The research problem that is being explored is how to prevent infections in people who use long term indwelling urinary catheters. As patients get injured or as they age; there is a growing need to have assistance with releasing urine from the bladder. A major problem with urinary catheters is that whilst they drain the bladder, they often block the urethra and the urinary mucosa becomes inflamed, and may become damaged because of the catheter (Traunter & Darouiche, 2004). Catheter associated infections are a prevailing issue because it is best practice to reduce the costs of infections, while implementing quality and safe practices.…
Stanton,S.L. and Dwyer, P.L. 2000 in Bardsley, A. Urinary tract infections: prevention and treatment of a common problem Nurse Prescriber 1(13) pp113-117…
Urinary tract infections (UTI’s) are the most common type of nosocomial infections (Holland, 2012) however UTI’s are also one of the infections that is preventable. As a health care provider we are responsible for preventing infections by hand washing and or sanitizing and the other is by following current evidenced based protocols. Due to the facility not following the current evidenced based protocols for catheter care Mrs. Zwick’s had to endure a longer stay at the hospital. The negative implications that may have affected Mrs. Zwick’s could be increased anxiety for having to be hospitalized for an extend stay. Having an IV antibiotics may have caused her to stay in bed longer than needed. Unfortunately Mrs. Zwick’s will be responsible for the cost related to the hospital acquired infection. At 77 years old Mrs. Zwick’s is possibly on a fixed income having to pay the extra expense may lead to possibly her not being able to pay for her medications or not being able to pay for food. It’s important that health care facilities practice their infection control policies and continue to use evidence based protocols overall it will help the hospitals by reducing their infection rates but most of all it will help the…
Most of the articles I reviewed addressed the causes of CAUTIs, the risks of indwelling urinary catheters, as well as the successful evidence-based interventions implemented for the reduction of CAUTIs. Strouse (2015), reports that UTIs account for approximately 35% to 40% of hospital-acquired infection (HAIs) and about 80% of the UTIs are associated with presence of indwelling foley catheter. The CAUTIs not only affect the increased hospital cost, but also increases the risk of morbidity and mortality. Both the Centers for Medicare and Medicaid Services consider CAUTIs as preventable complications hence no reimbursement is provided to the health care institutions for CAUTI treatment-related costs (Strouse, 2015).…
Neelakanta, A., Sharma, S., Kesani, V. P., Salim, M., Pervaiz, A., Aftab, N., & ... Kaye, K. S. (2015). Impact of Changes in the NHSN Catheter-Associated Urinary Tract Infection (CAUTI) Surveillance criteria on the Frequency and Epidemiology of CAUTI in Intensive Care Units (ICUs). Infection Control & Hospital Epidemiology, 36(3), 346-349. doi:10.1017/ice.2014.67. Retrieved May 31, 2015 from…
It is essential to minimize urinary catheter use and duration of use in all patients, particularly those at higher risk for CAUTI or mortality from catheterization such as women, the elderly, and patients with impaired immunity. Two of the most important strategies for prevention of CAUTI are to limit insertion to only those conditions for which there is an indication and to remove catheters as soon as possible. Although the indwelling urinary catheter may be indicated in critically ill or perioperative patients, the timing of removal is often influenced by nurse or physician convenience rather than individual care needs.…
Catheter-associated urinary tract infections are a serious concern in the medical world. Catheter-Associated Urinary Tract Infections are the most commonly reported hospital-acquired condition, and the rates continue to rise. Among urinary tract infections acquired in the hospital, approximately 75% are associated with a urinary catheter, which is a tube inserted into the bladder through the urethra to drain urine (“Centers for Disease Control and Prevention,” n.d.). They pose a major threat to patient safety and cost well into the billions. They lead to extended hospital stays, increase health care costs, and patient morbidity and mortality.…
* Adults pass about a quart and a half of urine each day, depending on the fluids and foods…
Urinary Tract Infections are one of the most common hospital-acquired infection and many are associated with an indwelling catheter. For each day a catheter is in place the risk of developing a CAUTI increases 3%-7% (Kahnen, Flanders, & Magalong, 2011 ). Although indwelling urinary catheters are widely used in hospitalized patients and can provide an appropriate means of therapeutic management, they are often used without clear indications putting the patient at a risk for complications during their hospitalization. Complications related to a urinary catheter include physical and psychological discomfort to the patient, bladder calculi, renal inflammation and most…
Indwelling urinary catheters are widely used in the hospital and can be an appropriate means of therapeutic management under certain conditions. However, many utilized indwelling urinary catheters are without clear indications increasing the risk of complications, including catheter-associated urinary tract infections (Bernard, Hunter & Moore, 2012). Catheter-associated complications include physical and psychological discomfort to the patient, bladder calculi, renal inflammation, and most frequently, catheter-associated urinary tract infections. As a result, CAUTIs can impact the quality of life, place a financial burden on the health care system for treatment and increase the length of stay for the patient (Bernard, Hunter & Moore, 2012). According to Elpern, Killeen, Ketchem, Wiley, Patel, and Lateef (2009), “CAUTIs were selected by the Centers…
Urinary tract infections are a serious health problem affecting millions of people each year. Infections of the urinary tract are commononly respiratory infections occur more often. In 1997, urinary tract infections (UTIs) accounted for about 8.3 million doctor visits.* Women are especially prone to UTIs for reasons that are poorly understood. One woman in five develops a UTI during her lifetime. UTIs in men are not so common, but they can be very serious when they do occur.…
A urinary tract infection or UTI is an infection that can happen anywhere along the urinary tract. Your urinary tract is the system that makes urine and carries it out of your body. Urinary tract infections can have different names, depending on what part of the urinary tract is infected. The infection can be in the bladder, kidneys, ureters, or the urethra. If the infection is in the bladder it is called cystitis or a bladder infection. If the infection is in the kidneys is it called pyelonephritis or a kidney infection. If the infection is in the urethra it is called urethritis. Most urinary tract infections are bladder infections. Infections in the ureters are very rare.…
Statistics is defined by Bennett, Briggs, & Triola (2009), as “the science of collecting, organizing, and interpreting data” (p. 1). Almost every profession uses statistics in some way to guide in making good decisions based on current research. The nursing profession relies heavily on current research to guide patient care with the integration of evidenced-based practice. Statistics provide valuable information to caregivers to help them understand, plan, evaluate, and improve the quality of patient care. In the acute care hospital setting there are ongoing measurements of such things as patient satisfaction, hand washing compliance rates, catheter acquired urinary tract infections, and central access infection rates, just to name a few. The collection of this data involves descriptive statistics, inferential statistics, and levels of measurements.…
A urinary tract infection (UTI) is an infection involving any part of the urinary system, including urethra, bladder, ureters, and kidney. UTIs are the most common type of healthcare-associated infection reported to the National Healthcare Safety Network (NHSN)(https://www.cdc.gov/nhsn/index.html) .Among UTIs acquired in the hospital, approximately 75% are associated with a urinary catheter, which is a tube inserted into the bladder through the urethra to drain urine. Between 15-25% of hospitalized patients receive urinary catheters during their hospital stay. Primary prevention aims to prevent disease or injury before it ever occurs. This is done by preventing exposures to hazards that cause disease or injury, altering unhealthy or unsafe behaviors that can lead to disease or injury, and increasing resistance the most important risk factor…
I was right to be afraid. Nosocomial infections, AKA hospital acquired infections, are common during both surgeries, and normal everyday doctor visits. Currently, there are no uniform infection prevention programs for every hospital in America. Today I would like to talk to you all about the key economic issues facing hospital acquired infections, As well as the things you all should look for in order to better protect yourself.…