Iberoamerican Journal of Medicine
https://iberoamjmed.com/article/doi/10.53986/ibjm.2022.0036
Iberoamerican Journal of Medicine
Original article

Healthcare Providers’ Compliance with Guidelines for Catheter-Associated Urinary Tract Infections in a Rural Teaching and Referral Hospital

Cumplimiento de las pautas para las infecciones del tracto urinario asociadas con el catéter por parte de los proveedores de atención médica en un hospital rural docente y de referencia

Reha Girgin, Emre Horuz

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Abstract

Introduction: Healthcare professionals (HCPs) play a key role in the prevention of catheter-associated urinary tract infections (CAUTI). This study aims to determine the compliance of healthcare personnel with urethral catheterisation standards and the factors affecting it.
Materials and Methods: This study is a prospective survey and was conducted between February and March 2021 after ethical approval and patient consent. An internet-based, structured 39-item questionnaire was sent via email to all HCPs at Zonguldak Bulent Ecevit University Hospital, Zonguldak, Turkey. A to evaluate their knowledge and attitudes towards the prevention of CAUTI. The questionnaire was completed by 156 health professionals. For categorical parameters Fisher’s exact test, though for scale parameters student t-test, Mann–Whitney U and Kruskal–Wallis tests were used. All statistical analysis was done using SPSS 17.0.
Results: The average years of experience of the HCPs who participated in the survey was 12.5 years. The level of knowledge of the doctors and the nurses about the indication of catheter insertion was similar, whereas the level of knowledge about CAUTI prevention was higher among the doctors. However, none of the participants could fully describe how to prevent CAUTI.
Conclusions: The level of knowledge of CAUTI preventive measures among the participants was insufficient. To effectively preventing CAUTI, there is a need to change HCPs’ perspective on this issue, which can be achieved through training, and advantage current technologies.

Keywords

Urinary tract infection; Catheter; Health personnel; Knowledge; Prevention

Resumen

Introducción: Los profesionales de la salud (PS) juegan un papel clave en la prevención de infecciones del tracto urinario asociadas al catéter (ITUAC). Este estudio tiene como objetivo determinar el cumplimiento de las normas de sondaje uretral por parte del personal sanitario y los factores que lo afectan.
Materiales y métodos: Este estudio es una encuesta prospectiva y se realizó entre febrero y marzo de 2021 después de la aprobación ética y el consentimiento del paciente. Se envió un cuestionario estructurado de 39 ítems basado en Internet por correo electrónico a todos los HCP en el Hospital Universitario Zonguldak Bulent Ecevit, Zonguldak, Turquía. A para evaluar sus conocimientos y actitudes hacia la prevención de la ITUAC. El cuestionario fue completado por 156 profesionales de la salud. Para los parámetros categóricos se utilizó la prueba exacta de Fisher, aunque para los parámetros de escala se utilizaron la prueba t de Student, la U de Mann-Whitney y la de Kruskal-Wallis. Todos los análisis estadísticos se realizaron con SPSS 17.0.
Resultados: El promedio de años de experiencia de los profesionales de la salud que participaron en la encuesta fue de 12,5 años. El nivel de conocimiento de los médicos y las enfermeras sobre la indicación de la inserción del catéter fue similar, mientras que el nivel de conocimiento sobre la prevención de las ITUAC fue mayor entre los médicos. Sin embargo, ninguno de los participantes pudo describir completamente cómo prevenir ITUAC.
Conclusiones: El nivel de conocimiento de las medidas preventivas de ITUAC entre los participantes fue insuficiente. Para prevenir CAUTI de manera efectiva, es necesario cambiar la perspectiva de los profesionales de la salud sobre este tema, lo que se puede lograr a través de la capacitación y aprovechar las tecnologías actuales.

Palabras clave

Infecciones del tracto urinario; Catéter; Personal sanitario; Conocimiento; Prevención

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Submitted date:
07/06/2022

Reviewed date:
08/23/2022

Accepted date:
09/02/2022

Publication date:
09/03/2022

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