Daily Rounding Helps Curb CAUTIs in Pediatric ICU Patients

Bundle of prevention strategies cut catheter-associated UTIs in peds ICU with sustained results

a child in a hospital

WEDNESDAY, March 11, 2020 (HealthDay News) -- Targeted rounding for pediatric patients with an indwelling urinary catheter is an effective and sustainable strategy to reduce catheter-associated urinary tract infections (CAUTIs), according to a study recently published in Critical Care Nurse.

Megan D. Snyder, R.N., from Children's Hospital of Philadelphia, and colleagues completed a quality improvement project of daily targeted rounding for pediatric patients with an indwelling urinary catheter in the intensive care unit. The goals of the intervention were to assess appropriateness of catheterization, increase bundle compliance, and decrease CAUTI risk.

The researchers found that bundle compliance supported by targeted rounding increased from 84 to 93 percent. Additionally, the overall CAUTI rate declined from 2.7 infections per 1,000 catheter days at baseline to zero. This change was sustained for one year.

"Targeted rounding helped take our CAUTI-related outcomes from good to great," Snyder said in a statement. "It takes just a few minutes per patient, it focuses on a small population of patients, and many team members can share the responsibility of conducting rounds."

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