دورية أكاديمية
Evidence-based prevent catheter-associated urinary tract infections guidelines and burn-injured patients: a pilot study.
| العنوان: | Evidence-based prevent catheter-associated urinary tract infections guidelines and burn-injured patients: a pilot study. |
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| المؤلفون: | Christ-Libertin C; From the *Akron Children's Hospital, Ohio; and †Walsh University, North Canton, Ohio., Black S, Latacki T, Bair T |
| المصدر: | Journal of burn care & research : official publication of the American Burn Association [J Burn Care Res] 2015 Jan-Feb; Vol. 36 (1), pp. e1-6. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 101262774 Publication Model: Print Cited Medium: Internet ISSN: 1559-0488 (Electronic) Linking ISSN: 1559047X NLM ISO Abbreviation: J Burn Care Res Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2018- : Oxford : Oxford University Press Original Publication: Hagerstown, MD : Lippincott Williams & Wilkins, c2006- |
| مواضيع طبية MeSH: | Evidence-Based Medicine* , Practice Guidelines as Topic*, Burns/*therapy , Catheters, Indwelling/*adverse effects , Urinary Catheterization/*adverse effects , Urinary Tract Infections/*prevention & control, Adolescent ; Adult ; Aged ; Aged, 80 and over ; Burn Units ; Child ; Clinical Protocols ; Female ; Humans ; Incidence ; Male ; Middle Aged ; Pilot Projects ; Urinary Tract Infections/epidemiology ; Young Adult |
| مستخلص: | The objective of this pilot study was to describe effectiveness of an evidence-based guideline designed to prevent catheter-associated urinary tract infection (CA-UTI) in reducing CA-UTI in the burn-injured patient population. The study used a pre- and post-bundle implementation comparison design. Inclusion criteria included burn-injured patients of all ages with an indwelling urinary catheter. Patient demographic data were collected by medical record review when informed of a CA-UTI. The Rosswurm-Larrabee Model six-step process model guided implementation of practice change. The sample included eight burn-injured patients (7-88 years). Catheter day range was 1 to 27 days. Each patient had a clear indication for an indwelling urinary catheter; the need for accurate urinary output measurement in a critically injured patient. Four patients had a catheter placed twice during the stay. Nurses reported using a bladder scanner to assess bladder volume for post-operative patients with urinary retention avoiding use of an indwelling urinary catheter in some cases. Integration of evidence-based guidelines in practice resulted in a reduced CA-UTI rate, reduced catheter days, increased days between CA-UTI, and outperformance of the national benchmark statistic. In 2013, the burn unit reduced catheter days by about 75% and reduced infection incidence by >90% in three quarters after implementation of the practice changes. The unit was able to sustain a CA-UTI rate of zero for 248 days. |
| تواريخ الأحداث: | Date Created: 20141216 Date Completed: 20151006 Latest Revision: 20180302 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1097/BCR.0000000000000193 |
| PMID: | 25501781 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1559-0488 |
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| DOI: | 10.1097/BCR.0000000000000193 |