Alhabdan Nouf, Alyaemni Asma, Aljuaid Mohammed M, Baydoun Ali, Hamidi Samer
Department of Health Administration, College of Business Administration, King Saud University, Riyadh, Saudi Arabia.
School of Medicine, St. George's University, Grenada, West Indies.
Clinicoecon Outcomes Res. 2023 Jan 19;15:41-49. doi: 10.2147/CEOR.S396160. eCollection 2023.
The prevalence of catheter-associated urinary tract infections (CAUTIs) in hospitals characterizes one of the most significant problems in healthcare. This study aims to assess whether the implementation of impact of key performance indicators (KPIs) checklist reduces the number of CAUTI in adults present in intensive care unit (ICU) with indwelling catheters.
This is a retrospective analytical study conducted in a tertiary hospital in Riyadh, Saudi Arabia, from June 2020 to June 2021. One hundred and thirty-four patients with CAUTIs met the criteria and were included in the study. Socio-demographic data was collected to enable informed analysis based on personal information (age, gender, marital status, monthly income, level of education, and department) and medical history (duration of catheterization, types of organisms, history of chronic illness, and duration of hospitalization). The research also used a prevention of CAUTI checklist containing 26 items. The outcome measures were 1) the rate of CAUTIs measured pre- and post-implementing performance measurement indicators (KPI) of CAUTIs prevention practice and 2) the prevention of catheter-associated urinary tract infection in three areas: general information recording, insertion practices, and maintenance practices.
The study found that there was compliance with the prevention of CAUTIs in terms of recording the general patient's information (72%), insertion practices (52%), and maintenance practices (50%). However, most safety practices, including poor hygiene and safety standards, patient handling, and audited protocol programs, were not strictly followed, resulting in increased risk factors for CAUTIs.
Compliance with the prevention of CAUTIs in terms of recording the general patient's information, insertion practices, and maintenance practices lies within the range of 50-75%, and the recommended practices are usually followed. A targeted education on CAUTI-prevention practices curtailing the most aggravating risk factors and adopting a safety culture driven by a patient handling and audited protocol program should be explored to reduce hospital CAUTIs.
医院中导管相关尿路感染（CAUTIs）的患病率是医疗保健领域最严重的问题之一。本研究旨在评估关键绩效指标（KPI）清单的实施是否能减少重症监护病房（ICU）中留置导管的成年患者的CAUTIs数量。
这是一项在沙特阿拉伯利雅得的一家三级医院进行的回顾性分析研究，时间为2020年6月至2021年6月。134例CAUTIs患者符合标准并纳入研究。收集社会人口统计学数据，以便根据个人信息（年龄、性别、婚姻状况、月收入、教育程度和科室）和病史（导尿持续时间、病原体类型、慢性病病史和住院时间）进行知情分析。该研究还使用了一份包含26项内容的CAUTIs预防清单。结果指标为：1）在实施CAUTIs预防措施的绩效测量指标（KPI）前后测量的CAUTIs发生率；2）在三个方面预防导管相关尿路感染：一般信息记录、插入操作和维护操作。
研究发现，在记录患者一般信息（72%）、插入操作（52%）和维护操作（50%）方面，CAUTIs预防措施存在合规情况。然而，大多数安全措施，包括卫生和安全标准不佳、患者处理以及审核协议程序，并未得到严格遵守，导致CAUTIs的风险因素增加。
在记录患者一般信息、插入操作和维护操作方面，CAUTIs预防措施的合规率在50%-75%之间，推荐的措施通常得到遵循。应探索针对减少最严重风险因素的CAUTIs预防措施进行有针对性的教育，并采用由患者处理和审核协议程序驱动的安全文化，以减少医院内的CAUTIs。
