To retrieve and summarize the best evidence for the prevention and control of catheter-associated urinary tract infections (CAUTI) and validate its clinical effectiveness through localized quality improvement.
Approach:
Evidence Synthesis: A systematic review was conducted using the Joanna Briggs Institute (JBI) evidence translation framework, focusing on literature published from 2019 to 2024.
Implementation: A localized plan was developed and revised through the Delphi method, implemented clinically, and evaluated for effectiveness.
Key Findings:
11 articles met the evidence requirements, including 6 randomized controlled trials (RCTs) and 5 quasi-experimental studies.
The final evidence summary comprised 4 dimensions: pre-insertion, training management, maintenance measures, and quality control.
CAUTI incidence per 1,000 catheter-days decreased from 2.16‰ to 1.82‰, but this reduction did not reach statistical significance.
Process-related indicators showed statistically significant improvements (all p < 0.05).
Interpretation:
Limitations:
The reduction in CAUTI incidence did not reach statistical significance (IRR of 0.84, p = 0.58).
The study was limited to a single healthcare institution.
