College
College of Arts and Sciences
Mentor Information
Dr. Donna Ettel-Gambino
Description
An estimated 44% of urinary tract infections are classified as catheter-associated urinary tract infections (CAUTIs). In 2020, stated United States CAUTI infection rates were estimated at 0.754 per 1000 catheter days1 (with higher rates in ICUs). CAUTI is associated with an adjusted incremental total hospital cost of $9,807 (p<0.0001) and increased length of stay of 3.01 days2 (p<0.0001). This study examines staff compliance with known CAUTI best practices. A quantitative, causal- comparative approach was utilized. All patients (n=119) had an indwelling foley catheter. The independent variables were the individual clinical units each patient was assigned to. The dependent variable was adherence to the CAUTI Prevention Bundle best practices. Best practices included proper removal protocol and catheter maintenance (ensuring an unobstructed flow). Initially, a MANOVA was used to compare differences across groups. For a statistically significant criteria one way ANOVA contrasts were conducted. There were statistically significant findings as evidenced by Wilk’s Λ (36, 472) = 0.53, p<0.0005. One-way ANOVA contrasts identified two statistically significant differences: 1) Less than half of employees (48%) were adhering to best practice guidelines for catheter removal protocol (p< 0.02); and 2) Employees (71%) were compliant with best practices for catheter care (p< 0.005). It was chilling to note that less than half of employees (48%) complied with the catheter removal process. This information is the first of its kind in CAUTI and may assist policymakers and other key stakeholders in Florida—and nationally—in identifying, designing and implementing strategies to promote best practices.
Leveraging CAUTI & Evidence-based Best Practices
An estimated 44% of urinary tract infections are classified as catheter-associated urinary tract infections (CAUTIs). In 2020, stated United States CAUTI infection rates were estimated at 0.754 per 1000 catheter days1 (with higher rates in ICUs). CAUTI is associated with an adjusted incremental total hospital cost of $9,807 (p<0.0001) and increased length of stay of 3.01 days2 (p<0.0001). This study examines staff compliance with known CAUTI best practices. A quantitative, causal- comparative approach was utilized. All patients (n=119) had an indwelling foley catheter. The independent variables were the individual clinical units each patient was assigned to. The dependent variable was adherence to the CAUTI Prevention Bundle best practices. Best practices included proper removal protocol and catheter maintenance (ensuring an unobstructed flow). Initially, a MANOVA was used to compare differences across groups. For a statistically significant criteria one way ANOVA contrasts were conducted. There were statistically significant findings as evidenced by Wilk’s Λ (36, 472) = 0.53, p<0.0005. One-way ANOVA contrasts identified two statistically significant differences: 1) Less than half of employees (48%) were adhering to best practice guidelines for catheter removal protocol (p< 0.02); and 2) Employees (71%) were compliant with best practices for catheter care (p< 0.005). It was chilling to note that less than half of employees (48%) complied with the catheter removal process. This information is the first of its kind in CAUTI and may assist policymakers and other key stakeholders in Florida—and nationally—in identifying, designing and implementing strategies to promote best practices.
