Prevention of Indwelling Catheter-Associated Urinary Tract Infections

This literature review essay will demonstrate a review of four different research articles and research related methodology The articles and review are based on the prevention of Catheter-associated Urinary Tract Infection (UTI). The aim of this literature review is to review publications concerning the management of Catheter-related to UTI 's including the prevention. Articles reviewed include the various precaution and preventions concerning Catheter-associated urinary tract infection (CAUTI) The article evidence summarized bellow was generated using a literature search conducted for Randomised Controlled Trials, Systemic Review or quantitative and qualitative research.

The team will oversee the evidence-based practice aspects of CAUTI prevention and will be set up using aspects of the guidelines established by Andreessen et al. (2012). Several different types of nurses will be recruited to assist including infection control (for evidence-based practice guidance), nurse educators (to help set up the education program), and staff nurses (to advise from staff’s point of view) (Andreessen et al., 2012). Leadership including, nurse managers, clinical nurse leaders, and the medical director, will assist with implementation. The team consisting of resource type individuals such as urologists, will guide evidence-based practices and information technology will assist to set up flow chart and tracking processes (Andreessen et al., 2012).

I do agree with you that utilization of Health Information Technology (HIT) and Electronic Health Records (EHRs) will enable adequate data collection and research analysis for evidence-based practice and patients’ quality improvement.

Catheter-associated urinary tract infections (CAUTI) are the most common type of hospital acquired infections (HAI) and account for more than 30% of those reported in acute care hospitals (National Healthcare Safety Network, n.d.). The National Healthcare Safety Network (n.d.) announced there are an estimated 449,334 cases of CAUTI each year which costs the United States annually over $340 million and unfortunately results in 13,000 deaths each year. The aim of this performance improvement is to seek out and present implementation of best practices and ways to prevent CAUTI. This paper identifies one of The Joint Commission safety goals, a situation in need of change, data related to the problem, develops a plan for change and data analysis, and identifies potential supporters and opposers, as well as, strategies to build a coalition of supporters. Lewin’s force-field model of change will be used to prepare and implement the change process with discussion of anticipated resistance, strategies to manage the resistance, feedback mechanisms, measurable outcomes, and a plan for stabilizing the change.

One of the issues that has been addressed since the initial release of the report is the need to eliminate the occurrence of hospital-acquired infections (HIAs). As noted by Knudson (2014), current efforts to improve healthcare practices encompass new regulations and prevention efforts to eliminate, or at least reduce, HAS, including catheter-associated urinary tract infections (CAUTI). The following paper discusses current efforts in CAUTI prevention, contemporary regulations and mandates, and a quality improvement plan that can be initiated at the focus clinical site.

Palmer, Lee, Maya Dutta-Linn, Wroe, and Hartmann (2013) conducted a cross-sectional qualitative study to evaluate stakeholders’ view regarding addition of catheter associated urinary tract infections (CAUTIs) in the 2008 CMS payment policy and its impact on healthcare institution practices. A sample of thirty six infection preventionists from non-federal, acute care hospitals participated in the semi-structured telephone interviews where they were audio-recorded, transcribed, and coded thematically. The study was approved by the institutional review boards (IRB) of the participating institutions.

One of the most common hospital-acquired infections being reported today by hospitals is urinary tract infections (UTIs), UTIs account for up to 40% of the infections reported by hospitals (Elpern, 2016). One of the most common reasons for hospital-acquired UTIs has been associated with the use of indwelling urinary catheters, these infections are known as catheter-associated urinary tract infections (CAUTIs). CUATIs have been shown to increase healthcare cost, increase in morbidity and mortality and are one of the most preventable complications that can arise from hospitalization (Elpern, 2016). The purpose of this paper is to explore hospital acquired infections and common problems and complications

This article explored the prevention of catheter-associated urinary tract infections when dealing with hospitalization. The article makes it well known that with proper care and treatment, these infections are quite preventable. Thinking about how certain services will not pay the hospital for expenses dealing with catheter-associated urinary tract infections, there should be an increased will to lower the frequency of them occurring.

