FACTORS INFLUENCING CAUTI OCCURRENCE IN ONE OF EGYPTIAN UNIVERSITY HOSPITALS ICU
Keywords:
Factors, Intensive Care Unit, Indwelling Urinary CatheterAbstract
Purpose: The purpose of the study was to determine CAUTI occurrence rate and factors influencing CAUTI occurrence in Intensive Care Unit (ICU) at Suez Canal university hospital.
Methodology: A total of 47 ICU patients for 312 bed days were collected through judgmental sample technique for two consecutive months. Data was gathered by; reviewing patients health records, observing patients daily and performing conditional urine cultures. Through two tools personal profile questioner and patient health status monitoring checklist.
Finding: The CAUTI occurrence rate was 54.48 /1000 catheter day. CAUTI occurrence was correlated with; diabetes mellitus that was 40.4% of total participants, prolonged hospitalization, ICU admission and nursing maintenance of urinary catheter malpractices was correlated to CAUTI occurrence among ICU patient.
Unique contribution to Theory, Practice and Policy: The present study recommends; enhancing early removal of IUC when no longer needed by application of reminding systems and nurse-driven protocol, use IUC alternatives to manage urinary incontinence and monitoring of urinary output, and implement CAUTI preventive bundles regarding IUC securement to the patient's body and to keep IUC tube patency.
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References
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[28] S. Saran, N. S. Rao, and A. Azim, "Diagnosing Catheter-associated Urinary Tract Infection in Critically Ill Patients: Do the Guidelines Help?," Indian J. Crit. Care Med., vol. 22, no. 5, pp. 357-360, May 2018.
[29] S. Kanjanawasri, N. Gulgusol, T. Manapatanasatien, and A. Punjamawat, "Factors Affecting Urinary Tract Infection in Foley Catheter Retained Patients in King Narai Hospital," J. Med. Assoc. Thail., vol. 102, no. 1, pp. 100-105, 2019.
[30] B. Kim et al., "Current status of indwelling urinary catheter utilization and catheter-associated urinary tract infection throughout hospital wards in Korea: A multicenter prospective observational study," PLoS One, vol. 12, no. 10, p. e0185369, 2017.
[31] F. Assadi, "Strategies for Preventing Catheter-associated Urinary Tract Infections," Int. J. Prev. Med., vol. 9, p. 50, Jun. 2018.
[32] J. H. Lee, S. W. Kim, B. Il Yoon, U. Ha, D. W. Sohn, and Y.-H. Cho, "Factors that affect nosocomial catheter-associated urinary tract infection in intensive care units: 2-year experience at a single center," Korean J. Urol., vol. 54, no. 1, pp. 59-65, 2013.
[33] P. Leelakrishna and B. Karthik Rao, "A study of risk factors for catheter associated urinary tract infection," Int J Adv Med, vol. 5, no. 2, pp. 334-339, 2018.
[34] T. Tsuchida et al., "Relationship between catheter care and catheter-associated urinary tract infection at Japanese general hospitals: a prospective observational study," Int. J. Nurs. Stud., vol. 45, no. 3, pp. 352-361, 2008.
[2] P. Tenke, T. Mezei, I. Bőde, and B. Köves, "Catheter-associated Urinary Tract Infections," Eur. Urol. Suppl., vol. 16, no. 4, pp. 138-143, Feb. 2018.
[3] Centers for Disease Control and Prevention, "Healthcare-associated Infections in the United States, 2006-2016: A Story of Progress," 2018. [Online]. Available: https://www.cdc.gov/hai/surveillance/data-reports/data-summary-assessing-progress.html. [Accessed: 10-Aug-2018].
[4] Agency for Healthcare Research and Quality, "Toolkit for Reducing Catheter -Associated Urinary Tract Infections in Hospital Units"¯: Implementation Guide," 2015. [Online]. Available: https://www.ahrq.gov/sites/default/files/publications/files/implementation-guide_0.pdf. [Accessed: 28-May-2018].
[5] Centers for Disease Control and Prevention, "Catheter-associated Urinary Tract Infections (CAUTI)," 2015. .
