Preventing catheter-associated urinary tract infections in acute care: the bundle approach

J Nurs Care Qual. Jul-Sep 2012;27(3):209-17. doi: 10.1097/NCQ.0b013e318248b0b1.

Abstract

Catheter-associated urinary tract infections account for 40% of all nosocomial infections. A multidisciplinary team implemented evidence-based guidelines and a urinary catheter bundle, focusing on optimizing the use of urinary catheters through continual assessment and prompt catheter removal. Data were obtained on catheter device days, compliance with urinary catheter orders, and computer documentation of continued catheter indications. Results included an overall reduction of 71% in catheter device days and a 56% reduction in catheter use.

MeSH terms

  • Adult
  • Catheter-Related Infections / etiology
  • Catheter-Related Infections / prevention & control*
  • Catheters, Indwelling / adverse effects
  • Critical Care / methods*
  • Cross Infection / etiology
  • Cross Infection / prevention & control*
  • Evidence-Based Practice
  • Female
  • Hospitals, Veterans
  • Humans
  • Male
  • Nursing Evaluation Research
  • Practice Guidelines as Topic
  • Quality Assurance, Health Care / organization & administration*
  • Time Factors
  • Urinary Catheterization / adverse effects
  • Urinary Catheterization / nursing*
  • Urinary Tract Infections / etiology
  • Urinary Tract Infections / prevention & control*