Catheter-Associated Urinary Tract Infections (CAUTIs)
Catheter-Associated Urinary Tract Infections (CAUTIs) occur following bacterial exposure when placing, removing, or handling catheters. CAUTIs pose a major challenge in the healthcare system. First, they increase care expenditure, whose burden falls on the healthcare clients and primary providers (Hollenbeak & Schilling, 2018). Additionally, CAUTIs compromise the overall quality of care, extending the length of stay and increased morbidity. In some cases, mismanaging the infections can result in deaths (Podkovik et al., 2019). Therefore, healthcare practitioners must ensure that they implement the best practices to prevent their occurrence.
The evidence-based practice provides an overarching approach that caregivers can use to address CAUTIs. Hence, one can explore the efficacy of CAUTI management using the following PICO(T) question: Among in-patients at a general hospital (P), how do catheter-handling competencies (I) compare to caregiver hygiene practices (C) in reducing the incidence of CAUTIs (O) within forty-five days of admission (T)?
The student began searching for current evidence on CAUTI prevention by creating an initial filter of five years to limit the results to that period. The first keyword was ‘CAUTI,’ which returned over eight hundred results. Next, the student added ‘prevention,’ reducing the results to 640. Since the relevant results had to primary studies, the next MESH term was ‘cross-sectional.’ The entries were now 113. Replacing the term ‘cross-sectional’ with ‘longitudinal’ yielded 97 results. Therefore, the student alternated between the last two MESH terms, perusing for potentially relevant literature to address the PICOT question.
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