[6] WHO, "Guidelines on core components of infection prevention and control programmes at the national and acute health care facility level," WHO, 2016.
[7] M. Abdelfattah, A. Elkholy, M. Enany, I. Beheiry, and D. Saleh, "P016: Device associated infections in adult intensive care units in public versus private hospitals in Egypt," Antimicrob. Resist. Infect. Control, vol. 2, no. 1, p. P16, 2013.
[8] A. E. K. Amine, M. O. M. Helal, and W. M. K. Bakr, "Evaluation of an intervention program to prevent hospital-acquired catheter-associated urinary tract infections in an ICU in a rural Egypt hospital," GMS Hyg. Infect. Control, vol. 9, no. 2, p. Doc15, Aug. 2014.
[9] M. Talaat et al., "National surveillance of health care-associated infections in Egypt: developing a sustainable program in a resource-limited country," Am. J. Infect. Control, vol. 44, no. 11, pp. 1296-1301, 2016.
[10] B. Richards, B. Sebastian, H. Sullivan, R. Reyes, J. F. D'Agostino, and T. Hagerty, "Decreasing Catheter-Associated Urinary Tract Infections in the Neurological Intensive Care Unit: One Unit's Success," Crit. Care Nurse, vol. 37, no. 3, pp. 42-48, 2017.
[11] E. Lo et al., "Strategies to prevent catheter-associated urinary tract infections in acute care hospitals: 2014 update," Infect. Control Hosp. Epidemiol., vol. 35, no. 5, pp. 464-479, 2014.
[12] Centers for Disease Control and Prevention, "NHSN Catheter-Associated Urinary Tract Infection Surveillance in 2018," 2018. [Online]. Available: https://www.cdc.gov/nhsn/pdfs/training/2018/uti-508.pdf. [Accessed: 24-Aug-2018].
[13] S. S. Magill et al., "Multistate Point-Prevalence Survey of Health Care-Associated Infections," N. Engl. J. Med., vol. 370, no. 13, pp. 1198-1208, Mar. 2014.
[14] C. V Gould, C. A. Umscheid, R. K. Agarwal, G. Kuntz, D. A. Pegues, and H. I. C. P. A. Committee, "Guideline for prevention of catheter-associated urinary tract infections 2009," Infect. Control Hosp. Epidemiol., vol. 31, no. 4, pp. 319-326, 2010.
[15] P. E. Davies et al., "Effectiveness of a bundled approach to reduce urinary catheters and infection rates in trauma patients," Am. J. Infect. Control, 2018.
[16] T. J. Blodgett, S. E. Gardner, N. P. Blodgett, L. V Peterson, and M. Pietraszak, "A TOOL TO ASSESS THE SIGNS AND SYMPTOMS OF CATHETER-ASSOCIATED URINARY TRACT INFECTION: DEVELOPMENT AND RELIABILITY," Clin. Nurs. Res., vol. 24, no. 4, pp. 341-356, Aug. 2015.
[17] Centers for Disease Control and Prevention, "Urinary Tract Infection (Catheter-Associated Urinary Tract Infection [CAUTI] and Non-Catheter-Associated Urinary Tract Infection [UTI]) and Other Urinary System Infection [USI] ) Events," 2018. [Online]. Available: https://www.cdc.gov/nhsn/PDFs/pscManual/7pscCAUTIcurrent.pdf. [Accessed: 09-Oct-2018].
[18] P. R. Gordon, "The Effects of Nursing Education on Decreasing Catheter Associated Urinary Tract Infection Rates," 2015.
[19] IBM Corp, "Statistical Package of Social Services Version 20 (SPSS)." 2011.
[20] A. Ramesh, A. B. Janagond, S. Raja, S. P. Gobinathan, and J. Charles, "Microbiological profile, comorbidity, incidence and rate analysis of catheter associated urinary tract infections in adult intensive care unit," Indian J. Microbiol. Res., vol. 5, no. 1, pp. 38-43, 2018.
[21] European Centre for Disease Prevention and Control, "Incidence and attributable mortality of healthcare-associated infections in intensive care units in Europe, 2008-2012," 2018. [Online]. Available: www.ecdc.europa.eu. [Accessed: 20-Sep-2010].
