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Review
. 2022 Jul;43(7):925-929.
doi: 10.1017/ice.2021.135. Epub 2021 Apr 16.

Sustained reduction in catheter-associated urinary tract infections using multi-faceted strategies led by champions: A quality improvement initiative

Staci S Reynolds  1   2 , Chris D Sova  2 , Sarah S Lewis  3 , Becky A Smith  2   3 , Rebekah H Wrenn  2   3 , Nicholas A Turner  3   4 , Sonali D Advani  3   4
Affiliations
Review

Sustained reduction in catheter-associated urinary tract infections using multi-faceted strategies led by champions: A quality improvement initiative

Staci S Reynolds et al. Infect Control Hosp Epidemiol. 2022 Jul.

Abstract

We reviewed the sustainability of a multifaceted intervention on catheter-associated urinary tract infection (CAUTI) in 3 intensive care units. During the 4-year postintervention period, we observed reductions in urine culture rates (from 80.9 to 47.5 per 1,000 patient days; P < .01), catheter utilization (from 0.68 to 0.58; P < .01), and CAUTI incidence rates (from 1.7 to 0.8 per 1,000 patient days; P = .16).

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Figures

Fig. 1.
Fig. 1.
(A) Urine culture rates and (B) urinary catheter utilization rates.
Fig. 1.
Fig. 1.
(A) Urine culture rates and (B) urinary catheter utilization rates.
Fig. 1.
Fig. 1.
(A) Urine culture rates and (B) urinary catheter utilization rates.
See this image and copyright information in PMC

References

    1. Catheter-associated urinary tract infections (CAUTIs). Centers for Disease Control and Prevention website. https://www.cdc.gov/hai/ca_uti/uti.html. Published October 1, 2019. Accessed August 31, 2020.
    1. Mullin KM, Kovacs CS, Fatica C, et al. A multifaceted approach to reduction of catheter-associated urinary tract infections in the intensive care unit with an emphasis on “stewardship of culturing.” Infect Control Hosp Epidemiol 2017;38:186–188. - PubMed
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    1. Advani SD, Fakih MG. The evolution of catheter-associated urinary tract infection (CAUTI): is it time for more inclusive metrics? Infect Control Hosp Epidemiol 2019;40:681–685. - PubMed

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