School of Nursing
Doctor of Nursing Practice (DNP)
CAUTI Reduction, PureWick, CAUTI Bundles
Robinson, Katie Nichole, "Strategies to Decrease Cauti Rates in Hospitalized Patients: An Integrative Review" (2021). Doctoral Dissertations and Projects. 3156.
Catheter-associated urinary tract infections (CAUTI) are proven to be a leading cause of infection within hospital systems and are caused by the use of indwelling urinary catheters. Diagnosis is made through additional urine testing and the infection requires treatment with antibiotics. The question within this integrative review was “What are effective strategies to decrease CAUTI rates in adult patients who are hospitalized?” During this integrative review, several strategies were examined to evaluate their effects on CAUTI rates on hospitalized adult patients requiring urinary drainage devices. Those strategies focused mainly on CAUTI bundles including proper insertion, early removal and external urinary devices. Data was obtained through the Liberty University Online Jerry Falwell Library and articles were selected using Melnyk’s Level of Evidence. When these strategies are implemented and utilized properly, CAUTI rates are proven to decrease significantly, most by over 50%. When CAUTI rates are decreased, hospital stays are also shortened, hospital bills are less, patient outcomes and satisfaction are improved, and overall mortality is reduced. Based on the research studies and the evidence-based outcomes included in this integrative review, this was obvious proof that CAUTI rates decrease with the use of CAUTI bundles which include proper insertion and early removal of urinary catheters. In addition, external devices for women and men contribute to a decrease in CAUTI rates.