Prevention of Catheter-Related Urinary Tract Infections in Adult Intensive Care Units: A Systematic Review

Abstract

The aim of this study is to systematically review intervention studies for the prevention of catheter-associated urinary tract infections. For this purpose, four databases, namely PUBMED, CINAHL, COCHRANE Library and MEDLINE, were scanned. During the scan, “Preventing CAUTI infections” was used as a keyword. As a result of the examination of the studies published between January 1, 2016 and December 31, 2022, 92 studies were reached. According to the inclusion criteria, 5 publications were evaluated within the scope of the study. As a result of the evaluation, it was determined that education on urinary catheter placement and maintenance, use of silicone foley catheter, and compliance with aseptic techniques in daily catheter care were effective in preventing catheter-associated urinary tract infections. With this systematic review, it was concluded that catheter-associate urinary tract infections can be prevented in adult intensive care units with evidence-based practices.

Keywords

• Urinary tract infection
• catheter
• intensive care

Yetişkin Yoğun Bakım Ünitelerinde Kateter İlişkili İdrar Yolu Enfeksiyonlarının Önlenmesi: Sistematik Derleme

Abstract

Bu çalışmanın amacı kateter ilişkili idrar yolu enfeksiyonlarının önlenmesi amacıyla yapılmış müdahale çalışmalarının sistematik olarak incelenmesidir. Bu amaç doğrultusunda PUBMED, CINAHL, COCHRANE Library ve MEDLINE olmak üzere dört veri tabanı taranmıştır. Tarama sırasında anahtar kelime olarak “Preventing CAUTI infections” kullanılmıştır. 1 Ocak 2016-31 Aralık 2022 tarihleri arasında yayınlanan çalışmaların incelenmesi sonucunda 92 çalışmaya ulaşılmıştır. Dahil edilme kriterlerine göre ise 5 yayın çalışma kapsamında değerlendirilmiştir. Değerlendirme sonucunda, üriner kateter yerleştirilmesi ve bakımı konusunda eğitim, silikon tip foley kateter kullanımı ve günlük kateter bakımında aseptik tekniklere uyulmasının kateter ilişkili idrar yolu enfeksiyonlarını önlemede etkili olduğu belirlenmiştir. Bu sistematik derleme ile kanıta dayalı uygulamalarla yetişkin yoğun bakım ünitelerinde kateter ilişkili idrar yolu enfeksiyonlarının önlenebileceği sonucuna varılmıştır.

Keywords

• İdrar yolu enfeksiyonu
• kateter
• yoğun bakım

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