PMID- 32963437
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220417
IS  - 0972-5229 (Print)
IS  - 1998-359X (Electronic)
IS  - 0972-5229 (Linking)
VI  - 24
IP  - 7
DP  - 2020 Jul
TI  - Impact of Care Bundle Implementation on Incidence of Catheter-associated Urinary 
      Tract Infection: A Comparative Study in the Intensive Care Units of a Tertiary 
      Care Teaching Hospital in South India.
PG  - 544-550
LID - 10.5005/jp-journals-10071-23473 [doi]
AB  - INTRODUCTION: Implementation of evidence-based infection control practices is the 
      need of the hour for every institute to reduce the device-associated infections, 
      which directly reflects the quality of care. As catheter-associated urinary tract 
      infection (CAUTI) is the most common nosocomial infection, the study was planned 
      to evaluate the impact of the catheter care bundle in reducing CAUTI incidence. 
      MATERIAL AND METHODS: The prospective interventional study before and after the 
      trial study was carried out in adult intensive care units over a period of 9 
      months (April-June 2017-pre-implementation phase; July-September 2017-training of 
      healthcare worker and implementation of catheter care bundle; October-December 
      2017-post-implementation phase). Catheter-associated urinary tract infection 
      rates pre- and post-implementation were expressed as incidence rates with Poisson 
      confidence interval. RESULTS: Statistically significant reduction was found in 
      the incidence of CAUTI (60%-from 10.7 to 4.5 per 1,000 catheter days). The key 
      factors that contributed were significant reduction in device utilization ratio 
      (from 0.71 to 0.56) and average catheter days per patient (from 4.8 to 3.7). This 
      holistic approach has resulted in less incidence of CAUTI even among patients 
      with risk factors and prolonged catheter days. Neuro ICU showed drastic 
      improvement compared to other ICUs due to the poor baseline status of their care 
      practices. CONCLUSION: Adherence to all elements of care bundle brought a 
      significant decrease in CAUTI. Implementing care bundle and auditing the 
      adherence to each element should be included as a part of routine hospital 
      infection control committee (HICC) practices. CLINICAL SIGNIFICANCE: 
      Hospital-acquired infection directly reflects on the quality care of the 
      hospital. Bundle care is an "all or none" phenomenon. Adherence to each element 
      will have some influence in reducing CAUTI in terms of reducing the device 
      utilization ratio and average catheter days per patient. Auditing the care bundle 
      adherence is having a positive influence on the outcome. HOW TO CITE THIS 
      ARTICLE: Soundaram GVG, Sundaramurthy R, Jeyashree K, Ganesan V, Arunagiri R, 
      Charles J. Impact of Care Bundle Implementation on Incidence of 
      Catheter-associated Urinary Tract Infection: A Comparative Study in the Intensive 
      Care Units of a Tertiary Care Teaching Hospital in South India. Indian J Crit 
      Care Med 2020;24(7):544-550.
CI  - Copyright (c) 2020; Jaypee Brothers Medical Publishers (P) Ltd.
FAU - Soundaram, Geni Vg
AU  - Soundaram GV
AD  - Department of Microbiology, Velammal Medical College Hospital and Research 
      Institute, Madurai, Tamil Nadu, India.
FAU - Sundaramurthy, Raja
AU  - Sundaramurthy R
AD  - Department of Microbiology, Velammal Medical College Hospital and Research 
      Institute, Madurai, Tamil Nadu, India.
FAU - Jeyashree, Kathiresan
AU  - Jeyashree K
AD  - Department of Epidemiology and Biostatistics, National Institute of Epidemiology, 
      Chennai, Tamil Nadu, India.
FAU - Ganesan, Vithiya
AU  - Ganesan V
AD  - Department of Microbiology, Velammal Medical College Hospital and Research 
      Institute, Madurai, Tamil Nadu, India.
FAU - Arunagiri, Ramesh
AU  - Arunagiri R
AD  - Department of Microbiology, Velammal Medical College Hospital and Research 
      Institute, Madurai, Tamil Nadu, India.
FAU - Charles, Jhansi
AU  - Charles J
AD  - Department of Microbiology, Velammal Medical College Hospital and Research 
      Institute, Madurai, Tamil Nadu, India.
LA  - eng
PT  - Journal Article
PL  - India
TA  - Indian J Crit Care Med
JT  - Indian journal of critical care medicine : peer-reviewed, official publication of 
      Indian Society of Critical Care Medicine
JID - 101208863
PMC - PMC7482344
OTO - NOTNLM
OT  - Care bundle
OT  - Catheter-associated urinary tract infection
OT  - Intensive care unit
COIS- Source of support: Nil Conflict of interest: None
EDAT- 2020/09/24 06:00
MHDA- 2020/09/24 06:01
PMCR- 2020/07/01
CRDT- 2020/09/23 06:33
PHST- 2020/09/23 06:33 [entrez]
PHST- 2020/09/24 06:00 [pubmed]
PHST- 2020/09/24 06:01 [medline]
PHST- 2020/07/01 00:00 [pmc-release]
AID - 10.5005/jp-journals-10071-23473 [doi]
PST - ppublish
SO  - Indian J Crit Care Med. 2020 Jul;24(7):544-550. doi: 
      10.5005/jp-journals-10071-23473.