{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:15:09Z","timestamp":1787022909323,"version":"build-2736575974"},"reference-count":34,"publisher":"American Academy of Pediatrics (AAP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Catheter-associated urinary tract infections (CAUTIs) are a leading cause of health care\u2013associated infection. Catheter insertion bundles (IBs) and maintenance bundles (MBs) have been developed to prevent CAUTIs but have not been extensively validated for use in pediatric populations. We report the CAUTI prevention efforts of a large network of children\u2019s hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>Children\u2019s hospitals joined the Children\u2019s Hospitals\u2019 Solutions for Patient Safety engagement network from 2011 to 2017, using an open start time engagement approach, and elected to participate in CAUTI prevention efforts, with 26 submitting data initially and 128 at the end. CAUTI prevention recommendations were first released in May 2012, and IBs and MBs were released in May 2014. Hospitals reported on CAUTIs, patient-days, and urinary catheter-line days and tracked reliability to each bundle. For the network, run charts or control charts were used to plot CAUTI rates, urinary catheter use, and reliability to each bundle component.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>After the introduction of the pediatric CAUTI IBs and MBs, CAUTI rates across the network decreased 61.6%, from 2.55 to 0.98 infections per 1000 catheter-line days. Centerline shifts occurred both before and after the 2015 Centers for Disease Control and Prevention CAUTI definition change. Urinary catheter use rates did not decline during the intervention period. Network reliability to the IBs and MBs increased to 95.4% and 86.9%, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>IBs and MBs aimed at preventing CAUTIs were introduced across a large network of children\u2019s hospitals. Across the network, the rate of urinary tract infections among hospitalized children with indwelling urinary catheters decreased 61.6%.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/peds.2019-2057","type":"journal-article","created":{"date-parts":[[2020,9,3]],"date-time":"2020-09-03T08:25:12Z","timestamp":1599121512000},"source":"Crossref","is-referenced-by-count":16,"title":["Catheter-Associated Urinary Tract Infection Reduction in a Pediatric Safety Engagement Network"],"prefix":"10.1542","volume":"146","author":[{"given":"Charles B.","family":"Foster","sequence":"first","affiliation":[{"name":"Cleveland Clinic Children\u2019s, Cleveland Clinic, Cleveland, Ohio;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathy","family":"Ackerman","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Children\u2019s, Cleveland Clinic, Cleveland, Ohio;"},{"name":"Memorial Sloan Kettering Cancer Center, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vera","family":"Hupertz","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Children\u2019s, Cleveland Clinic, Cleveland, Ohio;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurie","family":"Mustin","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospitals\u2019 Solutions for Patient Safety, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joann","family":"Sanders","sequence":"additional","affiliation":[{"name":"Cook Children\u2019s Health Care System, Fort Worth, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Sisson","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospitals\u2019 Solutions for Patient Safety, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel E.","family":"Wenthe","sequence":"additional","affiliation":[{"name":"Cook Children\u2019s Health Care System, Fort Worth, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2020,10,1]]},"reference":[{"issue":"3","key":"2021120918560188100_B1","doi-asserted-by":"crossref","first-page":"e20163494","DOI":"10.1542\/peds.2016-3494","article-title":"Children\u2019s hospitals\u2019 solutions for patient safety collaborative impact on hospital-acquired harm","volume":"140","author":"Lyren","year":"2017","journal-title":"Pediatrics"},{"issue":"3","key":"2021120918560188100_B2","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1542\/peds.2015-1386","article-title":"Costs of venous thromboembolism, catheter-associated urinary tract infection, and pressure ulcer","volume":"136","author":"Goudie","year":"2015","journal-title":"Pediatrics"},{"issue":"4","key":"2021120918560188100_B3","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1086\/651091","article-title":"Guideline for prevention of catheter-associated urinary tract infections 2009","volume":"31","author":"Gould","year":"2010","journal-title":"Infect Control Hosp Epidemiol"},{"issue":"5","key":"2021120918560188100_B4","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1086\/650482","article-title":"Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America","volume":"50","author":"Hooton","year":"2010","journal-title":"Clin Infect Dis"},{"key":"2021120918560188100_B5","doi-asserted-by":"crossref","first-page":"S3","DOI":"10.1053\/jhin.2000.0886","article-title":"The epic project: developing national evidence-based guidelines for preventing healthcare associated infections. 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