BMC infectious diseases · 2025
Adherence to guidelines for preventing catheter-associated urinary tract infections in hospitalized patients in a tertiary teaching hospital.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Shahdadian Mohammad, Gholipour Farshad, Azadian Ali, Elyasi Bakhtiari Parsa, Khalilianpour Ali, Javid Amir
Аннотация
AIM: Urinary catheterization contributes significantly to hospital-acquired infections. Adhering to CDC guidelines is vital to prevent inappropriate use and reduce infection rates. This study evaluated compliance with these guidelines in hospitalized patients at a tertiary hospital in 2024.
METHODOLOGY: A cross-sectional study assessed compliance with CDC guidelines for preventing catheter-associated urinary tract infections (CAUTIs) in hospitalized patients at Al-Zahra Hospital, Isfahan. Data were gathered through patient observation and chart reviews, evaluating demographics, catheter indications, retention duration, and guideline adherence. Department-specific compliance rates were also analyzed. Standardized checklists ensured consistent data recording.
RESULTS: Of 1262 patients evaluated, 477 (37.8%) underwent urinary catheterization, with a 57.3% adherence rate to CDC guidelines. The most common appropriate indication was acute urinary retention (15.4%), followed by urine output monitoring in critically ill patients (14.5%) and intraoperative monitoring (11.1%). Adherence was highest in cardiology and urology, while gynecology, rheumatology, plastic surgery, and vascular surgery had the lowest rates. The emergency department showed only 27.8% adherence.
CONCLUSION: The findings highlight a suboptimal adherence rate to CDC guidelines in urinary catheterization, emphasizing the need for targeted interventions to improve compliance. Strategic interventions can enhance adherence and subsequently reduce catheter-associated urinary tract infections.
CLINICAL TRIAL NUMBER: Not applicable.
METHODOLOGY: A cross-sectional study assessed compliance with CDC guidelines for preventing catheter-associated urinary tract infections (CAUTIs) in hospitalized patients at Al-Zahra Hospital, Isfahan. Data were gathered through patient observation and chart reviews, evaluating demographics, catheter indications, retention duration, and guideline adherence. Department-specific compliance rates were also analyzed. Standardized checklists ensured consistent data recording.
RESULTS: Of 1262 patients evaluated, 477 (37.8%) underwent urinary catheterization, with a 57.3% adherence rate to CDC guidelines. The most common appropriate indication was acute urinary retention (15.4%), followed by urine output monitoring in critically ill patients (14.5%) and intraoperative monitoring (11.1%). Adherence was highest in cardiology and urology, while gynecology, rheumatology, plastic surgery, and vascular surgery had the lowest rates. The emergency department showed only 27.8% adherence.
CONCLUSION: The findings highlight a suboptimal adherence rate to CDC guidelines in urinary catheterization, emphasizing the need for targeted interventions to improve compliance. Strategic interventions can enhance adherence and subsequently reduce catheter-associated urinary tract infections.
CLINICAL TRIAL NUMBER: Not applicable.