Major articleIndwelling urinary catheter management and catheter-associated urinary tract infection prevention practices in Nurses Improving Care for Healthsystem Elders hospitals
Section snippets
Design, data collection, and sample
A descriptive design was used to survey NICHE hospital nurse coordinators about IUC practices. NICHE, a national program of the Hartford Institute for Geriatric Nursing, provides resources and technical support to enhance hospitals’ systemic capacity to embed evidence-based geriatric knowledge into practice. NICHE is a membership program that requires an organizational commitment, including participation of senior personnel in a NICHE Leadership Training Program and ongoing demonstration of
Results
Out of the 255 NICHE hospitals, 75 acute care hospitals (mean number of beds, 391) from 29 states and Canada responded, for a 34% response rate. Table 1 summarizes the characteristics of participating hospitals. There were no differences between responding and nonresponding hospitals in terms of bed size, urban setting, and magnet or teaching status. Responding hospitals were less than likely nonresponding hospitals to be government-owned (P = .039). Table 2 summarizes the CDC’s recommended
Discussion
We have described in detail the CAUTI prevention practices in a sample of NICHE hospitals. Although many practices at these hospitals are in alignment with evidence-based guidelines, there is considerable heterogeneity of practice in nearly all areas assessed (Table 2), leaving considerable room for standardization and improvement.
Our survey is complementary to the earlier survey of Saint et al,11 which queried a nationally representative sample of infection preventionists about selected CAUTI
Acknowledgments
The authors thank the participating NICHE hospital coordinators, Nina Shabbat, PhD, and Brian Bandle, for assistance with data management, and Karis May for help with formatting the manuscript.
References (20)
Clinical and economic consequence of nosocomial catheter-related bacteruria
Am J Infect Control
(2000)- et al.
Urinary catheters in the emergency department: very elderly women are at high risk for unnecessary utilization
Am J Infect Control
(2010) - et al.
Effect of silver-coated urinary catheters: efficacy, cost-effectiveness and antimicrobial resistance
Am J Infect Control
(2004) - et al.
Estimating health care–associated infections and deaths in US hospitals, 2002
Public Health Rep
(2007) - et al.
The direct costs of nosocomial catheter-associated urinary tract infection in the era of managed care
Infect Control Hosp Epidemiol
(2002) - et al.
A multicenter qualitative study on preventing hospital-acquired urinary tract infection in US hospitals
Infect Control Hosp Epidemiol
(2008) - Gould CV, Umscheid CA, Agarwal RK, Kuntz G, Pegues DA. Guideline for prevention of catheter-associated urinary tract...
Reducing catheter-associated urinary tract infection in the critical care unit
AACN Adv Crit Care
(2010)- University of Colorado Anschutz Medical Campus. STOP CAUTI. Available from:...
- et al.
Strategies to prevent catheter-associated urinary tract infections in acute care hospitals
Infect Control Hosp Epidemiol
(2008)
Cited by (0)
This work was funded by the Agency for Healthcare Research and Quality (Grant AHRQ R18HSO18377). Dr Wald is the recipient of a Paul Beeson Career Development Award in Aging (NIA K23 AG034544) from the National Institute on Aging, the John A. Hartford Foundation, the STARR Foundation, and an anonymous donor.
Conflict of interest:None to report.