TITLE:
Reducing the Rate of Catheter-Associated Urinary Tract Infection in the Non-ICU Setting
AUTHORS:
Sameeh Ghazal, Syam Clara Viorica, Mercy Joseph, Mahmoud Mukahal, Ahmed Hakawi, Michael B. Edmond
KEYWORDS:
Catheter Associated Urinary Tract Infections, Urinary Tract Infections, CAUTI in Non-ICU Sitting
JOURNAL NAME:
Advances in Infectious Diseases,
Vol.5 No.2,
June
23,
2015
ABSTRACT: Background: In 2008, the
catheter associated urinary tract infection (CAUTI) rate at King Fahad Medical
City (KFMC) was 3.8/1000 urinary catheter days with some variability between
departments. KFMC is the newest tertiary, referral and teaching hospital with
1100 beds in Riyadh, Saudi Arabia. The Infection Control Department at KFMC
decided to implement a quality improvement project by applying the bladder
bundle in our general ward (Non-ICU) using the model of National Health Service
(NHS) hospitals in England even though there was good evidence supporting this
infection control practice only in ICU patients[1][2]. Our objective was to decrease CAUTI in
two non-ICU units by at least 50% in one year. Study design: This was a
prospective interventional quality improvement project aiming to decrease CAUTI
in two non-ICU inpatient units with a total of193 beds including children and adult
patients. Our intervention includes insertion and maintenance components.
Results: CAUTI decreased significantly in both departments from 23 infections
in2008 (Rate: 5.03/1000 CDs) to
12 infections in 2009 (Rate: 1.92/1000 CDs) (P= 0.0001); in RH (Rehabilitation
hospital) from 18 in 2008 (Rate: 4/1000 CDs) to 11 infections in 2009 (Rate:
0.36/1000CDs) (PCDs) to 1 infections in 2009 (Rate:
3.16/1000 CDs) (P