Impact of HICPAC Guideline Adherence on Catheter-Associated Urinary Tract Infection Rates: Evidence from a District Hospital in Indonesia
Abstract
Urinary tract infections (UTIs) are among the most common nosocomial infections, particularly affecting hospitalized patients with indwelling urinary catheters. The implementation of the Healthcare Infection Control Practices Advisory Committee (HICPAC) guidelines aims to reduce the incidence of UTIs through stringent infection control measures in hospital settings. This study aimed to examine the association between the implementation of HICPAC guidelines and the incidence of catheter-associated urinary tract infections (CAUTIs) among inpatients at Permata Hati General Hospital, Muara Bungo Regency, in 2024. A quantitative study using a quasi-experimental design was conducted at Permata Hati General Hospital from October 2024 to February 2025. The study population consisted of nursing staff and all inpatients with urinary catheters. A total of 68 respondents were included, divided equally into two groups: 34 patients before and 34 after the implementation of HICPAC guidelines. Data were collected through medical record reviews and structured questionnaires. Statistical analyses were performed using the Chi-square and Wilcoxon tests. The results showed a statistically significant association between the implementation of HICPAC guidelines and a reduction in CAUTI incidence (p = 0.040). Additionally, significant improvements were observed in nurses’ knowledge, attitudes, and practices following the socialization and application of the guidelines. In conclusion, effective…
Read the paper
Related studies
- Association of lower urinary tract symptoms and OAB severity with quality of life and mental health in China, Taiwan and South Korea: results from a cross-sectional, population-based study
- Ten-Day Quadruple Therapy Comprising Low-Dose Rabeprazole, Bismuth, Amoxicillin, and Tetracycline Is an Effective and Safe First-Line Treatment for Helicobacter pylori Infection in a Population with High Antibiotic Resistance: a Prospective, Multicenter, Randomized, Parallel-Controlled Clinical Trial in China
- The Role of the NLR and PLR in Urinary Tract Infection
- Threat of Antimicrobial Resistance among Pilgrims with Infectious Diseases during Hajj: Lessons Learnt from COVID-19 Pandemic
- Leclercia adecarboxylata urinary tract infection in a patient with bladder cancer and recurrent hematuria
- A Case Series of Staphylococcus lugdunensis Infection in Cancer Patients at an Academic Cancer Institute in the United States
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.