A randomized controlled trial to evaluate the effectiveness of urinary catheter care in prevention of catheter associated urinary tract infection (CAUTI) among urinary catheterized patients admitted in Gian Sagar Medical College and Hospital Ram Nagar, Ra
Catheter-associated urinary tract infection (CAUTI) is widely recognized as most common Healthcare associated infections (HAI) in India as the incidence is 9/1000 among urinary catheterized patients.
Aim of study
The aim of the study is to evaluate the effectiveness of urinary catheter care in prevention of catheter associated urinary tract infection (CAUTI).
After approval from the ethical committee, randomized controlled trial was conducted on 60 patients to evaluate the effectiveness of urinary catheter care in prevention of catheter associated urinary tract infection (CAUTI) among urinary catheterized female patients admitted in GSMCH. Procedure protocol and data collection tool prepared and got validated by experts. Content validity was 98% and reliability was (r=0.9). Patients were randomly allocated by closed envelope method into experimental and control group. Demographic performa and clinical parameters recording started. Catheter care was done once in a day daily with soap and water in experimental group and routine care by staff nurses in control group. After 2 days clinical parameters of CAUTI were assessed daily in both groups before the care with Nurses assessment sheet and if one is present then urine routine, urine culture & sensitivity and blood investigations (TLC, DLC) were sent. Data was analyzed with descriptive & inferential statistics.
The findings depicted that (p> 0.05) level of significance so there was no significance difference between both the techniques in clinical parameters, urine routine & culture and blood investigations.
This study concluded that Clean technique i.e. soap and water and routine care i.e. Povidine iodine and normal saline were clinically significant in reduction of CAUTI, being one of the easiest, cost effective and feasible method to prevent it.
Recommendation: This study can be repeated on large sample size & for longer duration among urinary catheterized patients.
Key words: Urinary catheter care, Prevention of CAUTI, Urinary catheterized female patient
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Center of Disease Control. Urinary Tract Infection (Catheter-Associated Urinary Tract Infection [CAUTI] and Non-Catheter-Associated Urinary Tract Infection [UTI]) and Other Urinary System Infection [USI]) Events. [Internet]. 2016 Jan [cited 2016 March 05]. Available from: https://www.cdc.gov/hai/pdfs/ cautiguideline2009final.pdf
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