Reducing Catheter-Associated Urinary Tract Infection Rates by Educating Staff on Bundle Interventions

Abstract

PURPOSE: Catheter associated urinary tract infection is an undesired burden to the patients and healthcare system. This systematic review explores the published literature and determines the impact of educating nursing staff on the indication of urinary catheter, insertion of foley catheters, maintenance of urinary catheters, and periodical communication between nurses and physicians for changing foley catheters can reduce the CAUTI rates in adult patients in the acute care hospital setting. METHOD: A systemic review was conducted using CINHAL, Science Direct, PubMed, and MEDLINE within the time period of ten years from 2012 to 2022. Eight published articles are reviewed and used for this systemic review. RESULTS: There were 62.5 % of studies found a statistically significant reduction in CAUTI rates and 12.5 % of studies found a significant reduction in inpatient catheter days by focusing on multifaceted CAUTI bundle interventions such as educating on the indication for foley catheter, the aseptic technique of urinary catheter insertion, and maintenance of catheter. There were 12.5% of studies that used a single CAUTI intervention such as the aseptic insertion of a foley catheter and there was no significant reduction in CAUTI rates. CONCLUSION: A significant reduction in CAUTI rates can only happen if nurses use multifaceted CAUTI bundle interventions. The studies that emphasized only on one CAUTI intervention did not significantly reduce CAUTI rates in this systemic review.