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Hygiene with wet wipes in bedridden patients to prevent catheter-associated urinary tract infection in cardiac surgery: A randomized controlled trial

Published online by Cambridge University Press:  24 August 2023

Laia Castellà ,
Irma Casas ,
Montse Giménez Open the ORCID record for Montse Giménez [Opens in a new window] ,
Dina Reina ,
Nieves Sopena ,
Maria-José García-Quesada  and
the Clinical Working Group
Laia Castellà
Affiliation:
Infection Control Nursing, Infection Control Team, Germans Trias i Pujol University Hospital, Badalona, Spain Germans Trias i Pujol Research Institute (IGTP), Germans Trias i Pujol University Hospital, Badalona, Spain NURECARE-IGTP Nursing Research Group, Germans Trias i Pujol Research Institute, Badalona, Spain
Irma Casas*
Affiliation:
Germans Trias i Pujol Research Institute (IGTP), Germans Trias i Pujol University Hospital, Badalona, Spain Preventive Medicine Department, Infection Control Team, Germans Trias i Pujol University Hospital, Badalona, Spain Universitat Autònoma de Barcelona, Cerdanyola del Vallès, Barcelona, Spain
Montse Giménez
Affiliation:
Microbiology Department, Infection Control Team, North Metropolitan Clinical Laboratory, Germans Trias i Pujol University Hospital, Badalona, Spain Infectious Diseases Department, Infection Control Team, Germans Trias i Pujol University Hospital, Badalona, Spain CIBERES Instituto de Salud Carlos III, Madrid, Spain
Dina Reina
Affiliation:
Infection Control Nursing, Infection Control Team, Germans Trias i Pujol University Hospital, Badalona, Spain NURECARE-IGTP Nursing Research Group, Germans Trias i Pujol Research Institute, Badalona, Spain
Nieves Sopena
Affiliation:
Germans Trias i Pujol Research Institute (IGTP), Germans Trias i Pujol University Hospital, Badalona, Spain Universitat Autònoma de Barcelona, Cerdanyola del Vallès, Barcelona, Spain Microbiology Department, Infection Control Team, North Metropolitan Clinical Laboratory, Germans Trias i Pujol University Hospital, Badalona, Spain Infectious Diseases Department, Infection Control Team, Germans Trias i Pujol University Hospital, Badalona, Spain CIBERES Instituto de Salud Carlos III, Madrid, Spain
Maria-José García-Quesada
Affiliation:
Infection Control Nursing, Infection Control Team, Germans Trias i Pujol University Hospital, Badalona, Spain Germans Trias i Pujol Research Institute (IGTP), Germans Trias i Pujol University Hospital, Badalona, Spain NURECARE-IGTP Nursing Research Group, Germans Trias i Pujol Research Institute, Badalona, Spain
*
Author for correspondence: Irma Casas, Preventive Medicine Department, Infection Control Team, Hospital Germans Trias i Pujol, Carretera del Canyet s/n. Badalona 08916 Barcelona (Spain). Email: icasas.germanstrias@gencat.cat.
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Abstract

We assessed hygiene with wet wipes in bedridden patients with urinary catheters for catheter-associated urinary tract infection (CAUTI) prevention. CAUTIs occurred in 16.5% of the control group compared to 5.9% of the intervention group (P = .035). Hygiene with wet wipes can substitute for conventional hygiene for preventing CAUTI.

Information

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 45 , Issue 2 , February 2024 , pp. 227 - 230
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Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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Footnotes

a

Clinical Working Group members: Isabel Andrés, Juana Linares, Rodrigo Hernandez, Sergio Alonso, Ana Pulido, Ana Ciércoles, Silvia Aulet, Jenifer García, and Jesica Ruiz.

References

Sonda uretral en los pacientes críticos ingresados en las unidades de cuidados intensivos “PROYECTO ITU-ZERO.” Ministerio de Sanidad y consumo de España website. https://www.seguridaddelpaciente.es/resources/documentos/2018/04/itu-zero/definitivo/PROYECTO-ITU-ZERO-2018-2020.pdf. Published 2018. Accessed August 1, 2023.Google Scholar
Umscheid, CA, Mitchell, MD, Doshi, JA, Agarwal, R, Williams, K, Brennan, PJ. Estimating the proportion of healthcare-associated infections that are reasonably preventable and the related mortality and costs. Infect Control Hosp Epidemiol 2011;32:101–14.10.1086/657912CrossRefGoogle ScholarPubMed
Groven, FMV, Zwakhalen, SMG, Odekerken-Schröder, G, Joosten, EJT, Hamers, JPH. How does washing without water perform compared to the traditional bed bath: a systematic review. BMC Geriatr 2017;17:1–16.10.1186/s12877-017-0425-4CrossRefGoogle Scholar
Anaissie, EJ, Penzak, SR, Dignani, MC. The hospital water supply as a source of nosocomial infections a plea for action. Arch Intern Med 2022;162:1483–1492.10.1001/archinte.162.13.1483CrossRefGoogle Scholar
Shaw, E, Gavaldà, L, Càmara, J, et al. Control of endemic multidrug-resistant gram-negative bacteria after removal of sinks and implementing a new water-safe policy in an intensive care unit. J Hosp Infect 2018;98:275–281.10.1016/j.jhin.2017.10.025CrossRefGoogle Scholar
Barbour, V, Bhui, K, Chescheir, N, et al. CONSORT statement for randomized trials of nonpharmacologic treatments: a 2017 update and a CONSORT extension for nonpharmacologic trial abstracts. Ann Intern Med 2017;167:40–47.Google Scholar
Horan, TC, Andrus, M, Dudeck, MA. CDC/NHSN surveillance definition of healthcare-associated infection and criteria for specific types of infections in the acute-care setting. Am J Infect Control 2008;36:309–332.10.1016/j.ajic.2008.03.002CrossRefGoogle ScholarPubMed
Strouse, AC. Appraising the literature on bathing practices and catheter-associated urinary tract infection prevention. Urol Nurs 2015;35:11–17.10.7257/1053-816X.2015.35.1.11CrossRefGoogle ScholarPubMed
Reagan, KA, Chan, DM, Vanhoozer, G, et al. You get back what you give: decreased hospital infections with improvement in CHG bathing, a mathematical modeling and cost analysis. Am J Infect Control 2019;47:1471–1473.10.1016/j.ajic.2019.07.003CrossRefGoogle ScholarPubMed
Boonyasiri, A, Thaisiam, P, Permpikul, C, et al. Effectiveness of chlorhexidine wipes for the prevention of multidrug-resistant bacterial colonization and hospital-acquired infections in intensive care unit patients: a randomized trial in Thailand. Infect Control Hosp Epidemiol 2016;37:245–253.10.1017/ice.2015.285CrossRefGoogle ScholarPubMed