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Evaluation of an Evidence-Based, Nurse-Driven Checklist to Prevent Hospital-Acquired Catheter-Associated Urinary Tract Infections in Intensive Care Units

Fuchs, Mary Ann DNP, RN; Sexton, Daniel J. MD, FACP; Thornlow, Deirdre K. PhD, RN, CPHQ; Champagne, Mary T. PhD, RN, FAAN

Journal of Nursing Care Quality:
doi: 10.1097/NCQ.0b013e3181fb7847

Catheter-associated urinary tract infections account for 40% of all health care-associated infections. An evidence-based, nurse-driven daily checklist for initiation and continuance of urinary catheters was implemented in 5 adult intensive care units. Measures of compliance, provider satisfaction, and clinical outcomes were recorded. Compliance with the checklist was 50 to 100%: catheter-associated urinary tract infections decreased from 2.88 to 1.46 per 1000 catheter days and catheter days decreased in 2 intensive care units.

Author Information

Duke University Hospital and Health System (Dr Fuchs), Division of Infectious Diseases, Department of Medicine, Duke University, and Duke University Medical Center (Dr Sexton), Duke University School of Nursing (Dr Thornlow), and Schools of Nursing and Medicine, Duke University (Dr Champagne), Durham, North Carolina.

Correspondence: Mary Ann Fuchs, DNP, RN, Duke University Medical Center, Box 3543, Durham, NC 27710 (

We thank Robin N. Gasparini, RN, ADN, PCCN, graduate nursing student, for her support in study coordination.

Accepted for publication: September 8, 2010.

© 2011 Lippincott Williams & Wilkins, Inc.