Reducing Catheter-Associated Urinary Tract Infection in the Critical Care Unit

被引:28
作者
Gray, Mikel [1 ,2 ]
机构
[1] Univ Virginia, Dept Urol, UVA 2nd Floor,Room 2570,POB 800422, Charlottesville, VA 22908 USA
[2] Univ Virginia, Sch Nursing, Charlottesville, VA 22908 USA
关键词
catheter; indwelling catheterization; urinary tract infection;
D O I
10.1097/NCI.0b013e3181db53cb
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Changes in reimbursement policies have focused attention on the use of indwelling catheters in the critical care unit as well as their role in hospital-acquired urinary tract infections. Implementation of an evidence-based prevention program can significantly reduce both the prevalence of indwelling catheterization and the incidence of hospital-acquired catheter-associated urinary tract infection. This article describes the epidemiology and pathophysiology of catheter-associated urinary tract infection, and outlines essential elements of an evidence-based prevention program for the critical care unit.
引用
收藏
页码:247 / 257
页数:11
相关论文
共 54 条
[1]   Evolution of closed urinary drainage systems use and associated factors in Spanish hospitals [J].
Allepuz-Palau, A ;
Rosselló-Urgell, J ;
Vaqué-Rafart, J ;
Hermosilla-Pérez, E ;
Arribas-Liorente, JL ;
Sánchez-Payá, J ;
Lizán-García, M .
JOURNAL OF HOSPITAL INFECTION, 2004, 57 (04) :332-338
[2]   Underresourced hospital infection control and prevention programs: Penny wise, pound foolish? [J].
Anderson, Deverick J. ;
Kirkland, Kathryn B. ;
Kaye, Keith S. ;
Thacker, Paul A., II ;
Kanafani, Zeina A. ;
Auten, Grace ;
Sexton, Daniel J. .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2007, 28 (07) :767-773
[3]  
Anson C, 1993, Urol Nurs, V13, P107
[4]   Effectiveness of multifaceted hospitalwide quality improvement programs featuring an intervention to remove unnecessary urinary catheters at a tertiary care center in Thailand [J].
Apisarnthanarak, Anucha ;
Thongphubeth, Kanokporn ;
Sirinvaravong, Sirinaj ;
Kitkangvan, Danai ;
Yuekyen, Chananart ;
Warachan, Boonyasit ;
Warren, David K. ;
Fraser, Victoria J. .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2007, 28 (07) :791-798
[5]   A biphasic response from bladder epithelial cells induced by catheter material and bacteria: An in vitro study of the pathophysiology of catheter related urinary tract infection [J].
Barford, Jessica M. T. ;
Hu, Yanmin ;
Anson, Ken ;
Coates, Anthony R. M. .
JOURNAL OF UROLOGY, 2008, 180 (04) :1522-1526
[6]   A model of catheter-associated urinary tract infection initiated by bacterial contamination of the catheter tip [J].
Barford, Jessica M. T. ;
Anson, Ken ;
Hu, Yanmin ;
Coates, Anthony R. M. .
BJU INTERNATIONAL, 2008, 102 (01) :67-74
[7]   EVALUATION OF DAILY MEATAL CARE WITH POLY-ANTIBIOTIC OINTMENT IN PREVENTION OF URINARY CATHETER-ASSOCIATED BACTERIURIA [J].
BURKE, JP ;
JACOBSON, JA ;
GARIBALDI, RA ;
CONTI, MT ;
ALLING, DW ;
ENGEL, RME .
JOURNAL OF UROLOGY, 1983, 129 (02) :331-334
[8]   PREVENTION OF CATHETER-ASSOCIATED URINARY-TRACT INFECTIONS - EFFICACY OF DAILY MEATAL CARE REGIMENS [J].
BURKE, JP ;
GARIBALDI, RA ;
BRITT, MR ;
JACOBSON, JA ;
CONTI, M ;
ALLING, DW .
AMERICAN JOURNAL OF MEDICINE, 1981, 70 (03) :655-658
[9]  
CARAPETI EA, 1994, ANN R COLL SURG ENGL, V78, P59
[10]   A short history of the Foley catheter: From handmade instrument to infection-prevention device [J].
Carr, HA .
JOURNAL OF ENDOUROLOGY, 2000, 14 (01) :5-8