Researchers conducted an observational study to assess the impact of a CAUTI quality improvement prevention bundle that included institution-wide standardization of urinary catheter insertion and maintenance practices as well as appropriate training, daily review of catheter necessity and rapid review of all CAUTIs. A retrospective study was also performed at a tertiary care children’s hospital over a three-year period, from 2009 to 2012.
Implementation of the CAUTI prevention bundle was associated with a 50 percent reduction in the mean monthly CAUTI rate, that is, from 5.41 to 2.49 per 1,000 catheter-days. The median monthly catheter utilization ratio remained unchanged.
Also, according to the study, 44 patients experienced 57 CAUTIs over the study period. Nearly 90 percent of patients who developed a CAUTI had a recognized indication for initial catheter placement.
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