Why Do Hospital Acquired Infections?

According to the Centers for Disease Control and Prevention [CDC] (2017), “Urinary tract infections (UTIs) are the fourth most common type of healthcare-associated infection, with an estimated 93,300 UTIs in acute care hospitals in 2011. UTIs additionally account for more than 12% of infections reported by acute care hospitals. Virtually all healthcare-associated UTIs are caused by instrumentation of the urinary tract” (p. 7-1).

1) Summary of Article: Indwelling catheter use is common, but so are infections associated with them. About 80 percent of all urinary tract infections in hospitals are caused by catheters, and about 20 percent of all hospital infections total are UTIs. Evidence-based practice should be used for insertion, maintenance, and removal. Catheters should not be left in longer than they need to be. Unfortunately, this research shows poor administrative efforts are to blame for

A PICOT question is formulated in order to assist the researcher in obtaining answers to a specific question, decreases the uncertainty surrounding the issue, and provides a systematic approach to achieve an answer (Melnyk, & Fineout-Overhold, 2013). The authors find that each component of the PICOT question drives the next step of the evidence based practice process. First, a specific population must be determined by controlling the group to a certain age range or special sub-group. By compiling a specific group the clinician is more likely to formulate better evidence to support the issue. Next, an intervention is introduced and can be a therapy, test, disease process, etc. The authors conclude that, “the more specifically the intervention or issue of interest is defined, the more focused the search will be” (p.29). Then, a comparison group is added, but only necessary if completing a quantitative study. Lastly, an outcome is determined of which the study will reveal by a given time period.

Urinary tract infections (UTIs) are the most common nosocomial infection; accounting for up to 40% of infections reported by acute care hospitals. Up to 80% of UTIs are associated with the presence of an indwelling urinary catheter. Catheter associated urinary tract infections (CAUTIs) represent the largest proportion of healthcare associated infections (HAI). Catheter-associated urinary tract infection (CAUTI) increases hospital cost and is associated with increased morbidity and mortality .CAUTIs are considered by the Centers for Medicare and Medicaid Services to represent a reasonably preventable complication of hospitalization. As such, no additional payment is provided to hospitals for CAUTI treatment-related costs.CAUTIs can lead to

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.

Hospital acquired infections (HAI) will begin to display signs and symptoms within 48 hours. In order to treat the infections, physicians need to diagnostic tools quickly. The manufacturer of new diagnostic test makers, Kalorama Information stated last year that the world demand for testing and treatment of HAI will be over 10 billion dollars by the year 2015, increasing from 9 billion dollars in 2010. Kalorama also stated that HAI has a 5% infection rate of 40 million hospital visits a year, causing 100,000 deaths in the U.S. annually (Kalorama Information, July 14, 2011). Early diagnosis will improve the patient's outcome and decrease the chance of death. According to Kalorama, 20-30% of the HAI can be prevented by the simple use of better hand washing and cross contamination avoidance although the others need more intensive changes such as hospital ventilation systems and using more disposable supplies (Kalorama Information, p. 113) .

Hospital-acquired infections (HAI) affect 1.7 million Americans each year with as many as 98,000 dying annually as a result of hospital-acquired conditions (HAC) (Kavanagh, 2007). In 2008, the Centers for Medicare and Medicaid Services (CMS) implemented policy to include non-payment for HAC in order to improve quality patient care and contain costs. This non-payment disincentive refuses to pay for complications of care that are considered preventable. Two other paradigms of this policy used to promote quality include pay-for-performance initiatives and public disclosure of HAC.

