Institutional members access full text with Ovid®

Share this article on:

Implementation of a Nurse-Driven Protocol to Prevent Catheter-Associated Urinary Tract Infections

Alexaitis, Irene DNP, RN, NEA-BC; Broome, Barbara PhD, RN, FAAN

doi: 10.1097/NCQ.0000000000000041

This article describes a quality improvement project to decrease catheter-associated urinary tract infections (CAUTIs) at an academic medical center. A criteria-based, nurse-driven protocol for discontinuation of indwelling catheters and use of bladder ultrasonography in conjunction with intermittent catheterizations was the foundation for change. The CAUTI rate, the number of CAUTIs, cost of medications and supplies associated with treating CAUTIs, catheter duration, and intensive care unit length of stay decreased after protocol implementation.

Supplemental Digital Content is Available in the Text.

Nursing and Patient Services, University of Florida (UF) Health Shands Hospital, Gainesville (Dr Alexaitis); and Community/Mental Health, Department of Nursing, University of South Alabama, Mobile (Dr Broome).

Correspondence: Irene Alexaitis, DNP, RN, NEA-BC, Nursing and Patient Services, UF Health Shands Hospital, PO Box 100335, Gainesville, FL 32610 (

Dr Alexaitis received funding to purchase equipment for the project from UF Health Shands Hospital and is employed by UF Health Shands Hospital. For the other author, none are declared.

Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (

The authors declare no conflict of interest.

Accepted for publication: November 24, 2013

Published ahead of print: January 2, 2014

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins