Journal of nursing care quality · 2026
A Chlorhexidine Gluconate Protocol to Decrease Catheter-Associated Urinary Tract Infections: A Quality Improvement Project.
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Lilly Susan K, Ragon Nicole S, Andre Shelly R, Tran Amanda L
Аннотация
BACKGROUND: Catheter-associated urinary tract infections (CAUTI) lead to higher health care costs and adverse patient outcomes.
LOCAL PROBLEM: A Midwestern acute care hospital saw an increase in CAUTI rates from July to December 2022.
METHODS: Plan-Do-Study-Act cycles guided this quality improvement project.
INTERVENTIONS: Staff education and coaching facilitated a change from daily bathing and urinary catheter care using soap and water to using chlorhexidine gluconate wipes for all adult patients with indwelling urinary catheters.
RESULTS: This change led to a substantial 81.1% reduction in the CAUTI rate, sustained over 24 months, decreasing from an average rate of 2.12 to 0.40.
CONCLUSION: Implementing a standardized chlorhexidine gluconate bathing and catheter care protocol significantly reduced CAUTI rates, suggesting it is an effective strategy for minimizing CAUTI risk in acute care settings.
LOCAL PROBLEM: A Midwestern acute care hospital saw an increase in CAUTI rates from July to December 2022.
METHODS: Plan-Do-Study-Act cycles guided this quality improvement project.
INTERVENTIONS: Staff education and coaching facilitated a change from daily bathing and urinary catheter care using soap and water to using chlorhexidine gluconate wipes for all adult patients with indwelling urinary catheters.
RESULTS: This change led to a substantial 81.1% reduction in the CAUTI rate, sustained over 24 months, decreasing from an average rate of 2.12 to 0.40.
CONCLUSION: Implementing a standardized chlorhexidine gluconate bathing and catheter care protocol significantly reduced CAUTI rates, suggesting it is an effective strategy for minimizing CAUTI risk in acute care settings.