Summary
Background
Urinary tract infections (UTIs) are one of the most common hospital-acquired complications.
Insertion of a urinary catheter and the duration of catheterization are the main risk
factors, with catheter-associated UTIs (CAUTIs) accounting for 70–80% of hospital-acquired
UTIs. Guidance is available regarding the prevention of hospital-acquired CAUTIs;
however, how best to operationalize this guidance remains a challenge.
Aim
To map and summarize the peer-reviewed literature on model-of-care interventions for
the prevention of CAUTIs in adult inpatients.
Methods
PubMed, CINAHL and SCOPUS were searched for articles that reported UTI, CAUTI or urinary
catheter outcomes. Articles were screened systematically, data were extracted systematically,
and interventions were classified by intervention type.
Findings
This review included 70 articles. Interventions were classified as single component
(N=19) or multi-component (N=51). Single component interventions included: daily rounds or activities (N=4), protocols and procedure changes (N=6), reminders and order sets (N=5), audit and feedback interventions (N=3), and education with simulation (N=1). Overall, daily catheter reviews and protocol and procedure changes demonstrated
the most consistent effects on catheter and CAUTI outcomes. The components of multi-component
interventions were categorized to map common elements and identify novel ideas.
Conclusion
A range of potential intervention options with evidence of a positive effect on catheter
and CAUTI outcomes was identified. This is intended to provide a ‘menu’ of intervention
options for local decision makers, enabling them to identify interventions that are
relevant and feasible in their local setting.
Keywords
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Article info
Publication history
Published online: April 02, 2023
Accepted:
March 28,
2023
Received:
December 4,
2022
Identification
Copyright
© 2023 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
