Bernard Michael S, Hunter Kathleen F, Moore Katherine N
Led Clinic, Peterborough, Ontario, Canada.
Urol Nurs. 2012 Jan-Feb;32(1):29-37.
The use of indwelling urinary catheters in hospitalized patients presents an increased risk of the development of complications, including catheter-associated urinary tract infection (CAUTI). With regard to the risk of developing a CAUTI, the greatest factor is the length of time the catheter is in situ. The aim of this article is to review the evidence on the prevention of CAUTI, particularly ways to ensure timely removal of indwelling catheters. Published studies evaluating interventions to reduce the duration of catheterization and CAUTI in hospitalized patients were retrieved. The research identified two types of strategies to reduce the duration of indwelling urinary catheters and the incidence of CAUTI: nurse-led interventions and informatics-led interventions, which included two subtypes: computerized interventions and chart reminders. Current evidence supports the use of nurse-led and informatics-led interventions to reduce the length of catheterizations and subsequently the incidence of CAUTI.
住院患者使用留置导尿管会增加出现并发症的风险，包括导尿管相关尿路感染（CAUTI）。就发生CAUTI的风险而言，最大的因素是导尿管留置的时间长短。本文的目的是综述预防CAUTI的证据，尤其是确保及时拔除留置导尿管的方法。检索了已发表的评估减少住院患者导尿持续时间和CAUTI的干预措施的研究。该研究确定了两种减少留置导尿管持续时间和CAUTI发生率的策略：护士主导的干预措施和信息学主导的干预措施，后者包括两个子类型：计算机化干预措施和图表提醒。目前的证据支持使用护士主导和信息学主导的干预措施来缩短导尿时间，进而降低CAUTI的发生率。
