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.
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 (firstname.lastname@example.org).
We thank Robin N. Gasparini, RN, ADN, PCCN, graduate nursing student, for her support in study coordination.
Accepted for publication: September 8, 2010.