Catheter-Associated Urinary Tract Infections: Implementing a Protocol to Decrease Incidence in Oncology Populations

Clin J Oncol Nurs. 2017 Aug 1;21(4):460-465. doi: 10.1188/17.CJON.460-465.

Abstract

Background: The impact of catheter-associated urinary tract infections (CAUTIs) on immunocompromised patients with cancer requires preventive intervention from bedside nurses. .

Objectives: This protocol aims to prevent CAUTIs in the inpatient oncology population by implementing an evidence-based, nurse-driven protocol for discontinuing indwelling urinary catheters (IUCs). .

Methods: Following a literature review of 34 articles, a nurse-driven CAUTI prevention protocol was developed and implemented on two 26-bed oncology units. Unit staff were educated on the protocol and use of the audit tool. .

Findings: Although CAUTI rates remained unchanged, infections per 1,000 IUC days decreased, and adherence among oncology nurses rose 66%-90% within the first two months. The protocol encouraged preventive intervention from RNs to protect patients with cancer from CAUTIs.

Keywords: CAUTI prevention; evidence-based practice; nurse education; protocol adherence.

Publication types

  • Review

MeSH terms

  • Catheter-Related Infections / complications
  • Catheter-Related Infections / epidemiology*
  • Catheter-Related Infections / prevention & control
  • Humans
  • Incidence
  • Neoplasms / complications*
  • Oncology Nursing
  • Urinary Tract Infections / complications
  • Urinary Tract Infections / epidemiology*
  • Urinary Tract Infections / prevention & control