Development Clinical Practice Guideline for Preventing Catheter-Associated Urinary Tract Infections at Medical Department and Intensive Care Unit, Phichit Hospital

Abstract

     Catheter associated urinary tract infections (CAUTI) is the important problem of  the patient who admitted in the hospital, especially in the medical department and intensive care unit. The hospital has a clinical practice guideline (CPG) for preventing CAUTI  and staff who gets involved needs to be aware of the guideline, be able to accept, and adhere to it. So they can decrease incident of infection rate in the hospital. Almost the clinical practice guideline based on an evidence based practice that developing is the good practice, then the clinical practice guideline is a efficient practice and the least risk to work. The purposes of this study were to develop the clinical practice guideline based on empirical evidence to diminish CAUTI, reduce of infection rate, and evaluate outcome of this CPG. Data were collected using an observation and follow the patient who retained urinary catheter in the hospital to access CAUTI. The statistical methods used for data analysis were frequency and percentage. The results of study are as follows.

    The incidence of CAUTI in  medical department decreased  from  4.41 to 1.50 per 1000 catheter-days. (65.99%)  In intensive care unit decreased  from  4.43 to 2.87 per 1000 catheter-days. (35.22%).

Conclusion: The progress of caring the patient based on a evidence based practice is to establish Clinical practice guideline that improve the infection control and the quality of patients’ care.

Keywords : Catheter associated urinary tract infections (CAUTI)