Table 2.
Odds Ratios for Regular Use* of Cauti Prevention Practices
| Portable bladder ultrasound scanner | Urinary catheter reminders or stop-orders and/or nurse-initiated discontinuation | Antimicrobial urinary catheters | Condom catheters in men | Aseptic insertion technique | Intermittent catheterization | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Characteristic | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI | OR | 95% CI |
| Michigan | 2.02 | 1.18–3.43 | 2.19 | 1.24–3.86 | 0.18 | 0.09–0.36 | 1.10 | 0.45–2.66 | 1.93 | 0.56–6.60 | 1.32 | 0.71–2.45 |
| Has hospitalists | 1.55 | 0.96–2.50 | 0.93 | 0.54 – 1.59 | 1.21 | 0.75–1.96 | 1.13 | 0.51–2.51 | 1.20 | 0.47–3.06 | 1.67 | 0.94–2.99 |
| IP certified in infection control | 1.29 | 0.84–1.98 | 1.08 | 0.65 – 1.79 | 1.14 | 0.74–1.75 | 1.58 | 0.75–3.30 | 1.42 | 0.63–3.20 | 0.97 | 0.59–1.60 |
| Strong support from leadership for infection control | 0.91 | 0.55–1.50 | 1.09 | 0.59 – 2.03 | 0.99 | 0.59–1.65 | 0.73 | 0.33–1.64 | 0.71 | 0.28–1.83 | 1.04 | 0.57–1.89 |
| Monitoring urinary catheter placement | 1.24 | 0.80–1.93 | 1.98 | 1.14 – 3.44 | 0.85 | 0.55–1.33 | 1.44 | 0.71–2.95 | 1.60 | 0.70–3.70 | 2.09 | 1.22–3.57 |
| Monitoring urinary catheter duration | 0.80 | 0.51–1.25 | 3.13 | 1.88 – 5.22 | 1.42 | 0.91–2.21 | 0.81 | 0.40–1.63 | 1.57 | 0.62–4.00 | 0.86 | 0.51–1.44 |
| Safety culture score** | 1.06 | 0.76–1.48 | 1.29 | 0.86 – 1.95 | 1.19 | 0.85–1.68 | 0.88 | 0.51–1.54 | 2.00 | 1.06–3.78 | 0.92 | 0.62–1.35 |
| Effect of CMS rule change | 1.25 | 0.80–1.95 | 1.14 | 0.68 – 1.94 | 1.19 | 0.77–1.86 | 1.98 | 0.89–4.38 | 0.58 | 0.25–1.37 | 0.92 | 0.55–1.54 |
| Importance of UTI prevention | 0.80 | 0.51–1.28 | 1.82 | 1.04 – 3.18 | 1.09 | 0.69–1.74 | 1.32 | 0.62–2.80 | 2.00 | 0.83–4.81 | 0.96 | 0.56–1.64 |
| Alcohol based hand rub | 1.46 | 0.64–3.37 | 0.87 | 0.31 – 2.42 | 1.49 | 0.61–3.67 | 1.07 | 0.29–3.96 | 4.39 | 1.52–12.68 | 4.59 | 1.04–20.21 |
| ≥ 250 beds | 0.76 | 0.50 – 1.17 | 0.70 | 0.42 – 1.16 | 1.22 | 0.80–1.87 | 1.91 | 0.97–3.77 | 0.71 | 0.30–1.69 | 0.92 | 0.56–1.51 |
Regular use was defined as receiving a rating of 4 or 5 on a on a scale from 1–5 (with 1 being never and 5 being always) indicating the practice is used always or almost always.
The safety culture score was defined as the average of responses regarding agreement to two statements about safety: “Leadership is driving us to be a safety-centered institution” and “I would feel safe being treated here as a patient”. Each OR adjusted for all other variables listed in characteristic column of table.
Abbreviations: CAUTI = catheter-associated urinary tract infection; IP= infection preventionist; OR = Odds Ratio; CI = Confidence Interval; CMS = Centers for Medicare and Medicaid Services; UTI = urinary tract infection