Effect of Aseptic Technique versus Routine Hospital Care on Prevention of Catheter Associated Urinary Tract Infection

Background: The use of indwelling urinary catheters in hospitalized patients
presents an increased risk of the development of complications, including catheterassociated
urinary tract infection (CAUTI) which is considered the most common
healthcare-associated infection (HAI). Using aseptic technique in the care of urinary
catheter helps to minimize the risk of this complication. Objective: The aim of this study
was to determine the effect of aseptic technique versus routine hospital care on
prevention of catheter associated urinary tract infection. Setting: The study was carried
out at the Urology departments of El-Zohor General Hospital, El-Mabra Health
Insurance Hospital in Port Said City and urology and Nephrology Center in Mansoura
University to test the hypothesis that catheter associated urinary tract infection will
register low rate by using aseptic technique than using routine hospital care. Subjects:
The study included 60 female adult patients in need for urethral catheterization for more
than three days. They were equally divided into a study group for implementation of
aseptic technique and a control group received the routine hospital care. Tools: Two
tools were used for data collections. Tool one consisted of two parts part one included
structured interview Sheet to assess patients' bio-socio demographic characteristics,
information regarding catheter and drainage bag , knowledge regarding catheterization
part two included observation checklist to assess implementation of aseptic technique
during urinary catheter insertion and care. Tool two included urine culture schedule.
Results: The results demonstrated that Positive urine culture was higher in the control
group (50.0%) compared to (20.0%) in the study group (p=0.015). The study concluded that the incidence rate of UTI among patients with urinary catheter can be decreased
through using of aseptic technique compared to using of routine hospital care.
Recommendations: The study recommended the necessity of using aseptic technique
practices for insertion and care of indwelling urinary catheter in the study setting and in
other similar settings. Providing nurses with ongoing in-service education and training
stressing the practices of aseptic technique and correct urinary catheter care.