Catheter-associated urinary tract infections (CAUTI) are common yet preventable. Healthcare professional behaviours, such as reducing unnecessary catheter use, are key for preventing CAUTI. Previous research has focused on identifying gaps in the national response to CAUTI in multiple settings in England. This study aimed to identify how national interventions could be optimised. We conducted a multi-method study comprising: a rapid review of research on interventions to reduce CAUTI; a behavioural analysis of effective research interventions compared to national interventions; and a stakeholder focus group and survey to identify the most promising options for optimising interventions. We identified 37 effective research interventions, mostly conducted in United States secondary care. A behavioural analysis of these interventions identified 39 intervention components as possible ways to optimise national interventions. Seven intervention components were prioritised by stakeholders. These included: checklists for discharge/admission to wards; information for patients and relatives about the pros/cons of catheters; setting and profession specific guidelines; standardised nationwide computer-based documentation; promotion of alternatives to catheter use; CAUTI champions; and bladder scanners. By combining research evidence, behavioural analysis and stakeholder feedback, we identified how national interventions to reduce CAUTI could be improved. The seven prioritised components should be considered for future implementation.

中文翻译：

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优化初级、中级和护理院环境中导管相关尿路感染 (CAUTI) 的干预措施。


导管相关性尿路感染 (CAUTI) 很常见，但可以预防。医疗保健专业行为，例如减少不必要的导管使用，是预防 CAUTI 的关键。此前的研究重点是找出英格兰多个地区对 CAUTI 的全国应对措施中的差距。本研究旨在确定如何优化国家干预措施。我们进行了一项多方法研究，包括： 快速回顾减少 CAUTI 干预措施的研究；对有效研究干预措施与国家干预措施进行比较的行为分析；利益相关者焦点小组和调查，以确定优化干预措施最有希望的选择。我们确定了 37 项有效的研究干预措施，大部分在美国二级医疗机构进行。对这些干预措施的行为分析确定了 39 个干预措施作为优化国家干预措施的可能方法。利益相关者优先考虑了七个干预措施。其中包括：出院/入病房清单；为患者和亲属提供有关导管优缺点的信息；制定和专业具体指南；标准化全国计算机文档；推广导管使用的替代方案； CAUTI 冠军；和膀胱扫描仪。通过结合研究证据、行为分析和利益相关者反馈，我们确定了如何改进减少 CAUTI 的国家干预措施。未来的实施应考虑七个优先组成部分。