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.
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