| Huang WC |
------>authors3_c= ------>paper_class1=1 ------>Impact_Factor=2.266 ------>paper_class3=2 ------>paper_class2=1 ------>vol=25 ------>confirm_bywho=ncchang ------>insert_bywho=yungching ------>Jurnal_Rank=23.7 ------>authors4_c= ------>comm_author= ------>patent_EDate=None ------>authors5_c= ------>publish_day=1 ------>paper_class2Letter=None ------>page2=978 ------>medlineContent= ------>unit=E0109 ------>insert_date=20090312 ------>iam=7 ------>update_date=None ------>author=??? ------>change_event=4 ------>ISSN= ------>authors_c= ------>score=500 ------>journal_name=Infect Control Hosp Epidemiol ------>paper_name=Catheter-associated urinary tract infections in intensive care units can be reduced by prompting physicians to remove unnecessary catheters. ------>confirm_date=20090313 ------>tch_id=097070 ------>pmid=15566033 ------>page1=974 ------>fullAbstract=OBJECTIVE: Indwelling urinary catheters are the most common source of infections in intensive care units (ICUs). The aim of this study was to evaluate the efficacy of nurse-generated daily reminders to physicians to remove unnecessary urinary catheters 5 days after insertion. DESIGN: A time-sequence nonrandomized intervention study. SETTING: Adult ICUs (medical, surgical, cardiovascular surgical, neurosurgical, and coronary care) of a tertiary-care university medical center. PATIENTS: All patients admitted to the adult ICUs during a 2-year period. The study consisted of a 12-month observational phase (15,960 patient-days) followed by a 12-month intervention phase (15,525 patient-days). INTERVENTION: Daily reminders to physicians from the nursing staff to remove unnecessary urinary catheters 5 days after insertion. RESULTS: The duration of urinary catheterization was significantly reduced during the intervention phase (from 7.0 + 1.1 days to 4.6 +/- 0.7 days; P < .001). The rate of catheter-associated urinary tract infection (CAUTI) was also significantly reduced (from 11.5 +/- 3.1 to 8.3 +/- 2.5 patients with CAUTI per 1,000 catheter-days; P = .009). There was a linear relationship between the monthly average duration of catheterization and the rate of CAUTI (r = 0.50; P = .01). The excess monthly cost of antibiotics for CAUTI was reduced by 69% (from 4021 dollars +/- 1800 dollars to 1220 dollars +/- 941 dollars; P = .004). CONCLUSION: This study demonstrated that a simple measure instituted as part of a continuous quality improvement program significantly reduced the duration of urinary catheterization, rate of CAUTI, and additional costs of antibiotics to manage CAUTI. ------>tmu_sno=None ------>sno=21382 ------>authors2=Wann SR ------>authors3=Lin SL ------>authors4=Kunin CM ------>authors5=Kung MH ------>authors6=Lin CH, Hsu CW, Liu CP, Lee SSJ, Liu YC, Lai KH, Lin TW ------>authors6_c= ------>authors=Huang WC ------>delete_flag=0 ------>SCI_JNo=None ------>authors2_c= ------>publish_area=0 ------>updateTitle=Catheter-associated urinary tract infections in intensive care units can be reduced by prompting physicians to remove unnecessary catheters. ------>language=2 ------>check_flag=None ------>submit_date=None ------>country=None ------>no= ------>patent_SDate=None ------>update_bywho=None ------>publish_year=2004 ------>submit_flag=None ------>publish_month=1 |