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KMID : 0388320120190020223
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Journal of Korean Academy of Fundamental Nursing
2012 Volume.19 No. 2 p.223 ~ p.232
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Effects of perineal care in preventing catheter associated urinary tract infections (CAUTI) in intensive care units (ICU)
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Choi Jeong-Sil
Yeon Jeong-Hwa
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Abstract
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The purpose of this study was to compare the effects of preventing CAUTIs through the practice of using 0.05% chlorhexidine gluconate (CHG) versus normal saline for perineal care in ICU patients.
Methods: A randomized controlled trial was used, and participants were randomly allocated to either the CHG group (n=79) or normal saline group (n=81). CAUTI was diagnosed following the criteria of the Centers of Disease Control and Prevention (CDC). Incidence of CAUTI and characte oftics of infection were evaluated.
Results: In the CHG group, 8 epofodes of CAUTI were obsevend in 79 patients and 875 foley catheter e ys. Tnce ate of CAUTI was 9.14 per 1,000 foley catheter e ys. Tncre were 2 epofodes of CAUTI in the 81 patients and 837 foley catheter e ys of the normal saline group. Tnce ate of CAUTI was 2.39 per 1,000 foley catheter e ys. Tnc difference between both groups was not significant (p=.1e ConConclusevaluUsing normal saline to provide perineal care to ICU patients with a foley catheter inserted will not increase the risk for CAUTI.
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KEYWORD
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Urinary tract infection, Intensive Care Unit, Infection control, Catheterization
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