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Abstract
Effectiveness of Evidence-Based Guidelines on Catheter Associated Urinary Tract Infection Rate among Pediatric Intensive Care Children
Highlights
Urinary tract infection is the most common healthcare associated infections (HCAI) results from prolonged use of urinary catheter which leads to increasing the length of hospital stay. (1&2) Catheter associated urinary tract infection (CAUTI) is an infection of the urinary tract that affects pediatric patients who have an indwelling urinary catheter and the risk of infection differs from three percent to ten percent each day the catheter is in place. (3, 4&5)
Figure 3: presents comparison between case and control groups regarding occurrence of clinical catheter associated urinary tract infection (CAUTI) post- intervention with evidence- based guidelines, it was obvious that more about two thirds (64.7%) of pediatric patient in control group had CAUTI compared with one third (33.3%) of pediatric patient in case group had CAUTI, with significant difference (P
Adverse effects associated with indwelling urinary catheters include increases in length of hospital stay (LOS), health care costs, morbidity and mortality in hospitalized pediatric patients. [25,26] The National Healthcare Safety Network revealed that pooled mean CAUTI rates were similar in children and adults, the national pooled mean for pediatric intensive care units (PICUs) was 2.5 infections per 1000 catheter-days
Summary
Urinary tract infection is the most common healthcare associated infections (HCAI) results from prolonged use of urinary catheter which leads to increasing the length of hospital stay. (1&2) Catheter associated urinary tract infection (CAUTI) is an infection of the urinary tract that affects pediatric patients who have an indwelling urinary catheter and the risk of infection differs from three percent to ten percent each day the catheter is in place. (3, 4&5). (6&10) Healthcare organizations must incorporate the evidenced based guidelines into the nurses' daily practical activities to be able to prevent and manage CAUTI, as proper use of urinary catheter, appropriate catheter insertion, maintenance and satisfactory catheter removal once the indications ends up. Prevention of catheter associated urinary tract infection (CAUTI) in pediatric patients regarded as an important hospital policy worldwide. Aim: The aim of this study was examining the effectiveness of evidence-based guidelines on catheter associated urinary tract infection rate among pediatric intensive care children. Tools: I: A Structured self-administered questionnaire, II: evidence-based guidelines on Urinary catheter maintenance and removal observational checklists, III: A structured questionnaire of pediatric patients' health condition & IV: Catheter-associated urinary tract infection criteria checklist. The use of urinary catheter evidence-based guidelines checklists should be kept in the pediatric patient file and reviewed regularly by pediatric nurses
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