Related Experiment Video

Updated: Aug 19, 2025

An In Vitro Bladder Model of Catheter-Associated Urinary Tract Infection
07:57

An In Vitro Bladder Model of Catheter-Associated Urinary Tract Infection

Published on: June 24, 2025

247

Preventing pediatric catheter-associated urinary tract infections utilizing urinary catheter Kamishibai cards

Renee Lehane1, Catherine Svensson1, Jennifer A Ormsby1

  • 1Infection Prevention and Control, Boston Children's Hospital, Boston, MA.

American Journal of Infection Control
|December 4, 2022
PubMed

Insights

Kamishibai (K-card) rounding improved catheter care by standardizing maintenance bundle discussions. This quality improvement initiative led to a significant reduction in catheter-associated urinary tract infections (CAUTIs) in a children's hospital.

Area of Science:

  • Healthcare Quality Improvement
  • Infection Prevention
  • Patient Safety

Background:

  • Catheter-associated urinary tract infections (CAUTIs) are a significant concern in healthcare settings.
  • Maintaining reliability of indwelling urinary catheter maintenance bundles is crucial for preventing CAUTIs.

Purpose of the Study:

  • To improve indwelling urinary catheter maintenance bundle reliability.
  • To decrease catheter-associated urinary tract infection (CAUTI) rates using Kamishibai (K-card) rounding.

Main Methods:

  • A hospital-wide quality improvement project was conducted from January 2019 to June 2021.
  • K-cards were developed based on the urinary catheter maintenance bundle.
  • Auditors used K-cards for standardized weekly rounds, collecting data on bundle reliability and CAUTI rates.

Main Results:

  • Overall maintenance bundle reliability remained stable at 84% across 826 audits for 657 patients.
  • A statistically significant improvement was observed in the "medical discussion of need for the urinary catheter" element (88% to 94%, P=.01).
  • The hospital-wide CAUTI rate significantly decreased (Incidence Rate Ratio, 0.38; P=.04).

Conclusions:

  • Hospital-wide urinary catheter K-card rounding facilitates standardized data collection and real-time feedback.
  • Implementation of K-card rounding was associated with a significant reduction in CAUTI rates.
  • The project demonstrated reproducibility with multidisciplinary team support.
Abstract

Keywords:
CAUTICatheter-related infectionInfection preventionKamishibai cardQuality improvementUrinary tract infection

More Related Videos

Author Spotlight: Enhancing Candida albicans Detection in Catheter Infections Using Fluorescent Protein Tagging03:24

Author Spotlight: Enhancing Candida albicans Detection in Catheter Infections Using Fluorescent Protein Tagging

Published on: March 22, 2024

1.6K
Establishment and Characterization of UTI and CAUTI in a Mouse Model08:40

Establishment and Characterization of UTI and CAUTI in a Mouse Model

Published on: June 23, 2015

20.2K

Related Concept Videos

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
23
Urinary Tract Infection IV: Nursing Management01:17

Urinary Tract Infection IV: Nursing Management

In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
65
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
120
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
113
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.7K
Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
21