Ihnsook Jeong1, Soonmi Park2, Jae Sim Jeong3, Duck Sun Kim4, Young Sun Choi5, Young Soon Lee2, Young Mi Park5. 1. Associate Professor, College of Nursing, Pusan National University, Busan, Korea. 2. Team Manager, Department of Nursing, Pusan National University Yangsan Hospital, Yangsan, Korea. 3. Associate Professor, Department of Clinical Nursing, University of Ulsan, Seoul, Korea. 4. Team Manager, Department of Nursing, Pusan National University Hospital, Busan, Korea. 5. Unit 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.
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.
Authors: Wei He; Dongmin Wang; Zhangqun Ye; Weihong Qian; Yan Tao; Xiaofeng Shi; Ling Liu; Jin Chen; Ling Qiu; Peng Wan; Xiaojun Jia; Xia Li; Caixia Gao; Xuexia Ma; Biyan Wen; Nianzhen Chen; Ping Li; Zhengzheng Ren; Li Lan; Siyi Li; Yi Zuo; Hua Zhang; Liming Ma; Yueping Zhang; Zhicong Li; Weiping Su; Qing Yang; Qingli Chen; Xuejing Wang; Zhenni Ye; J P Chen; Wings T Y Loo; Louis W C Chow; Adrian Y S Yip; Elizabeth L Y Ng; Mary N B Cheung; Zhiping Wang Journal: J Transl Med Date: 2012-09-19 Impact factor: 5.531