100%(33)33 out of 33 people found this document helpful
This preview shows page 7 - 9 out of 12 pages.
Gould, D., Gaze, S., Drey, N., Cooper, T. Implementing clinical guidelines to prevent catheter-associated urinary tract infections and improve catheter care in nursing homes: Systematic review 2017 Systematic Review Cluster Randomized Meta-analysis 14 Long term care facilities Data and reports of CAUTI incidence from before the study and after the study III B The authors’ conclude that there is a need for CAUTI prevention guidelines to be implemented in long term facilities. When reviewing previous studies and data, following prevention guidelines resulted in reduced CAUTI rates. Gupta, S. S., Irukulla, P. K., Shenoy, M. A., Nyemba, V., Yacoub, D., & Kupfer, Y. Successful strategy to decrease indwelling catheter utilization rates in an academic medical intensive care unit 2017 Retrospective Analysis Multi- variable analysis Quantitative Meta-analysis Descriptive All admitted ICU pts (20 bed ICU) from January 2012 to December 2016 Vibrant line graphs that correlate incidence of CAUTIs and the utilization of IUCs. Comparisons of data before and after study was performed III B Using a multidisciplinary approach, the authors were able to implement an effective protocol including, rigorous assessments, staff education, and awareness to reduce the rates of CAUTI in their ICU. E. Recommended Practice Change The popular conclusion amongst the authors is that indwelling urinary catheter utilization and nosocomial infections are related. Of all hospital acquired infections, CAUTIs are a large perpetrator. Among all the authors in the articles cited above, the intervention that is the most mentioned and suggested is early removal. Other interventions include: proper assessment C361 Task 2
8 prior to insertion, appropriate sterile techniques during insertion, and meticulous after care at a minimum of 12 hours or after every bowel movement. By educating staff on IUC used an appropriate placement, authors Wald, H. L. et al, were able to reduce catheter use in NICHE hospitals by 16%. (Wald, H. L. et al., 2014). In another study by author, Underwood, L. suggests that CAUTIs are a result of lack of follow up assessment and early removal. She was able to observe a reduction of 19% over an 8 month period through early removal and daily assessments.(Lindsay Underwood, 2015). Third author, Powers, J. supports the intervention by researching data on appropriate sterile technique and after care. She was able to make the observation that if interruption of the closed drainage system was necessary, aseptic techniques should be adhered to to prevent the incidence of CAUTIs. (Powers, J., 2016) CDC guidelines are the focal point of the next study. Authors Fink, R. et al, concluded that guidelines from the CDC including, hand hygiene, integrity of sterile field, and appropriate use were being adhered to in hospitals that participated in the study. However, there was room for improvement and more observation to ensure enhanced compliance and prevention measures.(Fink, R. et al, 2013).Lastly the intervention noted by Dy, S. et al was the importance of collaboration between