{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T16:26:31Z","timestamp":1759335991311},"reference-count":51,"publisher":"AACN Publishing","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,6,1]]},"abstract":"<jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Catheter-associated urinary tract infections are preventable adverse outcomes that increase hospital morbidity, mortality, and costs. These infections are particularly prevalent in intensive care units.<\/jats:p><\/jats:sec><jats:sec><jats:title>OBJECTIVES<\/jats:title><jats:p>To describe the success of an 18-bed neurological intensive care unit in using several nurse-implemented strategies that reduced the number of catheter-associated urinary tract infections.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>A prospective, interventional design with application of evidence-based practices to reduce catheter-associated urinary tract infections was used.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Before implementation of the strategies, 40 catheter-associated urinary tract infections were reported for 2012 and 38 for 2013. The standardized infection ratio was 2.04 for 2012 (95% CI, 1.456\u20132.775) and 2.34 (95% CI, 1.522\u20133.312) for 2013. After implementation of the strategies, significantly fewer catheter-associated urinary tract infections were reported. In 2014, a total of 15 infections were reported, and the standardized infection ratio was less than 1.0 (95% CI, 0.685\u20131.900).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Application of current evidence-based practices resulted in a substantial decrease in the number of catheter-associated urinary tract infections and a lower standardized infection ratio. These findings support current recommendations for \u201cbundling\u201d to maximize outcomes.<\/jats:p><\/jats:sec>","DOI":"10.4037\/ccn2017742","type":"journal-article","created":{"date-parts":[[2017,6,1]],"date-time":"2017-06-01T08:15:14Z","timestamp":1496304914000},"page":"42-48","source":"Crossref","is-referenced-by-count":14,"title":["Decreasing Catheter-Associated Urinary Tract Infections in the Neurological Intensive Care Unit: One Unit\u2019s Success"],"prefix":"10.4037","volume":"37","author":[{"given":"Brenda","family":"Richards","sequence":"first","affiliation":[{"name":"Brenda Richards is a registered nurse in the neurological intensive care unit at New York Presbyterian Hospital - Columbia Campus, New York, New York."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bindhu","family":"Sebastian","sequence":"additional","affiliation":[{"name":"Bindhu Sebastian is a registered nurse in the neurological intensive care unit at New York Presbyterian Hospital - Columbia Campus."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hillary","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Hillary Sullivan was a registered nurse in the neurological intensive care unit at New York Presbyterian Hospital - Columbia Campus when this project was done."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosemarie","family":"Reyes","sequence":"additional","affiliation":[{"name":"Rosemarie Reyes is a registered nurse in the neurological intensive care unit at New York Presbyterian Hospital \u2013 Columbia Campus."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John F.","family":"D\u2019Agostino","sequence":"additional","affiliation":[{"name":"John F. 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