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Preventing Catheter-Associated Urinary Tract Infections in Acute Care: The Bundle Approach

Andreessen, Linda DNP, RN, ANP-BC; Wilde, Mary H. PhD, RN; Herendeen, Pam DNP, RN, PNP-BC

doi: 10.1097/NCQ.0b013e318248b0b1

Catheter-associated urinary tract infections account for 40% of all nosocomial infections. A multidisciplinary team implemented evidence-based guidelines and a urinary catheter bundle, focusing on optimizing the use of urinary catheters through continual assessment and prompt catheter removal. Data were obtained on catheter device days, compliance with urinary catheter orders, and computer documentation of continued catheter indications. Results included an overall reduction of 71% in catheter device days and a 56% reduction in catheter use.

Advanced Imaging Associates, Cheektowaga, New York (Dr. Andreessen); and University of Rochester, Rochester, New York (Drs. Wilde and Herendeen), and Golisano Children's Hospital (Dr. Herendeen), Rochester, New York.

Correspondence: Linda Andreessen, DNP, RN, ANP-BC, 2625 Harlem Rd, Cheektowaga, NY 14225 (

The content is solely the responsibility of the authors and does not represent the official view of the Department of Veterans Affairs.

The authors declare no conflicts of interest.

Accepted for publication: December 28, 2011.

Published online before print: February 10, 2012.

© 2012 Lippincott Williams & Wilkins, Inc.