Infection Control and Hospital Epidemiology Publication Info
For individual subscriptions, please contact the The University of Chicago Press
University of Chicago Press Customer Service:
1.877.705.1878 (toll-free, U.S. & Canada)
1.773.753.3347 (international)
subscriptions@press.uchicago.edu
For information about institutional access to this title, please visit the Institutional Subscriptions page.
Effect of Education and Performance Feedback on Rates of Catheter‐Associated Urinary Tract Infection in Intensive Care Units in Argentina
Formats Available in JSTOR: PDF
Abstract(back to top)
OBJECTIVE. To evaluate the effect of education and performance feedback regarding compliance with catheter care and handwashing on rates of catheter‐associated urinary tract infection (UTI) in intensive care units (ICUs).
SETTING. Two level III adult ICUs in a private healthcare facility in Argentina.
PATIENTS. All adult patients admitted to the study units who had a urinary catheter in place for at least 24 hours.
METHODS:. A prospective, open trial in which rates of catheter‐associated UTI determined during a baseline period of active surveillance without education and performance feedback were compared with rates of catheter‐associated UTI after implementing education and performance feedback.
RESULTS. There were 1,779 catheter‐days during the baseline period and 5,568 catheter‐days during the intervention period. Compliance regarding prevention of compression of the tubing by a leg improved (from 83% to 96%; relative risk [RR], 1.15; 95% confidence interval [CI95], 1.03 to 1.28; P=.01) and so did compliance with handwashing (from 23.1% to 65.2%; RR, 2.82; CI95, 2.49 to 3.20; P < .0001). Catheter‐associated UTI rates decreased significantly from 21.3 to 12.39 per 1,000 catheter‐days (RR, 0.58; CI95, 0.39 to 0.86; P=.006).
CONCLUSION. Implementing education and performance feedback regarding catheter care measures and handwashing compliance was associated with a significant reduction in catheter‐associated UTI rates. Similar programs may help reduce catheter‐associated UTI rates in other Latin American hospitals.
Bibliographic Information(back to top)
- Effect of Education and Performance Feedback on Rates of Catheter‐Associated Urinary Tract Infection in Intensive Care Units in Argentina
- Victor Daniel Rosenthal , MD, MSc, CIC, Sandra Guzman , RN, ICP and Nasia Safdar , MD
- Infection Control and Hospital Epidemiology
- Vol. 25, No. 1 (January 2004) (pp. 47-50)
Notes and References(back to top)
This item contains 1 note(s).
Notes
Dr. Rosenthal and Ms. Guzman are from the Department of Infectious Diseases and Hospital Epidemiology, Colegiales Medical Center, Buenos Aires, Argentina. Dr. Safdar is from the Section of Infectious Diseases, Department of Medicine, University of Wisconsin Medical School, Madison, Wisconsin.Address reprint requests to Victor Daniel Rosenthal, MD, MSc, CIC, Arengreen 1366, Buenos Aires, Argentina 1405.
Items Citing this Item (back to top)
6 item(s) in JSTOR cite this item
- Deron C. Burton MDJDMPHMStatMDMDMDMSCR, Jonathan R. Edwards MDJDMPHMStatMDMDMDMSCR, Arjun Srinivasan MDJDMPHMStatMDMDMDMSCR, Scott K. Fridkin MDJDMPHMStatMDMDMDMSCR, Carolyn V. Gould MDJDMPHMStatMDMDMDMSCR,Vol. 32, No. 8 (August 2011) pp. 748-756Stable URL: http://www.jstor.org/stable/10.1086/660872
- Dennis G. Maki , MD; Victor D. Rosenthal , MD, MSc, CIC; Reinaldo Salomao , MD; Fabio Franzetti , MD; Manuel Sigfrido Rangel‐Frausto , MDVol. 32, No. 1 (January 2011) pp. 50-58Stable URL: http://www.jstor.org/stable/10.1086/657632
- Victor D. Rosenthal , MD, MSc, CIC; Dennis G. Maki , MD; Camila Rodrigues , MD; Carlos Álvarez‐Moreno , MD, MSc, DTM&H; Hakan Leblebicioglu , MD; Martha Sobreyra‐Oropeza , MD, HCA; Regina Berba , MD; Naoufel Madani , MD; Eduardo A. Medeiros , MD, PhD; Luis E. Cuéllar , MD; Zan Mitrev , MD, FETCS; Lourdes Dueñas , MD; Humberto Guanche‐Garcell , MD; Trudell Mapp , RN; Souha S. Kanj , MD, FACP, FIDSA; Rosalía Fernández‐Hidalgo , RN, MSc;Vol. 31, No. 12 (December 2010) pp. 1264-1272Stable URL: http://www.jstor.org/stable/10.1086/657140
- Carolyn V. Gould , MD, MSCR; Craig A. Umscheid , MD, MSCE; Rajender K. Agarwal , MD, MPH; Gretchen Kuntz , MSW, MSLIS; David A. Pegues , MD;Vol. 31, No. 4 (April 2010) pp. 319-326Stable URL: http://www.jstor.org/stable/10.1086/651091
- Anucha Apisarnthanarak , MD; Kanokporn Thongphubeth , RN; Sirinaj Sirinvaravong , MD; Danai Kitkangvan , MD; Chananart Yuekyen , RN; Boonyasit Warachan , PhD; David K. Warren , MD; Victoria J. Fraser , MDVol. 28, No. 7 (July 2007) pp. 791-798Stable URL: http://www.jstor.org/stable/10.1086/518453
- Carlos Álvarez Moreno , MD; Victor D. Rosenthal , MD; Narda Olarte , MD; Wilmer Villamil Gomez , MD; Otto Sussmann , MD; Julio Garzon Agudelo , MD; Catherine Rojas , MD; Laline Osorio , RN; Claudia Linares , RN; Alberto Valderrama , RN; Patricia Garrido Mercado , MD; Patrick Hernán Arrieta Bernate , MD; Guillermo Ruiz Vergara , MD; Alberto Marrugo Pertuz , MD; Beatriz Eugenia Mojica , RN; María del Pilar Torres Navarrete , RN; Ana Sofia Alonso Romero , MD; Daibeth Henríquez , MDVol. 27, No. 4 (April 2006) pp. 349-356Stable URL: http://www.jstor.org/stable/10.1086/503341