Asian Nurs Res.
2010 Sep;4(3):142-150.
Comparison of Catheter-associated Urinary Tract Infection Rates by Perineal Care Agents in Intensive Care Units
- Affiliations
-
- 1Associate Professor, College of Nursing, Pusan National University, Busan, Korea. jeongis@pusan.ac.kr
- 2Team Manager, Department of Nursing, Pusan National University Yangsan Hospital, Yangsan, Korea.
- 3Associate Professor, Department of Clinical Nursing, University of Ulsan, Seoul, Korea.
- 4Team Manager, Department of Nursing, Pusan National University Hospital, Busan, Korea.
- 5Unit Manager, Department of Nursing, Pusan National University Hospital, Busan, Korea.
Abstract
- PURPOSE
This study compared the catheter-associated urinary tract infection (CAUTI) rates resulting from the use of four perineal care agents (soap-and-water, skin cleansing foam, 10% povidone-iodine, and normal saline) among patients in intensive care units (ICUs).
METHODS
This four-group experimental study was done with 97 adult patients who had urinary catheters over 2 days in three ICUs between April and July 2008. The patients received one of the four types of perineal care. Data collected included the incidence of CAUTI at baseline (prior to perineal care) and 1 week, 2 weeks, and 4 weeks after beginning perineal care. Patients were divided into UTI and non-UTI groups based on the Centers for Disease Control and Prevention/National Healthcare Safety Network UTI definition to calculate incidence rates. The hazard ratio (HR) and 95% confidence intervals were calculated by Cox's proportional hazard analysis.
RESULTS
The cumulative incidence of CAUTIs per 100 urinary catheter days were 3.18 episodes during 1 week with urinary catheter, 3.31 during 2 weeks, and 3.04 during 4 weeks. No statistically significant difference in hazard ratios of CAUTIs for each perineal care agent was evident with reference to soap-and-water at 1 week, 2 weeks, and 4 weeks after beginning perineal care after controlling for age, use of antibiotics, fecal incontinence, consciousness level, fever, and diabetes.
CONCLUSIONS
The type of perineal care does not influence the incidence of CAUTIs. Further confirmatory studies with a larger patient population should be conducted, as well as determining perineal agent preference.
MeSH Terms
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Adult
Anti-Bacterial Agents
Centers for Disease Control and Prevention (U.S.)
Consciousness
Delivery of Health Care
Detergents
Fecal Incontinence
Fever
Humans
Incidence
Critical Care
Intensive Care Units
Perineum
Povidone-Iodine
Skin
Urinary Catheterization
Urinary Catheters
Urinary Tract
Urinary Tract Infections
Anti-Bacterial Agents
Detergents
Povidone-Iodine
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