PICO
P – (Patient, Population, or Problem): Hospitalized patients with indwelling catheters from any age, ethnicity, or sex.
I – (Intervention): Early removal of indwelling catheters.
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C – (Comparison with other treatments, if applicable): Daily chlorhexidine baths and frequent assessments.
O – (Outcomes): Decrease in the number of catheter-associated urinary tract infections.
Question: For patients with indwelling urinary catheters, will the early removal of indwelling catheters decrease the incidence of CAUTI?
References
Bell, M. M., Alaestante, G., & Finch, C. (2016). A multidisciplinary intervention to prevent catheter-associated urinary tract infections using education, continuum of care, and systemwide buy-in. The Ochsner Journal, 16(1), 96–100.
Bernard, M. S., Hunter, K. F., & Moore, K. N. (2012). A review of strategies to decrease the duration of indwelling urethral catheters and potentially reduce the incidence of catheter- associated urinary tract infections. Urologic Nursing, 32(1), 29-37.
Clarke, K., Tong, D., Pan, Y., et al. (2012). Reduction in catheter-associated urinary tract infections by bundling interventions. International Journal For Quality In Health Care, 25(1), 43-49. doi: 10.1093/intqhc/mzs077
Parker V, Giles M, Graham L, et al. (2017). Avoiding inappropriate urinary catheter use and catheter-associated urinary tract infection (CAUTI): a pre-post control intervention study. BMC Health Services Research. 2017;17:314. doi:10.1186/s12913-017-2268-2.
Tripepi-Bova, K., Sun, Z., Mason, D., & Albert, N. (2013). Early removal of urinary catheters in patients with thoracic epidural catheters. Journal Of Nursing Care Quality, 28(4), 340-344. doi: 10.1097/NCQ.0b013e3182922b2d
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