Vol. 2, Issue 1, Part A (2025)

Catheter-associated urinary tract infections (CAUTIs) continue to be a pressing healthcare concern, accounting for a significant proportion of hospital-acquired infections (HAIs). With urinary catheters often necessary for critically ill or post-operative patients, the potential for infection increases substantially with duration, improper insertion techniques, poor maintenance, or delays in catheter removal. Evidence-based catheter care bundles have emerged as an effective preventive strategy to standardize nursing practices and minimize these risks. This study aims to evaluate the outcomes of implementing an evidence-based catheter care bundle in reducing the incidence of CAUTIs within an intensive care unit (ICU) setting of a tertiary hospital.

A quasi-experimental research design was adopted to assess the effect of a structured intervention over six months. Eighty patients requiring urinary catheterization in a surgical ICU were observed and divided into control (routine care) and intervention (care bundle) groups. Additionally, thirty ICU nurses were trained on standardized catheter care practices based on the bundle, which included strict aseptic insertion, proper catheter maintenance, documentation protocols, and timely removal criteria. Data were collected using patient monitoring forms, laboratory reports, and nursing practice observations. Pre- and post-implementation CAUTI rates were compared.

The results demonstrated a statistically significant reduction in CAUTI incidence in the intervention group. The post-intervention group recorded an 85% reduction in infection rate, supported by better nursing compliance with care practices, as evident in improved hand hygiene, appropriate catheter stabilization, and regular documentation. Furthermore, qualitative feedback from nurses indicated a greater sense of accountability and confidence in maintaining catheter hygiene.

These findings reinforce the value of structured catheter care bundles in clinical settings. Their implementation not only reduces infection rates but also enhances nursing practice and patient safety culture. The study emphasizes the need for institutional support, continuous training, and performance monitoring to ensure sustainability of such interventions. Overall, evidence-based bundles present a practical, low-cost solution to a widespread healthcare challenge, making them vital to infection control programs worldwide.