Abstract
Catheter-associated Urinary Tract Infection (CAUTI) is a common healthcare-related infection occurring in patients admitted for various ailments. Approximately 80% of hospital acquired Urinary Tract Infections (UTIs) are catheter associated. The purpose of the current research was to find out the level of knowledge, attitude and practice on prevention of CAUTI among healthcare professionals working in tertiary care hospital. A descriptive study was done among 95 health care working in tertiary care hospital in Chennai. The researchers administered standard questionnaire and statistically explored the knowledge, attitude, and practice levels about prevention of CAUTI among the participants. Among 95 participants, 28.4% and 71.6% of the individuals had moderately adequate knowledge and adequate knowledge about CAUTI. About 4.2% of the participants had unfavourable, 88.4% had moderately favourable and 7.4% had favourable attitude towards prevention of CAUTI. About 4.2% of the individuals had moderately adequate and 95.8% had adequate practice towards the prevention of CAUTI. There was significant correlation between attitude and practice. The professional experience of the participants showed statistically significant association with the level of practice among the demographic variables. In our present study, we found out that health care professionals had adequate knowledge, attitude, and practice on prevention of CAUTI. Medical education programs, frequent auditing with a checklist about catheter care must be conducted to maintain the achieved knowledge and practice levels.
Highlights
Urinary catheterization is an indispensable procedure performed in hospitals especially, in ICU settings
Catheter-associated Urinary Tract Infection (CAUTI) is caused by variety of pathogens including Escherichia coli, followed by Proteus species and Pseudomonas species
A semistructured questionnaire developed by the researchers was used to assess the Knowledge, Attitude and Practice levels on prevention of CAUTI among health care professionals working in a tertiary care hospital
Summary
Urinary catheterization is an indispensable procedure performed in hospitals especially, in ICU settings. 70-80% of all acquired UTIs are due to improper urinary catheterization and failure to follow the Centres for Disease Control (CDC) guidelines for catheterization[1]. CAUTI is the most common and frequently occurring nosocomial infection in patients admitted with hip fracture, spinal cord injury, urinary incontinence, bladder obstruction and extended use of indwelling catheterization in chronically sick patients[1]. Urinary Tract Infection affects 150 million people worldwide and approximately 80% of the nosocomial UTIs are catheter associated[1]. CAUTI is caused by variety of pathogens including Escherichia coli, followed by Proteus species and Pseudomonas species. CAUTI shows clear female predominance due to the anatomy of the urinary tract and the hormonal changes that take place in women. The possibilities for developing bacteriuria and UTI are seen in geriatric and paediatric age group, impaired immunity, comorbid conditions like diabetes, hypertension, and obesity[2]
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