Adherence to the Catheter-Associated Urinary Tract Infection Prevention Bundle in the ICU
DOI:
https://doi.org/10.17058/reci.v16i.20682Keywords:
Patient Care Bundles, Intensive Care Units, Infection Control, Urinary CatheterizationAbstract
Background and Objectives: Catheter-Associated Urinary Tract Infections (CAUTI) have a high prevalence in Intensive Care Units (ICUs), representing a challenge to patient safety. The use of bundles has proven to be an effective strategy for preventing these infections. The objective of this study was to evaluate adherence to insertion and maintenance bundles of indwelling urinary catheters (IUC) for the prevention of CAUTI in ICUs, based on the analysis of three distinct periods: pre-intervention, post-intervention, and observation. Methods: A quasi-experimental before-and-after study was conducted in two ICUs of a public hospital in the Central-West region of Brazil, from January 2019 to March 2020. A total of 118 insertion and 767 maintenance checklists of IUC were analyzed across three phases: pre-intervention, post-intervention, and observational. Descriptive statistics, association tests (Chi-square and Fisher’s Exact), and Carter’s Positivity Index were used to assess compliance. Results: Adherence to the insertion bundle reached 87.29%, indicating safe care. In contrast, adherence to the maintenance bundle was 54%, below the expected level, with lower compliance for items such as recording the insertion date, performing meatal hygiene, and documenting daily medical progress notes. Conclusion: Adherence to the insertion bundle was satisfactory, whereas the maintenance bundle showed low compliance, highlighting the need for continuous educational and monitoring strategies to improve adherence and reduce CAUTI in ICUs.
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