Diagnostic Precision: Exchanging Urinary Catheters Before Urine Specimen Collection to Reduce Catheter-Associated Urinary Tract Infection.
Background: Catheter-associated urinary tract infections are among the most prevalent and costly types of hospital-acquired infections. During the COVID-19 pandemic, growing numbers of critical care patients required indwelling urinary catheters, leading to higher infection rates. Local Problem: A c...
| Publicado en: | Critical Care Nurse Vol. 45; no. 2; pp. 25 - 33 |
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| Autores principales: | , , , |
| Formato: | algorithm case study tables/charts Journal Article |
| Publicado: |
American Association of Critical-Care Nurses
Apr2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=184174008&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 184174008 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02795442 1GD jtl: Critical Care Nurse issn: 02795442 maglogo: N pubinfo: dt: Apr2025 vid: 45 iid: 2 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 184174008 184174008 184174008 10.4037/ccn2025857 184174008 ppf: 25 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Diagnostic Precision: Exchanging Urinary Catheters Before Urine Specimen Collection to Reduce Catheter-Associated Urinary Tract Infection. aug: au: Romano, Kathleen Leone, Jessica Love, Nora Caramore, Amy affil: Kathleen Romano is a nurse leader in the step-down unit, Memorial Sloan Kettering Cancer Center, New York, New York sug: subj: Catheters, Urinary Adverse Effects Catheter Care, Urinary Methods Urine Specimen Collection Urinary Tract Infections, Catheter-Related Prevention and Control Critical Care Intensive Care Units Administration Hospital Programs Program Implementation Urinary Tract Infections, Catheter-Related Diagnosis Precision COVID-19 Pandemic Inpatients Catheter Care, Urinary Standards Frontline Nurses Multidisciplinary Care Team Protocols Medical Practice, Evidence-Based Urinalysis Quality Improvement ab: Background: Catheter-associated urinary tract infections are among the most prevalent and costly types of hospital-acquired infections. During the COVID-19 pandemic, growing numbers of critical care patients required indwelling urinary catheters, leading to higher infection rates. Local Problem: A critical care unit saw a 7-fold increase in the rate of catheter-associated urinary tract infection during the COVID-19 pandemic. A review of procedures showed that the current standard of care for preventing such infections was inadequate. In particular, patients who could not have indwelling urinary catheters promptly removed risked a potential false-positive diagnosis of catheter-associated urinary tract infection due to clinicians' use of long-term catheters to obtain urine specimens for microbiological evaluation. Methods: A literature review was performed to gather evidence on best practices for urine specimen collection in the critical care unit. An interprofessional task force including frontline nurses advocated implementation of a pilot project in 2 critical care units involving exchange of catheters before obtaining urine specimens for microbiological evaluation in any patient who had an indwelling catheter in place for more than 24 hours. Results: Implementation of the new protocol resulted in a major reduction in the diagnosis of catheter-associated urinary tract infection, with no incidents occurring for 2 consecutive quarters. Based on these results, the new evidence-based workflow was incorporated as the standard of care for all adult inpatients. Conclusion: Catheter exchange before collection of urine specimens in patients requiring urine culture evaluation can improve accuracy of diagnosis of catheter-associated urinary tract infection and promote antibiotic stewardship. pubtype: Academic Journal doctype: algorithm case study tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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