[22] D. Vilar-Compte, A. Camacho-Ortiz, and S. Ponce-de-León, "Infection control in limited resources countries: challenges and priorities," Curr. Infect. Dis. Rep., vol. 19, no. 5, p. 20, 2017.
[23] Z. Tandogdu and F. M. E. Wagenlehner, "Global epidemiology of urinary tract infections," Curr. Opin. Infect. Dis., vol. 29, no. 1, pp. 73-79, 2016.
[24] S. M. Selim, A. R. A. El-Seoud, A. A. H. Mohamed, and S. A. A.-R. Ibrahim, "EFFECT OF INFECTION CONTROL PROGRAM ON CATHETER ASSOCIATED URINARY TRACT INFECTION IN INTENSIVE CARE UNITS AT ZAGAZIG UNIVERSITY HOSPITAL," Zagazig Univ. Med. J., vol. 24, no. 5, 2018.
[25] E. H. Abdel-Hakeim and M. F. Hamza, "The Effect of Implementing UrinaryCatheter Care Bundle on The Prevention of Catheter-Associated Urinary Tract Infections," IOSR J. Nurs. Heal. Sci., vol. 7, no. 1, pp. 37-46, 2018.
[26] Centers for Disease Control and Prevention, "National Healthcare Safety Network (NHSN) Catheter-associated Urinary Tract Infection (CAUTI) Outcome Measure," 2009. [Online]. Available: https://www.hospitalsafetygrade.org/media/file/CAUTI.pdf. [Accessed: 08-Aug-2019].
[27] M. H. Wilde, J. M. McMahon, H. F. Crean, and J. Brasch, "Exploring relationships of catheter"associated urinary tract infection and blockage in people with long"term indwelling urinary catheters," J. Clin. Nurs., vol. 26, no. 17-18, pp. 2558-2571, 2017.
[28] S. Saran, N. S. Rao, and A. Azim, "Diagnosing Catheter-associated Urinary Tract Infection in Critically Ill Patients: Do the Guidelines Help?," Indian J. Crit. Care Med., vol. 22, no. 5, pp. 357-360, May 2018.
[29] S. Kanjanawasri, N. Gulgusol, T. Manapatanasatien, and A. Punjamawat, "Factors Affecting Urinary Tract Infection in Foley Catheter Retained Patients in King Narai Hospital," J. Med. Assoc. Thail., vol. 102, no. 1, pp. 100-105, 2019.
[30] B. Kim et al., "Current status of indwelling urinary catheter utilization and catheter-associated urinary tract infection throughout hospital wards in Korea: A multicenter prospective observational study," PLoS One, vol. 12, no. 10, p. e0185369, 2017.
[31] F. Assadi, "Strategies for Preventing Catheter-associated Urinary Tract Infections," Int. J. Prev. Med., vol. 9, p. 50, Jun. 2018.
[32] J. H. Lee, S. W. Kim, B. Il Yoon, U. Ha, D. W. Sohn, and Y.-H. Cho, "Factors that affect nosocomial catheter-associated urinary tract infection in intensive care units: 2-year experience at a single center," Korean J. Urol., vol. 54, no. 1, pp. 59-65, 2013.
[33] P. Leelakrishna and B. Karthik Rao, "A study of risk factors for catheter associated urinary tract infection," Int J Adv Med, vol. 5, no. 2, pp. 334-339, 2018.
[34] T. Tsuchida et al., "Relationship between catheter care and catheter-associated urinary tract infection at Japanese general hospitals: a prospective observational study," Int. J. Nurs. Stud., vol. 45, no. 3, pp. 352-361, 2008.
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Published
2019-11-18
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Ismail, E. H., Alshawadfy, A., Magrabi, M. H., & Sherief, W. I. (2019). FACTORS INFLUENCING CAUTI OCCURRENCE IN ONE OF EGYPTIAN UNIVERSITY HOSPITALS ICU. Journal of Health, Medicine and Nursing, 4(6), 17 – 28. Retrieved from https://iprjb.org/journals/index.php/JHMN/article/view/1008
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