Healthcare Workers’ Knowledge, Attitudes, and Practices on Catheter-Associated Urinary Tract Infection Prevention in a Tertiary General Hospital: A Cross-Sectional Study
Abstract
Background Catheter-associated urinary tract infections (CAUTIs) remain among the most common healthcare-associated infections (HAIs) and are largely preventable through adherence to evidence-based infection prevention measures. Healthcare workers’ (HCWs) knowledge, attitudes, and practices (KAP) play a critical role in the effective implementation of these strategies. However, there is no evidence regarding HCWs’ KAP on CAUTI prevention in Greek healthcare settings. This study aimed to evaluate HCWs’ knowledge, attitudes, and practices related to CAUTI prevention in a tertiary care hospital in Greece. Methods An analytical cross-sectional study was conducted between September 2023 and September 2024 at a tertiary hospital in Athens. Nurses, nursing assistants, and physicians working in departments with high urinary catheter utilization were invited to participate. Data were collected using a structured questionnaire developed in accordance with international CAUTI prevention guidelines. Descriptive statistics were calculated, and non-parametric test methods were employed. The Mann-Whitney U test was used for two-group comparisons, the Kruskal-Wallis test was used for comparisons across multiple groups, and Spearman’s rank correlation coefficient was applied to examine associations with continuous variables. Logistic regression analyses were performed to identify factors associated with selected preventive practices. Results A total of 260 HCWs participated (response rate:…
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Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause.
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