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VOLUME 2 , ISSUE 1 ( January-December, 2023 ) > List of Articles

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Application of quality indicators in improvement and control of urinary tract infections among catheterized patients at tertiary care hospital, Udaipur

Aditi Kothari, Hemant P Pandya, Sanjeev Tripathi, M Tofiq

Keywords : Quality indicators, CAUTI, HAI

Citation Information : Kothari A, Pandya HP, Tripathi S, Tofiq M. Application of quality indicators in improvement and control of urinary tract infections among catheterized patients at tertiary care hospital, Udaipur. 2023; 2 (1):46-49.

DOI: 10.5005/jamu-2-1-46

License: CC BY-NC 4.0

Published Online: 01-01-2023

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Background: Quality indicators are one of the methodologies to improve the quality of hospital services. The patients admitted in hospital to which catheters are applied as a part of treatment are more likely to suffer with urinary tract infections (UTI). Objectives: To determine the effectiveness of application of quality indicator in reduction of cases of UTI and preventing CAUTI and bacteriuria of catheterized patients. Material and Methods: This study was conducted on patients requiring catheterization as a part of treatment. The intervention included pre-test, lecture and demonstration, training of proper insertion, maintenance and removal of catheter and post-test. The results of pre and post intervention were compared. Results: The present study included 1645 patients with catheterization from different sections of the hospital. The required data collected including 878 patients before intervention and 767 patients after intervention deemed second part of the study. Clinically suspected patients of UTI among catheterized patients were 80 with 8 culture confirmation of infection and 2 of them with multidrug resistant isolates. In second part of study, there were 28 patients suspected with infection with 4 culture positives. Conclusion: A significant improvement was observed after the application of QI. It is recommended to apply such indicators not only of urinary tract infections but different types of services in hospital to benefit both hospital and patient. Application of QI in different medical services is beneficial to improve various health services.


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  1. Nicolle LE. Catheter associated urinary tract infections. Antimicrobial resistance and infection control. 2014;3:1-8.
  2. Katayama K, Meddings J, Saint S, Fowler KE, Ratz D, Tagashira Y, et al. Prevalence and appropriateness of indwelling urinary catheters in Japanese hospital wards: a multicenter point prevalence study. BMC Infectious Diseases. 2022;22(1):175.
  3. Saint S. Clinical and economic consequences of nosocomial catheter-related bacteriuria. American journal of infection control. 2000;28(1):68-75.
  4. Bagshaw SM, Laupland KB. Epidemiology of intensive care unit-acquired urinary tract infections. Current opinion in infectious diseases. 2006;19(1):67-71.
  5. Lo E, Nicolle L, Classen D, Arias KM, Podgorny K, Anderson DJ, et al. Strategies to prevent catheterassociated urinary tract infections in acute care hospitals. Infection Control & Hospital Epidemiology. 2008;29(S1):S41-50.
  6. Gould CV, Umscheid CA, Agarwal RK, Kuntz G, Pegues DA. Healthcare Infection Control Practices Advisory Committee. Guideline for prevention of catheter-associated urinary tract infections 2009. Infection Control & Hospital Epidemiology. 2010;31(4):319-26.
  7. Guide to Preventing Catheter-Associated Urinary Tract Infections APIC implementation guide APIC CAUTI Elimination Guide 2008. Available from: http://www.apic.org/ [accessed on August 25, 2022].
  8. Taha H, Raji SJ, Khallaf A, Hija SA, Mathew R, Rashed H, et al. Improving catheter associated urinary tract infection rates in the medical units. BMJ Open Quality. 2017;6(1):u209593-w7966.
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