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NURSING VALOR
PROGRAM 2017
THE USE OF SILVER GEL
COATED FOLEY CATHETERS
TO DECREASE THE
OCCURRENCE OF CAUTIS
Daniel Hermosillo, John Fernandez,
Christian Salazar, Anna Bourget MSN,
Gale Bradford, MSN
THE CURRENT ISSUE
hydrogel coated catheters on CAUTI Control group had 4352 catheter days, silver alloy
hydrogel had 7474 (All the pts in each group had
rates in Hong Kong their catheter days added)
- One year study, subgroup analysis Control had 28 CAUTI episodes, SAH had 70 =
31% reduction in CAUTI incidences vs the control
group. For every 1000 catheter days there were
6.4 CAUTI instances/1000 control and 9.4 CAUTI
instances/1000 SAH which equates to 31%)
Conclusion - CAUTI rates are decreased by almost
1/3rd compared to standard use of latex Foley
Study 3: Multicenter cohort study to assess the impact of a
silver-alloy and hydrogel-coated urinary catheter on
symptomatic catheter-associated urinary tract infections.
Results
Determine effects of silver hydrogel National Healthcare Safety Network and clinical definitions of
coated Foley catheters on CAUTIs CAUTIs (CAUTIs defined by National Healthcare Safety
Network (NHSN) and CAUTIs that met the clinical definition
Multicenter before-after non-randomized were used to aid in calculation of results)
cohort study 47% reduction in CAUTI was when accounting for both NHSN
and clinical definitions of CAUTI
Seven acute care hospitals partook in 58% reduction in CAUTI when accounting solely for NHSN
study definition
Antimicrobial Tx days for CAUTI decreased from 1165 to 406
Each hospital conducted CAUTI (when using standard Foleys, days spent treating CAUTI with
surveillance for 3 months with standard antibiotics went from 1165 to 406 when SAH were used)
Foleys and 3 months with silver-hydrogel Conclusion - In real-life hospital application, SAH Foleys
Foleys decrease CAUTI
What is the potential impact of the How could the impact be measured?
change? - Looking through charts to count urinary
catheter days and lab cultures indicating
The potential impact is to reduce urinary infections
the amount of catheter associated - Comparing information from charts to National
infections within the hospital thus VA infection control definition for CAUTI
reducing length of stay and reducing the - Comparing CAUTI rates per fiscal year by
amount of money spent on HAIs. measuring CAUTIs vs. urinary catheter days in
Critical Care and Acute Care settings
Recommendations for future
review/action:
Recommendation for future
review should consist of collecting more
information on the adherence of catheter
care implemented by the staff as well as
sterile technique implementation during
insertion and other predisposing factors
that lead to a CAUTI.
The efficacy of noble metal alloy urinary catheters in reducing catheter-associated
urinary tract infection.
- https://www.ncbi.nlm.nih.gov/pubmed/28057985