When Rebecca asks why the PICOT question is so important, Carlos explains that it's a consistent, systematic way to identify the components of a clinical issue. Using the PICOT format to structure the clinical question helps to clarify these components, which will guide the search for the evidence.6, 7 A well-built PICOT question increases the likelihood that the best evidence to inform practice will be found quickly and efficiently.5-8

For instance, there are many different types of infections that occur in the intensive care unit (ICU), as well as various methods of prevention that patients, visitors, providers, and other hospital staff can practice. Of the many different types of infections that occur in these critically ill patients, catheter-associated urinary tract infections (CAUTIs) and central line-associated bloodstream infections (CLABSIs) are two of the most serious infections, and they also happen to be the most

Healthcare-associated infections (HAIs) are infections patients can acquire in a healthcare facility while being given medical care. The Centers for Disease Control and Prevention’s (CDC) website notes six major sites of infection that patients are at risk of acquiring while receiving care in acute care hospitals in the United States: pneumonia, gastrointestinal illness, urinary tract infections, primary bloodstream infections, surgical site infections from any inpatient surgery, and other types of infections. Their website recounts that as early as 1847 evidence is documented of persons acquiring infections while receiving care in a hospital. The website for the U.S. Department of Health and Human Service’s Agency for Healthcare Research

The most common health care associated infection (HAI) is CAUTI. Forty percent of all hospital-acquired infections are UTIs and 80% of these are directly linked to having an indwelling urinary catheter in place (Underwood, 2015). Urinary catheters are required in up to 25% of hospitalized patients and bacteriuria results in about 25% of patients with a catheter for greater than 5 days and this number increases by 1 to 5% for each day the catheter is in place after that. The harmful consequences of CAUTI include increased length of stay, higher health care cost, and increased mortality. CAUTI is known to cost health care in the U.S. $400-$500 million annually (Leuck et al., 2015).

Hospital acquired infections (HAI) are never good. Moreover, according to the Centers for Disease Control and Prevention, one in 25 patients will develop an infection which was procured during their stay in a hospital (Centers for Disease Control and Prevention, 2015). Twenty percent of these HAI are due to staphylococcus aureus, better known as simply Staph (Statisticbrain.com, 2015).

A nurse driven indwelling catheter removal protocol is an evidence base tool recommended by infection control organization and experts for the early removal of unnecessary or inappropriately placed urinary catheters (UC). Evidence shows that urinary catheters are the source of CAUTI’s. CAUTI, is the leading cause of hospital acquired infections in the United States. Seventy- five percent of urinary tract infections in hospitalized patients are associated with urinary catheters and more than 50% of these infections are preventable (Center for Disease Control and Prevention (CDC), 2015). A urinary catheter is a device inserted into the bladder for emptying. Roughly, 25 percent of hospitalized patients receive urinary catheters in the United States

PICOT is a special acronym for the elements of evidence-based clinical questions as follows; patient population (P), intervention /issue of interest (I), comparison intervention / issue of interest (C), outcomes of interest (O), as well as time it takes for the intervention to achieve the desired outcomes (T).The use of PICOT format in structuring of clinical questions assists in the clarification of the important components as well as providing help in the search for the necessary evidence (McKibbon & Marks,2001).A PICOT question which is well-built increases the very livelihood that the chosen best evidence can adequately inform practice in a quicker and efficient manner.

This paper is a capstone project that is focused around constructing the written evidence-based proposal. It is divided across 4 modules and the following sections: problem identification where the PICO question is also incorporated, solution identification, incorporating a theory, implementation plan, evaluation plan, dissemination of results Literature Review. The main focus of the paper is the patient quality service when dealing with urinary tract infections (UTI), catheter-associated urinary tract infections (CAUTIs). UTI is an infection of the urethra, bladder, ureters and kidneys that occurs when bacteria gain access to the urinary system. This infects the urine of the patients and leads to pain in the lower abdomen, cloudy urine, fever, burning sensation while urinating, and frequency of urination. CAUTI occurs most often in elderly patients, stroke, or neurological and neuron-surgical patients admitted in the hospital, frequently need the use of catheters (Pratt & Pellowe, 2010). UTI is in fact one of the most commonly acquired hospital infection. Researchers (Rao, Lin,Rao & Yu, 2011) state that about 40% of all nosocomial infections are CAUTI. This research will also address necessary prevention procedures and policies that will help reduce rates of CAUTI. Research repeatedly shows that overuse of urethral catheter is a problem in hospitals (Nazarko,