Preventing Cauti Essay

2634 words - 11 pages

PREVENTING CATHETER ASSOCIATED URINARY TRACT INFECTION

Elizabeth Quartey
Abstract
According to the CDC estimates in 2002 there were 1.7 million Healthcare-Associated Infections (HAI), and 99,000 HAI- associated deaths in the hospital. The report stated that the four largest categories of HAI, responsible for more than 80% of all reported HAI, are central line-associated bloodstream infections (CLABSI, 14%), ventilator-associated pneumonia (VAP, 15%), surgical site infections (SSI, 22%), and catheter-associated urinary tract infections (CAUTI, 32%). HAI are a great financial costs to health care facilities. The Centers for disease Control and Prevention (CDC) estimates the medical ...view middle of the document...

“If hospitals could eliminate surgical site infections tied to the procedure they studied, they would see an increase in revenue of more than $2 million a year.” (Goodman, B. 2013). It is of vital importance that facilities come up with successful programs to minimize if not eliminate HAIs.

Literature Review

The greatest risk factor for developing a catheter-associated UTI (CAUTI) is prolonged use of the urinary catheter and poor catheter care. Catheter-associated urinary tract Infection is the most common and has the highest percentage rate of HAI. UTIs account for 32% in acute care settings and up to 40% of all health care settings. The prevention of CAUTI is very important to healthcare facility and will be a “cost saver” if these facility can come up with a successful CAUTI prevention programs. “Because CAUTIs are considered preventable medical harm, they are also included on the Centers for Medicare & Medicaid Services’ list of hospital-acquired conditions for which reimbursement will not be made. Thus, health care organizations have a formidable financial incentive to reduce CAUTIs. “(Scott R.D, II: (March 2009). www.cdc.gov).” Urinary catheters should only be used for appropriate indications and should be removed as soon as they are no longer needed.
Hospitals, Nursing Homes and Clinics are falling short when it comes to prevention of the spread of infection. 47% failed to comply with processes to reduce the risk of infections associated with medical equipment, devices and supplies and 37% of outpatient clinic failed too. (Evans, Melanie, August 2013). The storage and cleaning of the equipments are also likely to create these infection. With all the cuts in the healthcare budgets, and the facilities unwillingness to pay overtime to their employees, the time pressure and insufficient staffs poses a challenge to the employees in carrying out their daily duties. Insufficient staffs can pose a threat to the patient’s wellbeing, as these same staffs maybe carriers of infectious agents from one patient’s room to another due to lack of practicing proper hand-washing techniques between patient care. Burnout of staffs is also a major threat to patients’ wellbeing, as these burnout staffs makes a lot of mistakes, and are not able to think critically.

JCAHO is also pushing to reduce the frequency of HAI by emphazing proper hand hygiene as the most important factor in preventing nosocomial infections. (Kate Traynor, n.d.)

A study focus on eliminating nosocomial infections at Ascension Health created different “bundles” to achieve the goal of reducing HAI. IDT rounds and daily goal sheets and hand washing are methods used to decrease HAI. Raising the Vitamin D levels concentration in hospitalized patients will reduce greatly the risk of HAI, as it plays an important antimicrobial role. (Vitamin D Has the Potential to reduce the Risk of Hospital-Acquired Infections (July 5th 2012)
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