Optimising Interventions for Catheter-Associated Urinary Tract Infections (CAUTI) in Primary, Secondary and Care Home Settings.

Catheter-associated urinary tract infections (CAUTI) are common yet preventable. Healthcare professional behaviours, such as reducing unnecessary catheter use, are key for preventing CAUTI. Previous research has focused on identifying gaps in the national response to CAUTI in multiple settings in England. This study aimed to identify how national interventions could be optimised. We conducted a multi-method study comprising: a rapid review of research on interventions to reduce CAUTI; a behavioural analysis of effective research interventions compared to national interventions; and a stakeholder focus group and survey to identify the most promising options for optimising interventions. We identified 37 effective research interventions, mostly conducted in United States secondary care. A behavioural analysis of these interventions identified 39 intervention components as possible ways to optimise national interventions. Seven intervention components were prioritised by stakeholders. These included: checklists for discharge/admission to wards; information for patients and relatives about the pros/cons of catheters; setting and profession specific guidelines; standardised nationwide computer-based documentation; promotion of alternatives to catheter use; CAUTI champions; and bladder scanners. By combining research evidence, behavioural analysis and stakeholder feedback, we identified how national interventions to reduce CAUTI could be improved. The seven prioritised components should be considered for future implementation.

Antibiotics (Basel, Switzerland). 2020 Jul 17*** epublish ***

Marta Wanat, Aleksandra J Borek, Lou Atkins, Anna Sallis, Diane Ashiru-Oredope, Elizabeth Beech, Christopher C Butler, Tim Chadborn, Susan Hopkins, Leah Jones, Cliodna A M McNulty, Nia Roberts, Karen Shaw, Esther Taborn, Sarah Tonkin-Crine

Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford OX2 6GG, UK., Centre for Behaviour Change, University College London, London WC1E 6BT, UK., Public Health England Behavioural Insights, London SE1 8UG, UK., Public Health England, London SE1 8UG, UK., NHS England and NHS Improvement, London SE1 6LH, UK., Primary Care and Interventions Unit, Public Health England, Gloucester GL1 1DQ, UK., Bodleian Health Care Libraries, University of Oxford, Oxford OX3 7LF, UK.

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