To Assess the Incidence of Catheter Associated Urinary Tract Infection and Evaluate the Effectiveness of Evidence based Practice Protocol for Prevention of Catheter-associated Urinary Tract Infections (CAUTI) in Adult Critical Care Patients

Authors

  • Amarnath Shanmukhe
  • Soujanya Pujar
  • Shalmon Chopade
  • Jeyanthi A

DOI:

https://doi.org/10.37506/ijfmt.v16i4.18549

Keywords:

Adult Critical Care Patients, Catheter Associated Urinary Tract Infection, Evidence Based Practice Protocol, Incidence.

Abstract

Background: UTIs are the most common type of healthcare-associated infection. Among UTIs acquired in the
hospital, approximately 75% are associated with a urinary catheter, which is a tube inserted into the bladder
through the urethra to drain urine. The most important risk factor for developing a CAUTI is prolonged use of the
urinary catheter. Therefore, catheters should only be used for appropriate indications and should be removed as
soon as they are no longer needed.
Aim: The aim of the study is to prevent CAUTIs in adult critical care patients, by using evidence based practice
protocol.
Materials and Methods: A Quasi Experimental one group pretest posttest research design was used. 200 staff
nurses were selected from hospitals by using purposive sampling technique. Biophysical measures like signs and
symptoms of CAUTI and urine culture was done to assess the incidence of CAUTIs in adult critical care patients
before administration of evidence based practice protocol.
Result: The overall incidence rate of CAUTI in adult critical care patients was 11.1%. A Comparison of Pre and
Post test level of Knowledge of Staff Nurse’s regarding CAUTIs shows that 46(23.0%) had poor knowledge before
intervention and it was reduced 2(1.0%) after intervention. None of the staff nurse had excellent knowledge before
intervention and was increased 12(6.0%) after intervention, 23(11.5%) had pre test good knowledge and was
increased to 122(61.0%) in post test. Pre test mean knowledge of staff nurse regarding CAUTIs was 13.68 whereas
post test knowledge score was 16.5 and was statistically significant with p-value <0.0001.
Conclusion: This approach shows for reduction of CAUTIs in critical care settings. The same type of protocol or
education programme might be adopted for the other health care associated infections.

Author Biographies

  • Amarnath Shanmukhe

    Associate Professor, BLDEA’s Shri B M Patil Institute of Nursing Sciences, Vijayapur, India, 586103.

  • Soujanya Pujar

    Associate Professor, BLDEA’s Shri B M Patil Institute of Nursing Sciences, Vijayapur, India, 586103

  • Shalmon Chopade

    Principal, BLDEA’s Shri B M Patil Institute of Nursing Sciences, Vijayapur,India, 586103,

  • Jeyanthi A

    Nursing Superintendent, BLDE (DU) Shri B. M. Patil Medical College, Hospital and Research Center, Vijayapur, India, 586103

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Published

2022-10-10

How to Cite

To Assess the Incidence of Catheter Associated Urinary Tract Infection and Evaluate the Effectiveness of Evidence based Practice Protocol for Prevention of Catheter-associated Urinary Tract Infections (CAUTI) in Adult Critical Care Patients. (2022). Indian Journal of Forensic Medicine & Toxicology, 16(4), 112-118. https://doi.org/10.37506/ijfmt.v16i4.18549