Prevention of Catheter-Associated Urinary Tract Infection Among Adult Patients in an Intensive Care Unit: A best practice implementation project

Yi-Hung Yang


The objective of this evidence-based implementation project was to promote evidence-based best recommendations to implemented practice in the prevention catheter-associated urinary tract infection (CAUTI) in an intensive care units in Taipei. CAUTI caused adverse events of patient discomfort, prolonged hospital stay and increased cost and mortality. The infection rate of CAUTI was 2.19-10.58‰ in the ICU on 2018. The main causes of CAUTI are indwelling urethral catheter indwelling days and care. The effective prevention plan of CAUTI require an evidence-based approach. A clinical audit was undertaken using the JBI PACES tool. We evaluated nine audit criteria that represented best practice recommendations needed to apply for indwelling Foley care for CAUTI. Baseline and follow up audits and multiple strategies execution to overcome obstacles throughout an eight-week period in the ICU.

Relevant Publications in Journal of Research in Nursing and Midwifery