catheter-associated urinary tract infections. Canadian Journal of Infection Control, 31(3), 166–168.
Thomas, K. L. (2016). Reduction of Catheter-Associated Urinary Tract Infections Through the Algorithm and the Implementation of. J Wound Ostomy Continence Nurs, 43(April), 183–187. https://doi.org/10.1097/WON.0000000000000206
Tyson, A. F., Campbell, E. F., Spangler, L. R., Ross, S. W., Reinke, C. E., Passaretti, C. L., & Sing, R. F. (2018). Implementation of a Nurse-Driven Protocol for Catheter Removal to Decrease Catheter-Associated Urinary Tract Infection Rate in a Surgical Trauma ICU. Journal of Intensive Care Medicine, xx, 1–7. https://doi.org/10.1177/0885066618781304
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