Dissertation
Chlorhexidine cleansing to reduce Catheter Associated Urinary Tract Infections in the Cardiac Care Unit
Doctor of Nursing Practice (D.N.P.), Drexel University
29 May 2023
DOI:
https://doi.org/10.17918/00001987
Abstract
Background: Patients acquire 600,000 Catheter Associated Urinary Tract Infections (CAUTI) per year, resulting in approximately 13,000 deaths. The cost of a CAUTI is typically $600 per patient and can increase to approximately $2800 per patient if a patient's condition worsens. Objective: Critically ill patients are at an increased risk of acquiring CAUTIs and have an increased urinary catheter dwell time, the single largest risk factor for CAUTI. A literature search was performed to examine if a chlorhexidine bathing intervention will impact CAUTIs rates. This search yielded greater than 80 studies. 14 articles met criteria for review after further examination of the yield. Conclusions: The retained articles exposed that implementation of CAUTI bundles impact CAUTI rates. Implementation of education, nurse-led bundles and auditing practices led to a statistically significant decrease in CAUTI rates and other outcome measures in a variety of settings and samples. Evidence suggests that implementing Chlorhexidine gluconate bathing reduces hospital acquired infections. A focused intervention exploring the benefits of focused chlorhexidine bathing is necessary to address the persistent elevated CAUTI rates in the Cardiac Care unit.
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Details
- Title
- Chlorhexidine cleansing to reduce Catheter Associated Urinary Tract Infections in the Cardiac Care Unit
- Creators
- Deena T. Conti - Drexel University, Drexel University (1970-)
- Contributors
- Barbara Ruth Osborne (DNP Chair) - Drexel University, Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- 49 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 991021872799704721