{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T07:07:57Z","timestamp":1788246477313,"version":"build-2803163510"},"reference-count":22,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2018,6,10]],"date-time":"2018-06-10T00:00:00Z","timestamp":1528588800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Intensive Care Med"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Early removal of urinary catheters is an effective strategy for catheter-associated urinary tract infection (CAUTI) prevention. We hypothesized that a nurse-directed catheter removal protocol would result in decreased catheter utilization and CAUTI rates in a surgical trauma intensive care unit (STICU).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We performed a retrospective, cohort study following implementation of a multimodal CAUTI prevention bundle in the STICU of a large tertiary care center. Data from a 19-month historical control were compared to data from a 15-month intervention period. Pre- and postintervention indwelling catheter utilization and CAUTI rates were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Catheter utilization decreased significantly with implementation of the nurse-driven protocol from 0.78 in the preintervention period to 0.70 in the postintervention period ( P &lt; .05). As a result of the bundle, the CAUTI rate declined significantly, from 5.1 to 2.0 infections per 1000 catheter-days in the pre- vs postimplementation period (Incident Rate Ratio [IRR]: 0.38, 95% confidence interval: 0.21-0.65).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Implementation of a nurse-driven protocol for early urinary catheter removal as part of a multimodal CAUTI intervention strategy can result in measurable decreases in both catheter utilization and CAUTI rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0885066618781304","type":"journal-article","created":{"date-parts":[[2018,6,10]],"date-time":"2018-06-10T23:36:50Z","timestamp":1528673810000},"page":"738-744","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":51,"title":["Implementation of a Nurse-Driven Protocol for Catheter Removal to Decrease Catheter-Associated Urinary Tract Infection Rate in a Surgical Trauma ICU"],"prefix":"10.1177","volume":"35","author":[{"given":"Anna F.","family":"Tyson","sequence":"first","affiliation":[{"name":"Department of General Surgery, Carolinas Medical Center, Charlotte, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen F.","family":"Campbell","sequence":"additional","affiliation":[{"name":"Department of Infection Prevention, Carolinas Medical Center, Charlotte, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lacey R.","family":"Spangler","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Carolinas Medical Center, Charlotte, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel W.","family":"Ross","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Carolinas Medical Center, Charlotte, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline E.","family":"Reinke","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Carolinas Medical Center, Charlotte, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine L.","family":"Passaretti","sequence":"additional","affiliation":[{"name":"Department of Infection Prevention, Carolinas Medical Center, Charlotte, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0943-5740","authenticated-orcid":false,"given":"Ronald F.","family":"Sing","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Carolinas Medical Center, Charlotte, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,6,10]]},"reference":[{"key":"bibr1-0885066618781304","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2011.07.018"},{"key":"bibr2-0885066618781304","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2014.08.007"},{"key":"bibr3-0885066618781304","doi-asserted-by":"publisher","DOI":"10.1097\/QCO.0b013e32835565cc"},{"key":"bibr4-0885066618781304","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2013.03.296"},{"key":"bibr5-0885066618781304","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000000351"},{"key":"bibr6-0885066618781304","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-6553(00)90015-4"},{"key":"bibr7-0885066618781304","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.2079"},{"key":"bibr8-0885066618781304","doi-asserted-by":"publisher","DOI":"10.1016\/j.idc.2013.09.002"},{"key":"bibr9-0885066618781304","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2014.07.045"},{"key":"bibr10-0885066618781304","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000000796"},{"key":"bibr11-0885066618781304","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61515-3"},{"issue":"1","key":"bibr12-0885066618781304","first-page":"15","volume":"23","author":"Mori C.","year":"2014","journal-title":"Medsurg Nurs"},{"key":"bibr13-0885066618781304","doi-asserted-by":"publisher","DOI":"10.1007\/s11596-015-1425-2"},{"key":"bibr14-0885066618781304","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2012-001774"},{"key":"bibr15-0885066618781304","unstructured":"CDC. Urinary tract infection (catheter-associated urinary tract infection [CAUTI] and non-catheter-associated urinary tract infection [UTI]) and other urinary system infection (USI) events, 2017. https:\/\/www.cdc.gov\/nhsn\/pdfs\/pscmanual\/7psccauticurrent.pdf. Accessed March 9, 2017."},{"key":"bibr16-0885066618781304","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(00)00531-3"},{"key":"bibr17-0885066618781304","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa061115"},{"key":"bibr18-0885066618781304","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-1382"},{"key":"bibr19-0885066618781304","doi-asserted-by":"publisher","DOI":"10.1111\/jep.12694"},{"key":"bibr20-0885066618781304","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2016.02.038"},{"key":"bibr21-0885066618781304","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2016.266"},{"key":"bibr22-0885066618781304","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2015.174"}],"container-title":["Journal of Intensive Care Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0885066618781304","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0885066618781304","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0885066618781304","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:55:17Z","timestamp":1777503317000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0885066618781304"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,10]]},"references-count":22,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2020,8]]}},"alternative-id":["10.1177\/0885066618781304"],"URL":"https:\/\/doi.org\/10.1177\/0885066618781304","relation":{},"ISSN":["0885-0666","1525-1489"],"issn-type":[{"value":"0885-0666","type":"print"},{"value":"1525-1489","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6,10]]}}}