A Study to Evaluate The Effectiveness of Catheter Associated Urinary Tract Infection (CAUTI) Care Bundle on Prevention of Infection Among Male Patients with Indwelling Catheter in Intensive Care Units at Hi-Tech Medical College & Hospital, Sundergarh, Odi

Abstract

Introduction: Catheter-Associated Urinary Tract Infection (CAUTI) is among the most frequent infections acquired in hospitals, particularly by patients in critical care units (ICUs). With prolonged catheterization. These infections often lead to increased patient morbidity, lengthier hospital stays, and added financial burden. Implementing evidence-based CAUTI care bundles has emerged as a preventive strategy to minimize these complications. 

Methodology: The research group was created using a quasi-experimental post-test-only approach. The study included 200 male ICU patients with indwelling catheters 100 in the both the groups (Experimental & Control). The experimental group received a structured CAUTI care bundle intervention that included aseptic catheter insertion, daily perineal hygiene, monitoring catheter duration, and maintaining a closed drainage system. The control group was given conventional care on a regular basis. CAUTI incidence was evaluated using CDC/NHSN assessment criteria after seven days of catheterization.

Results: The post-test CAUTI rate was noticeably lower in the group that was experimental. With 16 patients (16%) testing positive and 84 (84%) testing negative. In contrast, the control group showed a higher infection rate, with 78 patients (78%) testing positive and only 22 (22%) negatives. Statistical comparison revealed a highly significant difference (Chi-square = 77.158, p < 0.001), 0.054 is the odds ratio (95% CI: 0.026– 0.110), indicating that the likelihood of CAUTI was approximately 18.5 times lower in the experimental group. Regarding microbial findings, 84% of participants in the experimental group had no organisms detected, while 6% had E. coli, 4% had Pseudomonas, and 3% each had Klebsiella and Proteus. In contrast, the control group showed high prevalence of organisms, with E. coli (38%), Klebsiella (26%), Pseudomonas (8%), and Proteus (6%), while only 22% had no organism identified. Among clinical and demographic variables, only the type of organism identified showed a significant association with CAUTI incidence (p < 0.001); other factors include age, marital status, and kind of catheter, perineal care frequency, and antibiotic administration were not significantly associated with infection outcomes.

Conclusion: The CAUTI care bundle intervention proved to be highly efficient in lowering the frequency of urinary tract infections linked to catheter use among male ICU patients. These findings underscore the importance of standardized, evidence-based nursing interventions and regular monitoring protocols in improving patient safety and clinical outcomes in critical care environments. By integrating such care bundles into routine daily practice, infection risk substantially decreases, enhancing overall care quality.