PICOT Question and Literature Search.docx - Running Head:...

Running Head: LITERATURE SEARCH
1
PICOT Question and Literature Search: Urinary Catheters and CAUTI’s
Student
Grand Canyon University: NRS-433V
May 6, 2017

LITERATURE SEARCH 2
PICOT Question:
Does the implementation of a nurse-driven protocol or bundle for the removal of urinary
catheters reduce the incidence of developing catheter associated urinary tract infections
(CAUTI’s) when compared to current practice if studied over a six month period?
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LITERATURE SEARCH 3
incidence of UTI was 7.7% and the incidence density was 4.09 cases/1000 urinary catheter-days.
The crude unadjusted attributable mortality was 22.8% among patients with CA-UTI and among
patients with CA-UTI caused by Candida spp. The crude unadjusted attributable LOS was 8
days among patients with CA-UTI, while patients with CA-UTI caused by P. aeruginosa was 36
days. The crude unadjusted attributable antibiotics cost was 1318 among patients with CA-UTI
and caused by P. aeruginosa was 5122. Conclusion: Our study confirms the clinical and
economic burden of CA-UTI in ICU patients and highlights the establishing comprehensive
education program for all healthcare workers on evidence-based approaches, and the
implementation of urinary catheter bundle, which will contribute to reducing the burden of CA-
UTIs and improving quality of care and patient safety in Greek ICUs. Keywords: Urinary tract
infections; Length of stay; Cost; Intensive Care Unit (Apostolopoulou et al, 2015).