Articles Vol. 66 No. CĐ14-HNKH BV Giao thông Vận tải 12/01/2026

9. IMPLEMENTATION OUTCOMES OF A CATHETER-ASSOCIATED URINARY TRACT INFECTION (CAUTI) PREVENTION CARE BUNDLE IN THE DEPARTMENT OF GENERAL SURGERY, TRANSPORT HOSPITAL

Nguyen Minh Ngoc1,2, Phung Thi Anh Nguyet1,2, Do Manh Quyen1,2
1 Transport Hospital Joint Stock Company
2 Bệnh viện Giao thông vận tải
Corresponding author: 123456789@gmai.com
DOI: 10.52163/yhc.v66iCD14.3060
36 Views
21 Downloads
Keywords
care bundle urinary catheter catheter-associated urinary tract infection; nursing; Transport Hospital.
Abstract

Objectives: (1) To describe the CAUTI prevention care bundle implemented in the Department of General Surgery, Transport Hospital; and (2) to evaluate implementation outcomes at the unit level.

Methods: A cross-sectional descriptive study was conducted among 68 catheterized patients from May to July 2024. The four-component care bundle was implemented in accordance with guidance from the CDC, AHRQ, and the Ministry of Health (Viet Nam). Monitored indicators included timely catheter removal (within 24 hours), nurses’ knowledge and practice scores, urinary tract infection status, length of hospital stay, and patient satisfaction.

Results: Overall, 85.3% of patients had their urinary catheters removed within the first 24 hours. No urinary tract infections were recorded at discharge. Nurses’ practice scores exceeded knowledge scores (8.8/10 vs. 7.2/10). The mean length of stay was 5.7 ± 1.1 days. Patient satisfaction with care and counseling was 94%.

Conclusions: The CAUTI prevention care bundle was feasible and effective in reducing infection risk and improving quality of care. Continued implementation, rigorous monitoring, and scale-up to other high-risk units are recommended.

References
[1]
Agency for Healthcare Research and Quality (AHRQ). Toolkit for Reducing CAUTI in Hospitals. Rockville, MD: U.S. Department of Health and Human Services; 2015. Available from: https://www.ahrq.gov/hai/cauti-tools/index.html Google Scholar
[2]
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(22):2111–2119. 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(5):464–479. Google Scholar
[4]
Centers for Disease Control and Prevention (CDC). Guideline for Prevention of Catheter-Associated Urinary Tract Infections. 2009. https://www.cdc.gov/hai/ca_uti/uti.html Google Scholar
[5]
National Health Service (NHS). Catheter Care Guidance to Reduce CAUTI. 2020. https://www.nhs.uk Google Scholar
[6]
Bộ Y tế. Hướng dẫn phòng ngừa nhiễm khuẩn tiết niệu liên quan đến đặt ống thông tiểu. Quyết định số 3916/QĐ-BYT ngày 28/08/2017. Google Scholar
[7]
Bành Thị Quỳnh Nga. Đánh giá kiến thức và thực hành của điều dưỡng về phòng ngừa nhiễm khuẩn tiết niệu liên quan đến đặt ống thông tiểu tại BV Sản Nhi Nghệ An. Luận văn ThS. Trường Đại học Y Hà Nội; 2018. Google Scholar
[8]
Trần Thị Lệ Hằng. Nghiên cứu thực trạng và một số yếu tố liên quan đến nhiễm khuẩn bệnh viện tại Bệnh viện Bỏng Quốc gia. Tạp chí Y học Thực hành. 2020; số 5: 35–40. Google Scholar
[9]
Lai CC, Chen CH, Su LH, et al. Surveillance of catheter-associated urinary tract infections in intensive care units across multiple hospitals in Taiwan. J Microbiol Immunol Infect. 2020;53(3):381–389. Google Scholar
[10]
Shale HN, Simpson A, Bond J. Reduction of catheter-associated urinary tract infections: results of a multidisciplinary approach in an acute care setting. Am J Infect Control. 2020;48(4):420–425. Google Scholar
[11]
Centers for Disease Control and Prevention (CDC). Guideline for Prevention of Catheter-Associated Urinary Tract Infections. 2009. Google Scholar