Comparative Study of Different Disinfectant Solutions on Reducing Catheter Associated Urinary Tract Infections Among Critical Patients

Abstract

Catheter associated urinary tract infection (CAUTI) is one of the most common hospital acquired infection. Several antiseptic agents as (chlorhexidine, water, and povidone iodine) are available prior the insertion of urinary catheters to reduce infection among critical patients. Aim: compare the effect of different disinfectant solutions on reducing (CAUTI) among critical patients. Design: Quasi experimental was utilized at the cardiology care unit (CCU) and followed up at medical ward of Sohage University Hospital, Egypt. Purposive sample (210) cardiac patients conveniently selected and divided equally to three groups had newly inserted urethral catheter. Group (A) used chlorhexidine 5%, Group (B) used soap and water and Group (C) used 10 % povidone Iodine solution in the perineal and urethral meatus care before insertion. Results: the majority of the studied sample were male aged (38.77 ± 9.95, 36.69 ± 11.1 and 36.77 ± 11.4) years. Majority of three groups had no fever at 1^st observation. Group C had dysuria from the 1^st till the 3^rd time of observation (53, 77 & 81.4 %). High percentage of group C had positive urine culture at the three observations (51.4, 71.4, & 78.5 %). High correlation between used soap and water (group B) and body temperature, dysuria, and low correlation between purulent drainage with chlorhexidine group (A). Conclusion: using chlorhexidine gluconate and soap and water were the best methods that can be used in perineal care before catheter insertion and maintenance care than povidone iodine solution.

Keywords: Comparative, Disinfectant, Solutions, Catheter, Infection, Urinary and Critically.

DOI: 10.7176/JHMN/73-14

Publication date: April 30^th 2020