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Catheter-Associated Urinary Tract Infections: Implementing a Protocol to Decrease Incidence in Oncology Populations

Charis McCoy
Monica Paredes
Sara Allen
Jennifer Blackey
Carol Nielsen
Amy Paluzzi
Brittney Jonas
Patti Radovich
CJON 2017, 21(4), 460-465 DOI: 10.1188/17.CJON.460-465

Background: The impact of catheter-associated urinary tract infections (CAUTIs) on immunocompromised patients with cancer requires preventive intervention from bedside nurses.

Objectives: This protocol aims to prevent CAUTIs in the inpatient oncology population by implementing an evidence-based, nurse-driven protocol for discontinuing indwelling urinary catheters (IUCs).

Methods: Following a literature review of 34 articles, a nurse-driven CAUTI prevention protocol was developed and implemented on two 26-bed oncology units. Unit staff were educated on the protocol and use of the audit tool.

Findings: Although CAUTI rates remained unchanged, infections per 1,000 IUC days decreased, and adherence among oncology nurses rose 66%–90% within the first two months. The protocol encouraged preventive intervention from RNs to protect patients with cancer from CAUTIs.

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