To Assess Knowledge and Practice among Nurses Regarding Prevention of Catheter-Associated Urinary Tract Infection
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Abstract
Background:
Catheter-associated urinary tract infections (CAUTIs) are a common healthcare-associated infection among patients with indwelling urinary catheters. The role of nursing staff is crucial in preventing these infections through proper knowledge and practices.
Objective:
To assess the knowledge and practices among nurses regarding the prevention of catheter-associated urinary tract infections in a tertiary hospital in Lahore, Pakistan.
Methods:
This descriptive cross-sectional study was conducted among 164 nurses from various departments, including medical, surgical, and gynecological units. Nurses with more than one year of experience were included, while student nurses and head nurses not directly involved in patient care were excluded. Data were collected through a survey assessing knowledge and practices related to CAUTIs. The sample size was determined using Solvin's formula. Ethical approval was obtained, and participants gave informed consent. The data were analyzed using IBM SPSS Statistics Version 25.0 for descriptive statistics, including frequencies and percentages.
Results:
The majority of participants were female (85.4%), and most were aged between 31 and 35 years (50%). About 51.2% of the nurses had 6 to 10 years of experience, and 46.2% had received prior information or training on catheter-related urinary tract infections. The majority of participants (92.8%) knew that CAUTIs result from prolonged catheter use, and 95.7% were aware that aseptic technique with sterile equipment is crucial for catheter insertion. However, only 67.4% used a sterile technique for insertion, and 79.3% did not perform daily catheter care. The overall knowledge level was low for 29.3% of participants, moderate for 43.5%, and high for 16.3%, while the practice level was poor for 52.2% and good for 37%.
Conclusion:
Nurses demonstrated moderate knowledge but poor practices in preventing catheter-related urinary tract infections, indicating the need for targeted interventions and educational programs to bridge the gap and enhance patient care.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Haza’a AA. Knowledge of nurses toward prevention for catheter-associated urinary tract infection in public hospitals at Amran City, Yemen. 2021.
Clarke K, Hall CL, Wiley Z, Tejedor SC, Kim JS, Reif L, et al. Catheter‐Associated Urinary Tract Infections in Adults: Diagnosis, Treatment, and Prevention. Journal of hospital medicine. 2020;15(9):552-6.
Algarni SS, Sofar SSS, Wazqar DY. NURSES’KNOWLEDGE AND PRACTICES TOWARD PREVENTION OF CATHETER-ASSOCIATED URINARY TRACT INFECTION AT KING ABDULAZIZ UNIVERSITY HOSPITAL. Journal of Health, Medicine and Nursing. 2019;4(1):50-73.
Benny AM, Idiculla AS, Kunjumon A, George A, Sequera SK. Nurses’ knowledge on prevention of catheter-associated urinary tract infection in a selected hospital of mangaluru. Journal of Health and Allied Sciences NU. 2020;10(03):128-31.
Öztürk R, Murt A. Epidemiology of urological infections: a global burden. World journal of urology. 2020;38:2669-79.
Musco S, Giammò A, Savoca F, Gemma L, Geretto P, Soligo M, et al. How to Prevent Catheter-Associated Urinary Tract Infections: A Reappraisal of Vico’s Theory—Is History Repeating Itself? Journal of Clinical Medicine. 2022;11(12):3415.
Shoaib M, Das B, Suhail MA, Memon R, Kumar K, Hinduja B, et al. Frequency of double lumen catheter related infections in hemodialysis patients. Journal of Peoples University of Medical & Health Sciences Nawabshah(JPUMHS). 2021;11(2):33-6.
Weiner-Lastinger LM, Abner S, Edwards JR, Kallen AJ, Karlsson M, Magill SS, et al. Antimicrobial-resistant pathogens associated with adult healthcare-associated infections: summary of data reported to the National Healthcare Safety Network, 2015–2017. Infection Control & Hospital Epidemiology. 2020;41(1):1-18.
Withanagamage A. Nursing interventions for the prevention of catheter associated urinary tract infections. 2020.
Mukantwari J, Omondi L, Mukamana D, Adejumo O. Indwelling urinary catheter placement and removal practices among surgical patients at Kigali University Teaching Hospital. Rwanda Journal of Medicine and Health Sciences. 2019;2(3):265-71.
Haque M, Sartelli M, McKimm J, Abu Bakar M. Catheter-Associated Urinary Tract Infections & Health Care-Associated Infections (HAI)-Brief Review. World J Case Rep Clin Img 2022 Feb-Apr; 01 (1): 1. 2022;8.
Kanti SY, Csóka I, Jójárt-Laczkovich O, Adalbert L. Recent Advances in Antimicrobial Coatings and Material Modification Strategies for Preventing Urinary Catheter-Associated Complications. Biomedicines. 2022;10(10):2580.
Hernandez M, King A, Stewart L. Catheter-associated urinary tract infection (CAUTI) prevention and nurses' checklist documentation of their indwelling catheter management practices. Nursing Praxis in New Zealand. 2019;35(1).
Letica-Kriegel AS, Salmasian H, Vawdrey DK, Youngerman BE, Green RA, Furuya EY, et al. Identifying the risk factors for catheter-associated urinary tract infections: a large cross-sectional study of six hospitals. BMJ open. 2019;9(2).
Bhardwaj-Gosling R. A theory-based investigation of patient and healthcare professional behaviours linked to optimal removal of short-term urinary catheters: Newcastle University; 2020.
Quinn M, Ameling JM, Forman J, Krein SL, Manojlovich M, Fowler KE, et al. Persistent barriers to timely catheter removal identified from clinical observations and interviews. The Joint Commission Journal on Quality and Patient Safety. 2020;46(2):99-108.
Balu P, Ravikumar D, Somasunder VM, Suga SSD, Sivagananam P, Jeyasheelan VP, et al. Assessment of Knowledge, Attitude and Practice on Prevention of Catheter-associated Urinary Tract Infection (CAUTI) among Health Care Professionals Working in a Tertiary Care Teaching Hospital. Journal of Pure & Applied Microbiology. 2021;15(1).
Khasal QA. Knowledge of Nurses toward Prevention for Catheter-Associated Urinary Tract Infection in Intensive Care Unit at Al Nasiriyah General Hospital. HIV Nursing. 2022;22(2):1516–22-–22.
Alsolami F, Tayyib N. Nurse's knowledge and practice towards prevention of catheter‐associated urinary tract infection: A systematic review. International Journal of Urological Nursing. 2024 Mar;18(1):e12380.
Teshager T, Hussien H, Kefyalew M, Wondimneh F, Ketema I, Habte S. Knowledge, practice and associated factors of nurses towards prevention of catheter-associated urinary tract infection in intensive care unit of public hospitals administered by Federal Government in Addis Ababa, Ethiopia: a cross-sectional institutional-based study. BMC nursing. 2022;21(1):1-10.