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Running Head: LITERATURE SEARCH1PICOT Question and Literature Search: Urinary Catheters and CAUTI’sStudentGrand Canyon University: NRS-433VMay 6, 2017
LITERATURE SEARCH2PICOT Question:Does the implementation of a nurse-driven protocol or bundle for the removal of urinarycatheters 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 SEARCH3incidence 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 amongpatients with CA-UTI caused by Candida spp.The crude unadjusted attributable LOS was 8days among patients with CA-UTI, while patients with CA-UTI caused by P. aeruginosa was 36days.The crude unadjusted attributable antibiotics cost was 1318 among patients with CA-UTIand caused by P. aeruginosa was 5122.Conclusion: Our study confirms the clinical andeconomic burden of CA-UTI in ICU patients and highlights the establishing comprehensiveeducation program for all healthcare workers on evidence-based approaches, and theimplementation 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 tractinfections; Length of stay; Cost; Intensive Care Unit (Apostolopoulou et al, 2015).