There have been extensive technological advancements in the healthcare field, one of them being the indwelling urinary catheter. The use of indwelling urinary catheters in the hospital setting has proven to be an effective way of treating certain urinary problems, when necessary. For example, when a patient is in pain because his or her bladder is distended due to urinary retention, or when a patient is post-op and unable to void. However, the use of indwelling catheters is not always free of consequence. Healthcare providers must consider the risks and benefits of catheter insertion, as indwelling catheters pose a risk of urinary tract infection from the moment they enter the patient. The American Nurses Association used evidence-based practice to develop the CAUTI Prevention Tool, which has been effective in reducing the incidence of catheter-associated urinary tract infections in hospitals.

Journal one and Journal two focus on the education and attitudes of health care workers to decrease rates of CAUTIs (Justus et al., 2016; Saint et al., 2016). Journal four’s focus is the use of a reminder method to decrease CAUTIs (Chen et al., 2013). This method helps to increase the use of proper catheter interventions in hospitals by reminding health care workers about them daily. Journal three and journal five both focus on the use of certain interventions to decrease rates of UTIs in catheterized patients (Fakih et al., 2012; Saint et al., 2013). Articles three and five evaluate if certain interventions used in hospitals now are helpful in decreasing rates of

Carter, Pallin, Mandel, Sinnette and Schurr (2016) conducted a qualitative study to investigate the catheter-associated urinary tract infections (CAUTIs) reduction practices in the emergency department (ED). These researchers clearly identified that little is understood about ED workflow and ED-specific CAUTI prevention strategies. In an effort to better understand the flow, they enrolled EDs with CAUTI prevention strategies, so they can observe the motivations, risk factors and strategies to address those risks. This topic is very relevant to nursing, as today’s healthcare is in the midst of a paradigm shift and care has redirected its attention from quantity towards quality. Healthcare facilities, driven by better reimbursement from

Health care-associated infection (HAI), are infections an individual may acquire while they are receiving treatment for another condition within a health care facility. Catheter-associated urinary tract infections (CAUTI) remain the most commonly reported hospital-acquired condition, and the rates continue to rise. Approximately 600,000 patients develop CAUTI each year, leading to increased health care cost, longer hospital stays, and increased morbidity and mortality rates. Furthermore, multiple studies have shown that urinary catheters are placed in patients who do not have an appropriate indication for catheter placement. In order to improve the quality of care and patient safety in our hospitals, CAUTI has become one of the CMS quality

Catheter-associated urinary tract infections (CAUTIs) are regarded as frequently occurring and costly, affecting nearly 10% of all of the catheterized patients annually (Oman et al., 2012). While specific evidence-guidelines have been developed to address the problem of CAUTI, the results of their comparative effectiveness assessment are contradictory (Lo et al., 2014). Among the different types of catheters available within hospital setting, indwelling Foley ones have been associated with high incidence of urinary infection due to their highly invasive status (Chenoweth & Saint, 2013). The present research aims to conduct a

The scope, history, and duration of catheter associated urinary tract infections is reviewed. The scope of catheter associated urinary tract infections is when an individual acquires an infection that has been caused by the insertion of a catheter. The individual may have had the catheter in place for a short period of time and acquired it upon insertion related to the lack of sterile technique. However, the individual also may have had the catheter in place over a long period of time and acquired an infection. Roger, Feneley, Hopley, and Wells (2015) explain that the body’s natural flora is disrupted from ascending in the urinary tract and colonizing a bacterial infection during normal bladder emptying. However, if a catheter is in place this allows for easy ascending bacteria to colonize and form an infection, and

Catheter-associated urinary tract infections (CAUTIs) are caused by transmission of bacteria to the urinary tract via the urinary catheter during catheter insertion, via the catheter lumen, or by handling of the catheter drainage bag (Mori, 2014). Urinary tract infections (UTIs) account for about 35% of hospital-acquired infections (HAIs) and about 80% of the UTIs are related to the presence of indwelling urinary catheter (IUC). CAUTIs are a significant problem affecting the patients as well as the health care system as they are linked with increased morbidity and mortality, increased health care expenses, and extended hospitalization (Gould, 2015).