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首页> 外文期刊>Journal of Krishna Institute of Medical Sciences University. >Effectiveness of Clinical Practice Guidelines on Prevention of Catheter-associated Urinary Tract Infections in Selected Hospitals.
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Effectiveness of Clinical Practice Guidelines on Prevention of Catheter-associated Urinary Tract Infections in Selected Hospitals.

机译：在某些医院中预防与导管相关的尿路感染的临床实践指南的有效性。

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Background: Urinary Tract Infection (UTI) accountsfor forty to fifty percentage of hospital acquiredinfections. Catheter Associated Urinary TractInfections (CAUTI) are the majority of health careassociated infections. The urinary catheter leads tobacterial colonization, recurrent and chronic infections,bladder stones, septicemia, damage to the kidneys,bladder and urethra and development of antibioticresistance. CAUTI mainly occurs due to the non steriletechniques followed by the nurses during the insertionand maintenance of indwelling catheter. Aim andObjectives: To assess the insertion practice ofindwelling catheter and assess the maintenance practiceof indwelling catheter as measured by structuredobservation check list and evaluate the effectiveness ofclinical practice guidelines. Material and Methods:This was a quasi experimental non- equivalent controlgroup pre test and post test design used over a period ofone year. Demographic data were collected from nursesand patients. The insertion and maintenance practice ofindwelling catheter data were gathered by usingobservational check list and urine culture andsensitivity analysis. Seven days interval was keptbetween pre test and post test after the implementationof clinical practice guidelines. Institutional EthicsCommittee clearance was obtained and CTRIregistration was done. Results: Data were collectedfrom 70 participants (experimental – 35 and control –35). The results of the study showed that theimplementation of clinical practice guidelines inindwelling catheter insertion and maintenance waseffective as the p value was 0.001. The urine culture andanalysis reported that, there were three cases whichshowed the growth of micro organisms in theexperimental group, where as in control group two atthe time of pre test. After implementing the clinicalpractice guidelines on CAUTI, the growth of organismswas not reported. Conclusion: Clinical practiceguidelines strongly recommend that reporting andmonitoring for infection control practices is a criticalcomponent of CAUTI prevention. It also emphasizedthe education and training of nurses regarding infectioncontrol measures and periodic assessment of thepractice among them has also been shown to reduce theincidence of CAUTI. Thus the study creates anopportunity to develop and implement clinical practiceguidelines and it helps to improve nurses practice ininfection control and reduce the incidence of CAUTI inthe hospitals.
机译：背景：尿路感染（UTI）占医院获得性感染的40％至50％。导管相关性尿路感染（CAUTI）是大多数与卫生保健相关的感染。导尿管会导致细菌定植，反复和慢性感染，膀胱结石，败血症，肾脏，膀胱和尿道损伤以及对抗生素的耐药性发展。 CAUTI的发生主要是由于在插入和维护留置导管过程中护士遵循的非无菌技术。目的和目的：根据结构化观察清单评估留置导管的插入方法并评估留置导管的维护方法，并评估临床实践指南的有效性。材料和方法：这是一个为期一年的准实验性非等效对照组的前测和后测设计。从护士和患者收集人口统计数据。通过观察清单和尿液培养及敏感性分析，收集了留置导管数据的插入和维护实践。实施临床实践指南后，测试前和测试后间隔7天。获得了机构道德委员会的批准，并完成了CTRI注册。结果：数据收集自70名参与者（实验– 35和对照组–35）。研究结果表明，实施临床实践指导原则是有效的，p值为0.001，可以有效地插管和维持导管。尿液培养和分析表明，实验组中有3例显示微生物生长，预测试时对照组中有2例。在实施有关CAUTI的临床实践指南后，尚未报告生物体的生长。结论：临床实践指南强烈建议对感染控制实践进行报告和监测是预防CAUTI的重要组成部分。它还强调了对护士进行感染控制措施的教育和培训，并对其中的实践进行定期评估也可以减少CAUTI的发生。因此，该研究为制定和实施临床实践指南创造了机会，并有助于改善护士实践中的感染控制，并减少医院中CAUTI的发生率。

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