Evaluation of an Infection Control Management Mode for Preventing Catheter-Related Urinary Tract Infections in Intensive Care Units.

Objective: This study explored an infection control management mode effect that prevents catheter-associated urinary tract infection (CAUTI) in an intensive care unit (ICU).

Methods: A retrospective cohort study was conducted on patients who received indwelling catheters from February 2020 to February 2022 in the ICU ward. Patients were categorised into two groups, including the study (implemented the infection control management model) and reference groups (received the usual clinical management protocols), based on different clinical management protocols. The CAUTI results at different moments of the patients' lives were examined, and the groups were compared in terms of CAUTI incidence, catheter retention time, Family Satisfaction with Care in the Intensive Care Unit-24 (FS-ICU-24) and Acute Physiology and Chronic Health Evaluation II (APACHE-II).

Results: A total of 102 patients were included in this study, with 48 and 54 allotted to the study and reference groups, respectively. No significant difference in the CAUTI control rate was found between the groups at 2 and 5 days (p > 0.05), whereas the CAUTI control rate at 7 days in the study group was significantly lower than that in the reference group (p < 0.05). The FS-ICU-24 score of the study group was significantly higher than that of the reference group, whereas the APACHE-II score was significantly lower (p < 0.001). The study group's catheter retention and ICU treatment times were significantly lower than those of the reference group (p < 0.001).

Conclusions: The implementation of infection control management mode can effectively reduce the incidence of CAUTI in ICU patients, improve clinical satisfaction and shorten catheter retention time, and thus, it exhibits a certain clinical application value.