Authors
Jennifer Meddings, Mary AM Rogers, Sarah L Krein, Mohamad G Fakih, Russell N Olmsted, Sanjay Saint
Publication date
2014/4/1
Source
BMJ quality & safety
Volume
23
Issue
4
Pages
277-289
Publisher
BMJ Publishing Group Ltd
Description
Background
Catheter-associated urinary tract infections (CAUTI) are costly, common and often preventable by reducing unnecessary urinary catheter (UC) use.
Methods
To summarise interventions to reduce UC use and CAUTIs, we updated a prior systematic review (through October 2012), and a meta-analysis regarding interventions prompting UC removal by reminders or stop orders. A narrative review summarises other CAUTI prevention strategies including aseptic insertion, catheter maintenance, antimicrobial UCs, and bladder bundle implementation.
Results
30 studies were identified and summarised with interventions to prompt removal of UCs, with potential for inclusion in the meta-analyses. By meta-analysis (11 studies), the rate of CAUTI (episodes per 1000 catheter-days) was reduced by 53% (rate ratio 0.47; 95% CI 0.30 to 0.64, p<0.001) using a reminder or stop order, with five studies also including …
Scholar articles
J Meddings, MAM Rogers, SL Krein, MG Fakih… - BMJ quality & safety, 2014