Prevention strategies for catheter-associated urinary tract infections (CAUTIs): a best practice implementation project
Mahdieh Esmaeilnezhad, Elahe Mohammadian, Maryam Soleimanpour, Behrouz Amini, Bahram Jafarinodeh, Azam Badrgholi Tabrizi, Sakineh Hajebrahimi, Zohreh Rezaei, Hanieh Salehi Pourmehr, Amin TalebpourABSTRACT
Background:
Catheter-associated urinary tract infections (CAUTIs) are among the most common health care-associated infections, contributing to increased morbidity, prolonged hospital stays, and elevated health care costs. However, despite established prevention guidelines, compliance remains inconsistent.
Objective:
This project aimed to improve adherence to CAUTI prevention strategies at Valiasr Hospital, Tabriz, Iran through a structured, evidence-based implementation approach.
Methods:
A pre-post intervention study was conducted using the JBI Evidence Implementation Framework. Baseline and follow-up audits assessed compliance with seven evidence-based criteria, followed by targeted interventions, including staff education, protocol reinforcement, and multidisciplinary engagement.
Results:
Significant improvements were observed in key areas: hand hygiene compliance increased from 8.33% to 83.33%, timely catheter removal from 0% to 80%, and availability of written catheter management protocols in clinical units from 45% to 75%. Daily meatal cleansing compliance rose from 33.33% to 70%.
Conclusion:
Systematic implementation of evidence-based strategies significantly enhanced CAUTI prevention practices. Sustained efforts, including continuous education and audit feedback, are essential for long-term success.
Spanish abstract:
http://links.lww.com/IJEBH/A658