Implementing clinical guidelines to prevent catheter-associated urinary tract infections and improve catheter care in nursing homes: systematic review

Gould, Dinah ORCID: https://orcid.org/0000-0002-1506-9532, Gaze, Sarah ORCID: https://orcid.org/0000-0002-6419-3732, Drey, Nicholas and Cooper, Tracey 2017. Implementing clinical guidelines to prevent catheter-associated urinary tract infections and improve catheter care in nursing homes: systematic review. American Journal of Infection Control 45 (5) , pp. 471-476. 10.1016/j.ajic.2016.09.015

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Abstract

Background: Catheter-associated urinary tract infection is the most common healthcare-associated infection, is considered avoidable and has cost implications for health services. Prevalence is high in nursing homes but little research has been undertaken to establish whether implementing clinical guidelines can reduce infection rates in long-term care or improve quality of urinary catheter care. Methods: Systematic search and critical appraisal of the literature Results: Three studies evaluated the impact of implementing a complete clinical guideline. Five additional studies evaluated the impact of implementing individual elements of a clinical guideline. Conclusion: Prevention of catheter-associated urinary tract infections in nursing homes has received little clinical or research attention. Studies concerned with whole guideline implementation emerged as methodologically poor using recognised criteria for critically appraising epidemiological studies concerned with infection prevention. Research evaluating the impact of single elements of clinical guidelines is more robust and their findings could be implemented to prevent urinary infections in nursing homes.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Healthcare Sciences
Publisher:	Elsevier: 12 months
ISSN:	0196-6553
Date of First Compliant Deposit:	12 June 2019
Date of Acceptance:	26 September 2016
Last Modified:	17 Nov 2024 00:00
URI:	https://orca.cardiff.ac.uk/id/eprint/95016

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