The Effect of Implementing CAUTIs Bundle on Prevention of Hospital- Acquired Urinary Tract Infections among Critically Ill Patients

El Sharoud, Soad Mostafa; Sultan, Mohamed Ahmed; Ahmed, Hanaa; Kandeel, Nahed Attia

doi:10.21608/mnj.2022.259013

The Effect of Implementing CAUTIs Bundle on Prevention of Hospital- Acquired Urinary Tract Infections among Critically Ill Patients

Document Type : Original Article

Authors

¹ Mansoura university

² Professor of Anesthesia and Intensive Care, Faculty of Medicine, Mansoura University, Egypt

³ Assist. Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt

⁴ Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt

10.21608/mnj.2022.259013

Abstract

Background: Catheter-associated urinary tract infections (CAUTIs) are among the most common types of nosocomial
infections. Approximately 30% of these cases have been reduced in the United States of America by using
multidimensional preventive approaches including the CAUTIs bundle. Aim: This study aimed to investigate the effect
of implementing the CAUTIs bundle on the prevention of hospital-acquired urinary tract infection among critically ill
patients. Method: A quasi-experimental research design was used with a convenience sample of 80 patients recruited
from three intensive care units affiliated with an Egyptian University Hospital. The participants were randomly
assigned either in the CAUTIs bundle group who received the CAUTIs bundle care or the traditional care group who
received the routine care of the unit. Data were collected using three tools: urinary catheter insertion tool, urinary
catheter maintenance checklist, and CAUTIs rate checklist. Results: The results revealed statistically significant
differences between both groups regarding the implementation of insertion and maintenance bundles. The
implementation of the CAUTIs bundle has resulted in an approximately 50% decrease in the CAUTIs rate between the
studied group. A low CAUTIs rate was noted among CAUTIs bundle patients (16.5 per 1000) than traditional care
patients (30.7 per 1000). Conclusion and Recommendations: Implementation of the CAUTIs bundle was significantly
effective in reducing the CAUTIs rates among critically ill patients. This urged the need for incorporating such bundle
elements in patients' daily routine care in intensive care units. Further large-scale investigations are recommended to
enrich the evidence related to urinary catheter care.

Keywords

Main Subjects