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Optimising Interventions for Catheter-Associated Urinary Tract Infections (CAUTI) in Primary, Secondary and Care Home Settings

Catheter-associated urinary tract infections (CAUTI) are common yet preventable. Healthcare professional behaviours, such as reducing unnecessary catheter use, are key for preventing CAUTI. Previous research has focused on identifying gaps in the national response to CAUTI in multiple settings in En...

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Autores principales: Wanat, Marta, Borek, Aleksandra J., Atkins, Lou, Sallis, Anna, Ashiru-Oredope, Diane, Beech, Elizabeth, Butler, Christopher C., Chadborn, Tim, Hopkins, Susan, Jones, Leah, McNulty, Cliodna A. M., Roberts, Nia, Shaw, Karen, Taborn, Esther, Tonkin-Crine, Sarah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7399982/
https://www.ncbi.nlm.nih.gov/pubmed/32709080
http://dx.doi.org/10.3390/antibiotics9070419
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author Wanat, Marta
Borek, Aleksandra J.
Atkins, Lou
Sallis, Anna
Ashiru-Oredope, Diane
Beech, Elizabeth
Butler, Christopher C.
Chadborn, Tim
Hopkins, Susan
Jones, Leah
McNulty, Cliodna A. M.
Roberts, Nia
Shaw, Karen
Taborn, Esther
Tonkin-Crine, Sarah
author_facet Wanat, Marta
Borek, Aleksandra J.
Atkins, Lou
Sallis, Anna
Ashiru-Oredope, Diane
Beech, Elizabeth
Butler, Christopher C.
Chadborn, Tim
Hopkins, Susan
Jones, Leah
McNulty, Cliodna A. M.
Roberts, Nia
Shaw, Karen
Taborn, Esther
Tonkin-Crine, Sarah
author_sort Wanat, Marta
collection PubMed
description Catheter-associated urinary tract infections (CAUTI) are common yet preventable. Healthcare professional behaviours, such as reducing unnecessary catheter use, are key for preventing CAUTI. Previous research has focused on identifying gaps in the national response to CAUTI in multiple settings in England. This study aimed to identify how national interventions could be optimised. We conducted a multi-method study comprising: a rapid review of research on interventions to reduce CAUTI; a behavioural analysis of effective research interventions compared to national interventions; and a stakeholder focus group and survey to identify the most promising options for optimising interventions. We identified 37 effective research interventions, mostly conducted in United States secondary care. A behavioural analysis of these interventions identified 39 intervention components as possible ways to optimise national interventions. Seven intervention components were prioritised by stakeholders. These included: checklists for discharge/admission to wards; information for patients and relatives about the pros/cons of catheters; setting and profession specific guidelines; standardised nationwide computer-based documentation; promotion of alternatives to catheter use; CAUTI champions; and bladder scanners. By combining research evidence, behavioural analysis and stakeholder feedback, we identified how national interventions to reduce CAUTI could be improved. The seven prioritised components should be considered for future implementation.
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spelling pubmed-73999822020-08-23 Optimising Interventions for Catheter-Associated Urinary Tract Infections (CAUTI) in Primary, Secondary and Care Home Settings Wanat, Marta Borek, Aleksandra J. Atkins, Lou Sallis, Anna Ashiru-Oredope, Diane Beech, Elizabeth Butler, Christopher C. Chadborn, Tim Hopkins, Susan Jones, Leah McNulty, Cliodna A. M. Roberts, Nia Shaw, Karen Taborn, Esther Tonkin-Crine, Sarah Antibiotics (Basel) Article Catheter-associated urinary tract infections (CAUTI) are common yet preventable. Healthcare professional behaviours, such as reducing unnecessary catheter use, are key for preventing CAUTI. Previous research has focused on identifying gaps in the national response to CAUTI in multiple settings in England. This study aimed to identify how national interventions could be optimised. We conducted a multi-method study comprising: a rapid review of research on interventions to reduce CAUTI; a behavioural analysis of effective research interventions compared to national interventions; and a stakeholder focus group and survey to identify the most promising options for optimising interventions. We identified 37 effective research interventions, mostly conducted in United States secondary care. A behavioural analysis of these interventions identified 39 intervention components as possible ways to optimise national interventions. Seven intervention components were prioritised by stakeholders. These included: checklists for discharge/admission to wards; information for patients and relatives about the pros/cons of catheters; setting and profession specific guidelines; standardised nationwide computer-based documentation; promotion of alternatives to catheter use; CAUTI champions; and bladder scanners. By combining research evidence, behavioural analysis and stakeholder feedback, we identified how national interventions to reduce CAUTI could be improved. The seven prioritised components should be considered for future implementation. MDPI 2020-07-17 /pmc/articles/PMC7399982/ /pubmed/32709080 http://dx.doi.org/10.3390/antibiotics9070419 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Wanat, Marta
Borek, Aleksandra J.
Atkins, Lou
Sallis, Anna
Ashiru-Oredope, Diane
Beech, Elizabeth
Butler, Christopher C.
Chadborn, Tim
Hopkins, Susan
Jones, Leah
McNulty, Cliodna A. M.
Roberts, Nia
Shaw, Karen
Taborn, Esther
Tonkin-Crine, Sarah
Optimising Interventions for Catheter-Associated Urinary Tract Infections (CAUTI) in Primary, Secondary and Care Home Settings
title Optimising Interventions for Catheter-Associated Urinary Tract Infections (CAUTI) in Primary, Secondary and Care Home Settings
title_full Optimising Interventions for Catheter-Associated Urinary Tract Infections (CAUTI) in Primary, Secondary and Care Home Settings
title_fullStr Optimising Interventions for Catheter-Associated Urinary Tract Infections (CAUTI) in Primary, Secondary and Care Home Settings
title_full_unstemmed Optimising Interventions for Catheter-Associated Urinary Tract Infections (CAUTI) in Primary, Secondary and Care Home Settings
title_short Optimising Interventions for Catheter-Associated Urinary Tract Infections (CAUTI) in Primary, Secondary and Care Home Settings
title_sort optimising interventions for catheter-associated urinary tract infections (cauti) in primary, secondary and care home settings
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7399982/
https://www.ncbi.nlm.nih.gov/pubmed/32709080
http://dx.doi.org/10.3390/antibiotics9070419
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