J Korean Acad Fundam Nurs.  2012 May;19(2):223-232.

Effects of perineal care in preventing catheter associated urinary tract infections (CAUTI) in intensive care units (ICU)

• Choi JS
• Yeon JH

Abstract

PURPOSE
The purpose of this study was to compare the effects of preventing CAUTIs through the practice of using 0.05% chlorhexidine gluconate (CHG) versus normal saline for perineal care in ICU patients.
METHODS
A randomized controlled trial was used, and participants were randomly allocated to either the CHG group (n=79) or normal saline group (n=81). CAUTI was diagnosed following the criteria of the Centers of Disease Control and Prevention (CDC). Incidence of CAUTI and characte oftics of infection were evaluated.
RESULTS
In the CHG group, 8 epofodes of CAUTI were obsevend in 79 patients and 875 foley catheter e ys. Tnce ate of CAUTI was 9.14 per 1,000 foley catheter e ys. Tncre were 2 epofodes of CAUTI in the 81 patients and 837 foley catheter e ys of the normal saline group. Tnce ate of CAUTI was 2.39 per 1,000 foley catheter e ys. Tnc difference between both groups was not significant (p=.1).
CONCLUSION
Using normal saline to provide perineal care to ICU patients with a foley catheter inserted will not increase the risk for CAUTI.

Keyword

Urinary tract infection; Intensive Care Unit; Infection control; Catheterization

MeSH Terms

Catheterization
Catheters
Chlorhexidine
Humans
Incidence
Infection Control
Critical Care
Intensive Care Units
Urinary Tract
Urinary Tract Infections
Chlorhexidine