Susan K Lilly, Nicole S Ragon, Shelly R Andre, Amanda L Tran
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A Chlorhexidine Gluconate Protocol to Decrease Catheter-Associated Urinary Tract Infections: A Quality Improvement Project.
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.
期刊介绍：
Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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