Report about Picot Question and Literature Research

Running head: PICOT Question and Literature Research 1
What are the Commonly used Catheter Associated Urinary Infection Prevention Strategies in a
Hospital Environment?
(Author’s name)
(Institutional Affiliation)

PICOT QUESTION AND LITERATURE RESEARCH 2
Summary
According to the Center of Disease Control (CDC) Catheter Associated Urinary Tract
Infections(CAUTI) is among the major health care related infections as reported by the National
Healthcare Safety Network(NHSN)(CDC, 2015) .In the United States, catheter related urinary
tract infections accounts for about 75% of all urinary tract infections(UTIs) and 40% of all
hospital infections. Catheter associated urinary tract infection accounts for approximately 13,000
deaths per day in the United States only(CDC,2015). Around 25% of all hospitalized patients
receive an indwelling catheter during their hospital stay.(CDC,2015) One of the most crucial risk
factor for the developing catheter associated urinary tract infections is the prolonged use of the
indwelling catheters(Saint et al., 2015). Due to that reason, it is recommended to use the urinary
catheters with appropriate indications only. In addition, the urinary catheters should be removed
immediately when their uses are no longer needed.
The catheter associated urinary tract infection can be prevented. According to the
Department of Health and Human Resources guidelines of 2009, about 69% of all CAUTIs can
be prevented y targeting the risk factors(Fasugba et al., 2018). Most common strategies that can
be used to prevent catheter associated tract infections in hospitals is by avoiding unnecessary
cauterization, use of antiseptic techniques during insertion and removal, reducing the duration of
cathetirisations and use of hydrophilic coated catheters(Yasuda et al., 2017). In addition, use of
technological techniques like urinary catheter reminders have proved to be among the best
prevention strategies of catheter associated urinary tract infections. Therefore, it is the
responsibility of nurses and heath care workers to assess the risk factors, use proper catheter
insertion and remove techniques and always practice aseptic techniques during patient care to
control and prevent CAUTIs(Joshi et al., 2018)

PICOT QUESTION AND LITERATURE RESEARCH 3
However, most of the nurses fail to adhere to the prevention techniques due to various
reasons. Some of these reasons include patients overload and under staffing, long working hours
and lack of enough knowledge and skills(Menegueti et al., 2019). Developing policies that
ensure adequate staffing can enhance CAUTIs prevention especially in intensive care units and
other prominent wards. Other than that, nurses needs frequent training and remainders on the
proper strategies and prevention techniques necessary to promote quality and safe care(Atif,
Lorcy, & Dubé, 2019). In addition, there is need of developing maintenance systems as a key
step forward in initiating immediate removal of catheters as many nurses may be unaware of
their existence. This study aim to demonstrate various preventive strategies that can be used to
prevent CAUTIs and thus promoting patients quality and safe care.
PICOT QUESTION.
Patient population- The patients in the research question will include all hospitalized adults,
male or females receiving a urinary catheter or already with urinary catheter.
Interventions- Accessing risk factors, practicing proper insertion and removal of urinary
catheters, increasing knowledge and skills to nurses, and proper use of antiseptic techniques.
Comparison interventions- Direct treatment of the catheter associated diseases.
Outcomes- Reduced incidences of catheter associated infections among hospitalized adults
patients.
Time – Six months.