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A multifaceted intervention to reduce rates of catheter-associated urinary tract infections in a resource-limited setting.

Publication ,  Journal Article
Tillekeratne, LG; Linkin, DR; Obino, M; Omar, A; Wanjiku, M; Holtzman, D; Cohn, J
Published in: Am J Infect Control
January 2014

BACKGROUND: Health care-associated infections such as catheter-associated urinary tract infections (CAUTIs) are prevalent in resource-limited settings. This study was carried out to determine whether a multifaceted intervention targeting health care personnel would reduce CAUTI rates in a public hospital located in a resource-limited setting. METHODS: A one group, pretest-posttest study was carried out from March to July 2012 in a public district hospital in Nairobi, Kenya. Patients admitted to adult medical wards, and who received urinary catheters, were evaluated for symptomatic CAUTIs using a modified definition by the Centers for Disease Control and Prevention. After collecting baseline CAUTI rates for 8 weeks, a multifaceted intervention consisting of lectures, reminder signs, and infection prevention rounds (week 9) was implemented. The postintervention rate of CAUTIs was measured over 7 subsequent weeks. Bivariable analysis was performed to determine whether the intervention was associated with reduced CAUTIs. RESULTS: A total of 125 patients received urinary catheters, with 82 preintervention and 43 postintervention. Mean duration of catheterization did not change between phases (6.9 vs 5.6 days, respectively, P = .322), but catheter utilization ratio decreased from 0.14 to 0.09 (P < .001). There were 13 preintervention CAUTIs (for 30.4 infections per 1,000 catheter-days) and no postintervention CAUTIs (P = .002). CONCLUSION: In this resource-limited setting, the baseline rate of CAUTIs was high. A low-cost, multifaceted intervention resulted in decreased urinary catheter use and CAUTI rates.

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Published In

Am J Infect Control

DOI

EISSN

1527-3296

Publication Date

January 2014

Volume

42

Issue

1

Start / End Page

12 / 16

Location

United States

Related Subject Headings

  • Young Adult
  • Urinary Tract Infections
  • Middle Aged
  • Male
  • Kenya
  • Incidence
  • Humans
  • Hospitals, Public
  • Health Personnel
  • Female
 

Citation

APA
Chicago
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MLA
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Tillekeratne, L. G., Linkin, D. R., Obino, M., Omar, A., Wanjiku, M., Holtzman, D., & Cohn, J. (2014). A multifaceted intervention to reduce rates of catheter-associated urinary tract infections in a resource-limited setting. Am J Infect Control, 42(1), 12–16. https://doi.org/10.1016/j.ajic.2013.07.007
Tillekeratne, L Gayani, Darren R. Linkin, Mariah Obino, Afua Omar, Mary Wanjiku, David Holtzman, and Jennifer Cohn. “A multifaceted intervention to reduce rates of catheter-associated urinary tract infections in a resource-limited setting.Am J Infect Control 42, no. 1 (January 2014): 12–16. https://doi.org/10.1016/j.ajic.2013.07.007.
Tillekeratne LG, Linkin DR, Obino M, Omar A, Wanjiku M, Holtzman D, et al. A multifaceted intervention to reduce rates of catheter-associated urinary tract infections in a resource-limited setting. Am J Infect Control. 2014 Jan;42(1):12–6.
Tillekeratne, L. Gayani, et al. “A multifaceted intervention to reduce rates of catheter-associated urinary tract infections in a resource-limited setting.Am J Infect Control, vol. 42, no. 1, Jan. 2014, pp. 12–16. Pubmed, doi:10.1016/j.ajic.2013.07.007.
Tillekeratne LG, Linkin DR, Obino M, Omar A, Wanjiku M, Holtzman D, Cohn J. A multifaceted intervention to reduce rates of catheter-associated urinary tract infections in a resource-limited setting. Am J Infect Control. 2014 Jan;42(1):12–16.
Journal cover image

Published In

Am J Infect Control

DOI

EISSN

1527-3296

Publication Date

January 2014

Volume

42

Issue

1

Start / End Page

12 / 16

Location

United States

Related Subject Headings

  • Young Adult
  • Urinary Tract Infections
  • Middle Aged
  • Male
  • Kenya
  • Incidence
  • Humans
  • Hospitals, Public
  • Health Personnel
  • Female