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

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. To describe the success of an 18-bed neurological intensive care unit in using several nurse-impl...

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Bibliographic Details
Published in:Critical care nurse 2017-06, Vol.37 (3), p.42-48
Main Authors: Richards, Brenda, Sebastian, Bindhu, Sullivan, Hillary, Reyes, Rosemarie, D'Agostino, John F, Hagerty, Thomas
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Catheter-Related Infections - etiology
Catheter-Related Infections - nursing
Catheters, Indwelling - adverse effects
Critical Care Nursing - standards
Cross Infection - prevention & control
Female
Humans
Male
Middle Aged
Nursing
Practice Guidelines as Topic
Prospective Studies
Urinary Catheterization - adverse effects
Urinary Tract Infections - complications
Urinary Tract Infections - nursing
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Summary: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. 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. A prospective, interventional design with application of evidence-based practices to reduce catheter-associated urinary tract infections was used. 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). 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.
ISSN:0279-5442
1940-8250
DOI:10.4037/ccn2017742