Journal article
Sustainability of a program for continuous reduction of catheter-associated urinary tract infection
AJIC: American Journal of Infection Control, Vol.44(6), pp.642-646
06/01/2016
DOI: 10.1016/j.ajic.2015.11.037
PMID: 26831277
Abstract
•Prevention of catheter-associated urinary tract infection demands the engagement of a multidisciplinary team.•Strategies to prevent catheter-associated urinary tract infection need to be implemented in hospital settings, especially in intensive care unit and step-down unit patients.•We deployed a catheter insertion team to prevent catheter-associated urinary tract infection in our intensive care unit and step-down unit patients. Urinary tract infections account for 8%-21% of health care–associated infections; of these, 80% are associated with the use of a urinary catheter. A quasi-experimental study was conducted in 2 medical-surgical intensive care units (ICUs) with 48 beds and 3 step-down units (SDUs) with 95 beds in a private tertiary care hospital in Sao Paulo, Brazil. The study had 3 phases over a 9-year period to determine the sustainability of a program for continuous reduction of catheter-associated urinary tract infection (CAUTI). Over the 3 phases of the study, rates of CAUTI in the ICUs fell from 7.0 to 3.5 to 0.9 infections per 1,000 catheter days. In the SDUs, CAUTI rates decreased from 14.9 to 6.6 to 1.0 per 1,000 catheter days. Comparisons of CAUTI rates in the 3 study phases, both in the ICUs and SDUs, showed significant reductions both between the 3 periods and in all possible combinations of analysis phases (all P < .001). These results suggest that it is possible to reduce CAUTI rates to near zero and sustain these rates, but it requires a multidisciplinary team with different strategies that require continuous monitoring.
Details
- Title: Subtitle
- Sustainability of a program for continuous reduction of catheter-associated urinary tract infection
- Creators
- Dejanira A Regagnin - Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilDebora Schettini da Silva Alves - Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilAna Maria Cavalheiro - Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilThiago Zinsly Sampaio Camargo - Intensive Care Unit, Hospital Israelita Albert Einstein, São Paulo, BrazilAlexandre R Marra - Division of Medical Practice, Hospital Israelita Albert Einstein, São Paulo, BrazilElivane da Silva Victor - Instituto Israelita de Ensino e Pesquisa Albert Einstein, Hospital Israelita Albert Einstein, São Paulo, BrazilMichael B Edmond - Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA
- Resource Type
- Journal article
- Publication Details
- AJIC: American Journal of Infection Control, Vol.44(6), pp.642-646
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.ajic.2015.11.037
- PMID
- 26831277
- ISSN
- 0196-6553
- eISSN
- 1527-3296
- Language
- English
- Date published
- 06/01/2016
- Academic Unit
- Infectious Diseases; Internal Medicine
- Record Identifier
- 9983905525802771
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