{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T14:04:22Z","timestamp":1781273062855,"version":"3.54.1"},"reference-count":18,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2015,1,2]],"date-time":"2015-01-02T00:00:00Z","timestamp":1420156800000},"content-version":"unspecified","delay-in-days":4019,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2004,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0195941700076839_abs1\"><jats:title><jats:bold>Objective:<\/jats:bold><\/jats:title><jats:p>To evaluate the effect of education and performance feedback regarding compliance with catheter care and handwashing on rates of catheter-associated urinary tract infection (UTI) in intensive care units (ICUs).<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700076839_abs2\"><jats:title><jats:bold>Setting:<\/jats:bold><\/jats:title><jats:p>Two level III adult ICUs in a private healthcare facility in Argentina.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700076839_abs3\"><jats:title><jats:bold>Patients:<\/jats:bold><\/jats:title><jats:p>All adult patients admitted to the study units who had a urinary catheter in place for at least 24 hours.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700076839_abs4\"><jats:title><jats:bold>Methods:<\/jats:bold><\/jats:title><jats:p>A prospective, open trial in which rates of catheter-associated UTI determined during a baseline period of active surveillance without education and performance feedback were compared with rates of catheter-associated UTI after imple-menting education and performance feedback.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700076839_abs5\"><jats:title><jats:bold>Results:<\/jats:bold><\/jats:title><jats:p>There were 1,779 catheter-days during the baseline period and 5,568 catheter-days during the intervention period. Compliance regarding prevention of compression of the tubing by a leg improved (from 83% to 96%; relative risk [RR], 1.15; 95% confidence interval [CI<jats:sub>95<\/jats:sub>], 1.03 to 1.28; <jats:italic>P<\/jats:italic> = .01) and so did compliance with handwashing (from 23.1% to 65.2%; RR, 2.82; CI<jats:sub>95<\/jats:sub>, 2.49 to 3.20; <jats:italic>P<\/jats:italic>&lt;.0001). Catheter-associated UTI rates decreased significantly from 21.3 to 12.39 per 1,000 catheter-days (RR, 0.58; CI<jats:sub>95<\/jats:sub>, 0.39 to 0.86; <jats:italic>P<\/jats:italic> = .006).<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700076839_abs6\"><jats:title><jats:bold>Conclusion:<\/jats:bold><\/jats:title><jats:p>Implementing education and performance feedback regarding catheter care measures and handwashing compliance was associated with a significant reduction in catheter-associated UTI rates. Similar programs may help reduce catheter-associated UTI rates in other Latin American hospitals.<\/jats:p><\/jats:sec>","DOI":"10.1086\/502291","type":"journal-article","created":{"date-parts":[[2006,3,30]],"date-time":"2006-03-30T22:04:35Z","timestamp":1143756275000},"page":"47-50","source":"Crossref","is-referenced-by-count":85,"title":["Effect of Education and Performance Feedback on Rates of Catheter-Associated Urinary Tract Infection in Intensive Care Units in Argentina"],"prefix":"10.1017","volume":"25","author":[{"given":"Victor Daniel","family":"Rosenthal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Guzman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nasia","family":"Safdar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2015,1,2]]},"reference":[{"key":"S0195941700076839_ref013","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-6553(83)80012-1"},{"key":"S0195941700076839_ref017","doi-asserted-by":"publisher","DOI":"10.1067\/mic.2003.52"},{"key":"S0195941700076839_ref011","doi-asserted-by":"publisher","DOI":"10.1016\/0196-6553(88)90053-3"},{"key":"S0195941700076839_ref005","doi-asserted-by":"publisher","DOI":"10.1086\/501964"},{"key":"S0195941700076839_ref006","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(83)91327-2"},{"key":"S0195941700076839_ref003","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.160.5.678"},{"key":"S0195941700076839_ref002","doi-asserted-by":"publisher","DOI":"10.1016\/S0891-5520(05)70376-7"},{"key":"S0195941700076839_ref018","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1978.03280380047016"},{"key":"S0195941700076839_ref004","doi-asserted-by":"publisher","DOI":"10.1067\/mic.2000.110544"},{"key":"S0195941700076839_ref008","doi-asserted-by":"publisher","DOI":"10.1017\/S0195941700065553"},{"key":"S0195941700076839_ref012","volume-title":"Manual of Clinical Microbiology","author":"Balows","year":"1991"},{"key":"S0195941700076839_ref009","first-page":"682","article-title":"A novel silver hydrogel-impregnated indwelling urinary catheter reduces CAUTIs: a prospective double blind trial","volume":"19","author":"Maki","year":"1998","journal-title":"Infect Control Hosp Epidemiol"},{"key":"S0195941700076839_ref014","first-page":"145","article-title":"Guideline for hand hygiene in health-care settings: recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC\/SHEA\/APIC\/IDSA Hand Hygiene Task Force","volume":"51","author":"Boyce","year":"2002","journal-title":"MMWR"},{"key":"S0195941700076839_ref015","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-6553(99)70005-2"},{"key":"S0195941700076839_ref007","article-title":"Exceso de costos debido a infecciones nosocomiales en dos unidades de cuidados intensivos de un hospital privado de Argentina","author":"Rosenthal","journal-title":"Rev Panant Salud Publica."},{"key":"S0195941700076839_ref001","doi-asserted-by":"publisher","DOI":"10.3201\/eid0702.010240"},{"key":"S0195941700076839_ref010","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(91)90355-2"},{"key":"S0195941700076839_ref016","doi-asserted-by":"publisher","DOI":"10.1067\/mic.2003.63"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0195941700076839","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T21:43:48Z","timestamp":1557179028000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0195941700076839\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,1]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2004,1]]}},"alternative-id":["S0195941700076839"],"URL":"https:\/\/doi.org\/10.1086\/502291","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,1]]}}}