![]() According to the CDC guideline, catheterized patients have more than 80% of developing urinary tract infections when compared to non-catheterized patients, with a higher incidence in developing countries compared to developed countries. It has been associated with increased morbidity, mortality, high financial cost, and prolonged length of stay in the hospital. ĬAUTIs can lead to different complications such as prostatitis, epididymitis, bladder spasm, orchitis in males and cystitis, pyelonephritis, urosepsis, endocarditis, endophthalmitis, meningitis, and bloodstream infections. The risk factors associated with acquiring CAUTIs were being female, prolonged duration of catheterization, immune-compromised patients, advanced age, and prolonged ICU stay. ĬAUTIs are caused by organisms such as E.coli(21.4%), Enterococcus(14.9%), Pseudomonas Aeruginosa(10%), Klebsiella Pneumonia(7.75%) and Enterobacter (4.15%). More than 70% of UTIs are acquired due to the use of indwelling urinary catheters and unnecessary instrumentation. CAUTIs are acquired when the insertion of a urinary catheter unnecessarily and the presence of a catheter for a long period in the bladder. It affects any part of the urinary system, including the kidney, ureter, bladder, and urethra. Therefore, increasing the knowledge of nurses through appropriate educational programs and training on the preventive measures of device-associated infections was recommended to prevent catheter-associated UTIs.Ĭatheter-associated Urinary Tract Infections (CAUTIs) is a urinary tract infections (UTIs) in a patient with a catheter present or within 48 h of catheter removal. Professional work experience had a significant statistical association with the level of knowledge. In this study, nurses’ knowledge and practice towards the prevention of catheter-associated urinary tract infection was relatively poor. In this study, there was a statistically significant association between professional work experience and nurses’ knowledge in preventing catheter-associated UTIs (at P-value = 0.031). The study findings showed that more than half (63.04%) of nurses had poor knowledge and 88(47.83%) of nurses had poor practice towards prevention of catheter-associated UTIs. ![]() The mean (±SD) age of the study participant was 29.07(±4.78). ResultsĪ total of 184 nurses participated in the study, making a response rate of 90.2%. ![]() The level of significance is considered at P-value less than 0.05. Pearson Chi-square and Fischer exact tests were performed to see the association between independent and dependent variables. Data were cleaned and entered into Epi data version 4.6 and analyzed using Statistical Package for Social Sciences version 26.0. Data were collected using a pretested self-administered semi-structured questionnaire. All 204 nurses working in the ICU of four public hospitals were included in the study using the census sampling method. MethodsĪn institutional-based descriptive cross-sectional study was conducted from March 01 to April 15, 2021, among nurses working in the ICU of public hospitals in Addis Ababa, Ethiopia. Therefore, this study aimed to assess the knowledge, practice, and associated factors of nurses towards prevention of catheter-associated UTIs in the Intensive Care Unit (ICU) of public hospitals in Addis Ababa, Ethiopia. The data regarding nurses’ knowledge, practice and associated factors towards prevention of catheter-associated urinary tract infections are limited in Ethiopia. Nurses are the primary healthcare providers responsible for inserting and maintaining urinary catheters. More than 70% of acquired urinary tract infections are due to catheter use. Urinary catheterization is one of the most common procedures performed in hospitals specifically, in the intensive care units and is associated with a high risk for acquired urinary tract infections.
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