Implementation of a Nurse-Driven Protocol to Prevent Catheter-Associated Urinary Tract Infections

被引：28

作者：

Alexaitis, Irene ^{[1
,2
]}

Broome, Barbara ^{[3
]}

机构：

[1] Univ Florida, Nursing Serv, Hlth Shands Hosp, Gainesville, FL USA

[2] Univ Florida, Patient Serv, Hlth Shands Hosp, Gainesville, FL USA

[3] Univ S Alabama, Dept Nursing, Mobile, AL 36688 USA

来源：

JOURNAL OF NURSING CARE QUALITY | 2014年 / 29卷 / 03期

关键词：

bladder ultrasound; catheter-associated urinary tract infections; intermittent catheterization; nurse-driven protocol; quality improvement; urinary tract infections;

D O I：

10.1097/NCQ.0000000000000041

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

This article describes a quality improvement project to decrease catheter-associated urinary tract infections (CAUTIs) at an academic medical center. A criteria-based, nurse-driven protocol for discontinuation of indwelling catheters and use of bladder ultrasonography in conjunction with intermittent catheterizations was the foundation for change. The CAUTI rate, the number of CAUTIs, cost of medications and supplies associated with treating CAUTIs, catheter duration, and intensive care unit length of stay decreased after protocol implementation.

引用

页码：245 / 252

页数：8

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