Topal Jeffrey, Conklin Sandra, Camp Karen, Morris Victor, Balcezak Thomas, Herbert Peter
1 Dr Topal is a physician specialist in the Department of Pharmacy Services.
2 Ms Conklin is a clinical effectiveness specialist.
Am J Med Qual. 2019 Sep/Oct;34(5):430-435. doi: 10.1177/1062860619873170.
Catheter-associated urinary tract infections (CAUTIs) represent the most common nosocomial infection. The authors' baseline rate of CAUTI for general medical service was elevated at 36 per 1000 catheter-days. The medical literature has consistently linked inappropriate catheter use with the development of CAUTI. The baseline data also revealed a high rate of inappropriate use of indwelling urinary catheters. Using the dual modalities of technology through prompts in the computerized order/entry system and handheld bladder scanners, as well as in combination with staff education and nurse empowerment, the authors were successful in reducing the use and duration of urinary catheters as well as the incidence of CAUTI. In subsequent data collection cycles over the following 2 years, 81% reduction in device use and a 73% reduction in the clinical end point of nosocomial CAUTI (36/1000 catheter-days to 11/1000 catheter-days; < .001) was demonstrated.
导尿管相关尿路感染（CAUTIs）是最常见的医院感染。作者所在综合医疗服务部门的CAUTI基线发生率为每1000导尿日36例，偏高。医学文献一直将导尿管使用不当与CAUTI的发生联系起来。基线数据还显示留置导尿管使用不当的比例很高。通过计算机医嘱/录入系统中的提示和手持式膀胱扫描仪这两种技术手段，并结合员工教育和护士赋权，作者成功减少了导尿管的使用和留置时间以及CAUTI的发生率。在随后两年的后续数据收集周期中，设备使用减少了81%，医院CAUTI的临床终点减少了73%（从每1000导尿日36例降至11例；P<0.001）。
