title: Reducing catheter-associated urinary tract infections in a neuro-spine intensive care unit.
abstract: A collaborative effort reduced catheter-associated urinary tract infections in the neuro-spine intensive care unit where the majority of infections occurred at our institution. Our stepwise approach included retrospective data review, daily rounding with clinicians, developing and implementing an action plan, conducting practice audits, and sharing of real-time data outcomes. The catheter-associated urinary tract infection rate was reduced from 8.18 to 0.93 per 1,000 catheter-days and standardized infection ratio decreased from 2.16 to 0.37.
authors.affiliation: Healthcare Epidemiology and Infection Prevention Department in accordance with the Neuro-Spine Intensive Care Unit, Northwestern Memorial Hospital, Chicago, IL. Electronic address: kschelli@nmh.org.
authors.forename: Kimberly
authors.initials: K
authors.lastname: Schelling
authors.affiliation: Healthcare Epidemiology and Infection Prevention Department in accordance with the Neuro-Spine Intensive Care Unit, Northwestern Memorial Hospital, Chicago, IL.
authors.forename: Janet
authors.initials: J
authors.lastname: Palamone
authors.affiliation: Healthcare Epidemiology and Infection Prevention Department in accordance with the Neuro-Spine Intensive Care Unit, Northwestern Memorial Hospital, Chicago, IL.
authors.forename: Kathryn
authors.initials: K
authors.lastname: Thomas
authors.affiliation: Healthcare Epidemiology and Infection Prevention Department in accordance with the Neuro-Spine Intensive Care Unit, Northwestern Memorial Hospital, Chicago, IL.
authors.forename: Andrew
authors.initials: A
authors.lastname: Naidech
authors.affiliation: Healthcare Epidemiology and Infection Prevention Department in accordance with the Neuro-Spine Intensive Care Unit, Northwestern Memorial Hospital, Chicago, IL.
authors.forename: Christina
authors.initials: C
authors.lastname: Silkaitis
authors.affiliation: Healthcare Epidemiology and Infection Prevention Department in accordance with the Neuro-Spine Intensive Care Unit, Northwestern Memorial Hospital, Chicago, IL.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Henry
authors.affiliation: Healthcare Epidemiology and Infection Prevention Department in accordance with the Neuro-Spine Intensive Care Unit, Northwestern Memorial Hospital, Chicago, IL.
authors.forename: Maureen
authors.initials: M
authors.lastname: Bolon
authors.affiliation: Healthcare Epidemiology and Infection Prevention Department in accordance with the Neuro-Spine Intensive Care Unit, Northwestern Memorial Hospital, Chicago, IL.
authors.forename: Teresa R
authors.initials: TR
authors.lastname: Zembower
mesh_terms: D055499:Catheter-Related Infections / Q000453:epidemiology* / Q000517:prevention & control*; D006801:Humans; D015994:Incidence; D017053:Infection Control / Q000379:methods*; D007362:Intensive Care Units; D012189:Retrospective Studies; D014552:Urinary Tract Infections / Q000453:epidemiology* / Q000517:prevention & control*
keywords: Collaborative improvement project; Indwelling urinary catheter; Infection prevention