Prevention and management catheter-associated urinary tract infection in intensive care unit

authors:

avatar Mehdi Rahimi 1 , * , avatar Khosro Farhadi 2 , avatar Hossein Babaei 3 , avatar Firouz Soleymani 4

Department of Medical Surgical Nursing, Nursing and Midwifery School, Kermanshah University of Medical Sciences, Kermanshah, Iran
Department of Anesthesia, Kermanshah University of Medical Sciences, Kermanshah, Iran
Department of Medical Surgical Nursing, Nursing and Midwifery School, Semnan University of Medical Sciences, Semnan, Iran
Department of Medical Emergency, Kermanshah University of Medical Sciences, Kermanshah, Iran
Journal of Nursing and Midwifery Sciences: Vol.6, issue 2; 98-103
published online: May 31, 2019
article type: Review Article
received: November 18, 2018
accepted: January 02, 2018
DOI: https://doi.org/10.4103/jnms.jnms_47_18

how to cite: Rahimi M, Farhadi K, Babaei H, Soleymani F. Prevention and management catheter-associated urinary tract infection in intensive care unit. J Nurs Midwifery Sci. 2019;6(2):e141433. https://doi.org/10.4103/jnms.jnms_47_18.

Abstract

Context: Urinary tract infection (UTI) is the most common hospital-acquired infection. Around 80% of UTIs are associated with urinary catheters.
Aims: The aim of this study was to review and to describe epidemiology and approaches for the prevention and management of catheter-associated urinary tract infection (CAUTI) in intensive care unit (ICU) patients.
Settings and Design: A narrative review of studies was undertaken.
Materials and Methods: A review of PubMed, Google Scholar, Medline, and CINAHL databases were conducted to identify peer-reviewed, English language, and studies published between 1999 and 2018. Related papers were reviewed with using standard keywords. The research was conducted on epidemiology and management of CAUTI in the ICU. Of the 186 English publications, 36 were duplicates.
Statistical Analysis Used: Quality assessments, data extractions, and analysis were completed on all included studies.
Results: The prevalence of UTI in the ICU is directly related to the widespread use of urethral catheter(32.2%). Guidelines are available that provide comprehensive recommendations for detecting and preventing healthcare-associated infections for CAUTI.
Conclusions: Further studies are needed due to the importance and high prevalence of these infections. We recommend the opportunity to increase any strategy able to reduce the incidence of infections related to urinary catheterization and its consequences in ICUs

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