Effect of Education and Performance Feedback on Rates of Catheter-Associated Urinary Tract Infection in Intensive Care Units in Argentina

2004 ◽  
Vol 25 (1) ◽  
pp. 47-50 ◽  
Author(s):  
Victor Daniel Rosenthal ◽  
Sandra Guzman ◽  
Nasia Safdar
Keyword(s):  
Urinary Tract Infection ◽  
Intensive Care ◽  
Urinary Tract ◽  
Tract Infection ◽  
Intensive Care Units ◽  
Latin American ◽  
Performance Feedback ◽  
Baseline Period ◽  
And Performance ◽  
Catheter Care

AbstractObjective:To evaluate the effect of education and performance feedback regarding compliance with catheter care and handwashing on rates of catheter-associated urinary tract infection (UTI) in intensive care units (ICUs).Setting:Two level III adult ICUs in a private healthcare facility in Argentina.Patients:All adult patients admitted to the study units who had a urinary catheter in place for at least 24 hours.Methods:A prospective, open trial in which rates of catheter-associated UTI determined during a baseline period of active surveillance without education and performance feedback were compared with rates of catheter-associated UTI after imple-menting education and performance feedback.Results:There were 1,779 catheter-days during the baseline period and 5,568 catheter-days during the intervention period. Compliance regarding prevention of compression of the tubing by a leg improved (from 83% to 96%; relative risk [RR], 1.15; 95% confidence interval [CI95], 1.03 to 1.28; P = .01) and so did compliance with handwashing (from 23.1% to 65.2%; RR, 2.82; CI95, 2.49 to 3.20; P<.0001). Catheter-associated UTI rates decreased significantly from 21.3 to 12.39 per 1,000 catheter-days (RR, 0.58; CI95, 0.39 to 0.86; P = .006).Conclusion:Implementing education and performance feedback regarding catheter care measures and handwashing compliance was associated with a significant reduction in catheter-associated UTI rates. Similar programs may help reduce catheter-associated UTI rates in other Latin American hospitals.

scholarly journals Comparison of Catheter-associated Urinary Tract Infection Rates by Perineal Care Agents in Intensive Care Units

2010 ◽  
Vol 4 (3) ◽  
pp. 142-150 ◽  
Author(s):  
Ihnsook Jeong ◽  
Soonmi Park ◽  
Jae Sim Jeong ◽  
Duck Sun Kim ◽  
Young Sun Choi ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Intensive Care ◽  
Urinary Tract ◽  
Tract Infection ◽  
Intensive Care Units ◽  
Infection Rates ◽  
Perineal Care

scholarly journals An electronic surveillance tool for catheter-associated urinary tract infection in intensive care units

2015 ◽  
Vol 43 (6) ◽  
pp. 592-599 ◽  
Author(s):  
Heather E. Hsu ◽  
Erica S. Shenoy ◽  
Douglas Kelbaugh ◽  
Winston Ware ◽  
Hang Lee ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Intensive Care ◽  
Urinary Tract ◽  
Tract Infection ◽  
Intensive Care Units ◽  
Electronic Surveillance

Impact and Limitations of the 2015 National Health and Safety Network Case Definition on Catheter-Associated Urinary Tract Infection Rates

2016 ◽  
Vol 38 (2) ◽  
pp. 239-241 ◽  
Author(s):  
Ana Cecilia Bardossy ◽  
Rachna Jayaprakash ◽  
Anjali C. Alangaden ◽  
Patricia Starr ◽  
Odaliz Abreu-Lanfranco ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Intensive Care ◽  
Urinary Tract ◽  
Tract Infection ◽  
Intensive Care Units ◽  
National Health ◽  
Health And Safety ◽  
Case Definition ◽  
Infection Rates ◽  
Definition Of

Application of the new 2015 NHSN definition of catheter-associated urinary tract infection (CAUTI) in intensive care units reduced CAUTI rates by ~50%, primarily due to exclusion of candiduria. This significant reduction in CAUTI rates resulting from the changes in the definition must be considered when evaluating effectiveness of CAUTI prevention programs.Infect Control Hosp Epidemiol2017;38:239–241

scholarly journals Prevalence of blaCTX-M, blaSHV, and blaTEM Genes in Escherichia coli Strains Isolated From Urinary Tract Infection Samples of Patients in the Intensive Care Unit in Qom, Iran

2020 ◽  
Vol 7 (2) ◽  
Author(s):  
Shima Sadat Lesani ◽  
Mohammad Soleimani ◽  
Pegah Shakib ◽  
Mohammad Reza Zolfaghari
Keyword(s):  
Escherichia Coli ◽  
Drug Resistance ◽  
Urinary Tract Infection ◽  
Intensive Care ◽  
Urinary Tract ◽  
Tract Infection ◽  
Intensive Care Units ◽  
Diffusion Method ◽  
E Coli ◽  
Tract Infections

Background: Escherichia coli is considered as one of the causes of opportunistic infections. Nowadays, due to the increase in drug resistance, the treatment of these infections has become very difficult and they are recognized as the main causes of death in hospitalized patients. Objectives: The aim of this study was to determine the prevalence of blaTEM, blaSHV, and blaCTX-M genes in E. coli strains isolated from the urinary tract infection in patients in Intensive Care Units of three different hospitals in Qom, Iran. Methods: This study was conducted in three months from October to December 2014. A total of 200 E. coli samples were taken from the patients with urinary tract infections in Intensive Care units of Qom hospital. The disc diffusion method was used to determine the susceptibility pattern of antibiotic and phenotypic confirmatory tests for screening of the expanded spectrum beta-lactamase (ESBL) isolates. The presence of blaTEM, blaSHV, and blaCTX-M genes was evaluated by the polymerase chain reaction (PCR) assay. Results: Of 200 samples, ampicillin (96%) and nitrofurantoin (19.5%) showed the highest and lowest drug resistance, respectively. A total of 156 isolates (78%) were identified as ESBLs using the phenotypic method. Moreover, 76 (38%), 90 (45%), and 123 (61.5%) isolates consisted of blaCTX-M, blaSHV, and blaTEM, respectively. Conclusions: Overall, the findings of this study showed that blaTEM was the most common gene with a frequency of 61.5% in ESBL E. coli.

scholarly journals 869Impact of Changes in the NHSN Catheter-Associated Urinary Tract Infection (CAUTI) Definition on the Frequency and Epidemiology of CAUTIs in Intensive Care Units (ICUs)

2014 ◽  
Vol 1 (suppl_1) ◽  
pp. S249-S250
Author(s):  
Anupama Neelakanta ◽  
Sarit Sharma ◽  
Vishnu Priya Kesani ◽  
Madiha Salim ◽  
Amina Pervaiz ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Intensive Care ◽  
Urinary Tract ◽  
Tract Infection ◽  
Intensive Care Units

scholarly journals Care bundle intervention to reduce catheter-associated urinary tract infection rate in intensive care units

2015 ◽  
Vol 48 (2) ◽  
pp. S96
Author(s):  
Ching-Tzu Hung ◽  
Chung Hao Huang ◽  
Tzu-Hui Hung ◽  
Pei-Wen Yang ◽  
Shu-Wen Wu ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Intensive Care ◽  
Urinary Tract ◽  
Tract Infection ◽  
Intensive Care Units ◽  
Infection Rate ◽  
Care Bundle
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