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Culturing practices and the care of the urinary catheter in reducing NHSN-defined catheter-associated urinary tract infections: The tale of two teaching hospitals

Published online by Cambridge University Press:  10 October 2018

Ana Cecilia Bardossy ,
Takiah Williams ,
Karen Jones ,
Susan Szpunar ,
Marcus Zervos ,
George Alangaden ,
Katherine Reyes  and
Mohamad G. Fakih Open the ORCID record for Mohamad G. Fakih [Opens in a new window]
Ana Cecilia Bardossy
Affiliation:
Division of Infectious Diseases, Henry Ford Health System, Detroit, Michigan
Takiah Williams
Affiliation:
Department of Infection Prevention and Control, Ascension St John Hospital
Karen Jones
Affiliation:
Department of Infection Prevention and Control, Ascension St John Hospital
Susan Szpunar
Affiliation:
Medical Education, Ascension St John Hospital, Detroit, Michigan
Marcus Zervos
Affiliation:
Division of Infectious Diseases, Henry Ford Health System, Detroit, Michigan
George Alangaden
Affiliation:
Division of Infectious Diseases, Henry Ford Health System, Detroit, Michigan
Katherine Reyes
Affiliation:
Division of Infectious Diseases, Henry Ford Health System, Detroit, Michigan
Mohamad G. Fakih*
Affiliation:
Care Excellence, Ascension Healthcare, St Louis, Missouri
*
Author for correspondence: Mohamad Fakih, MD, MPH, Care Excellence, Ascension Healthcare, 4600 Edmundson Rd, St. Louis, MO 63134. E-mail: Mohamad.Fakih@ascension.org
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Abstract

We compared interventions to improve urinary catheter care and urine culturing in adult intensive care units of 2 teaching hospitals. Compared to hospital A, hospital B had lower catheter utilization, more compliance with appropriate indications and maintenance, but higher urine culture use and more positive urine cultures per 1,000 patient days.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 39 , Issue 12 , December 2018 , pp. 1494 - 1496
Copyright
© 2018 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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Footnotes

PREVIOUS PRESENTATION: This study was presented in part (abstracts #502 and #509) at the SHEA Spring 2016 conference on May XX, 2016, in Atlanta, Georgia.

Cite this article: Cecilia Bardossy A, et al. (2018). Culturing practices and the care of the urinary catheter in reducing NHSN-defined catheter-associated urinary tract infections: The tale of two teaching hospitals. Infection Control & Hospital Epidemiology 2018, 39, 1494–1496. doi: 10.1017/ice.2018.251

References

1. AHRQ Safety Program for Reducing CAUTI in Hospitals. Resident physicians as champions in preventing device-associated infections: focus on reducing catheter-associated urinary tract infections. AHRQ Pub No. 15-0073-6-EF. Agency for Healthcare Research and Quality website. https://www.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf Published September 2015. Accessed September 13, 2018.Google Scholar
2. Gould, CV, Umscheid, CA, Agarwal, RK, Kuntz, G, Pegues, DA. Guideline for prevention of catheter‐associated urinary tract infections, 2009. Infect Control Hosp Epidemiol 2010; 31:319–326.Google Scholar
3. Lo, E, Nicolle, LE, Coffin, SE, et al.Strategies to prevent catheter-associated urinary tract infections in acute care hospitals: 2014 update. Infect Control Hosp Epidemiol 2014;35:464–479.Google Scholar
4. NHSN Newsletter September 2014. NHSN e-news, 2014;9(3):1–23. Centers for Disease Control and Prevention website. http://www.cdc.gov/nhsn/newsletters/. Published 2014. Accessed August 11, 2018.Google Scholar
5. Saint, S, Greene, MT, Krein, SL, et al. A program to prevent catheter-associated urinary tract infection in acute care. N Engl J Med 2016;374:2111–2119.Google Scholar
6. Al-Qas Hanna, F, Sambirska, O, Iyer, S, Szpunar, S, Fakih, MG. Clinician practice and the National Healthcare Safety Network definition for the diagnosis of catheter-associated urinary tract infection. Am J Infect Control 2013;41:1173–1177.Google Scholar
7. Fakih, MG, Gould, CV, Trautner, BW, et al. Beyond infection: device utilization ratio as a performance measure for urinary catheter harm. Infect Control Hosp Epidemiol 2016;37:327–333.Google Scholar
8. Mullin, KM, Kovacs, CS, Fatica, C, et al. A multifaceted approach to reduction of catheter-associated urinary tract infections in the intensive care unit with an emphasis on “stewardship of culturing.” Infect Control Hosp Epidemiol 2017; 38: 186–188.Google Scholar
9. Garcia, R, Spitzer, ED. Promoting appropriate urine culture management to improve health care outcomes and the accuracy of catheter-associated urinary tract infections. Am J Infect Control 2017; 45: 1143–1153.Google Scholar
10. Fakih, MG, Khatib, R. Improving the culture of culturing: critical asset to antimicrobial stewardship. Infect Control Hosp Epidemiol 2017; 38:377–379.Google Scholar