Abstract:
bstract
Background Catheter-associated urinary tract infection is the source of about 20% of episodes of health-care
acquired infections in acute care facilities and it is over 50% in long-term care facilities. In Ethiopia, there is no published scientific research regarding knowledge and practice of nurses on catheter-associated urinary tract infections
prevention. Therefore, this study aimed to assess knowledge, practice and associated factors of CAUTI prevention
among nurses working at university of Gondar comprehensive specialized hospital, northwest Ethiopia, 2021.
Methods Institutional based cross sectional study was conducted at University of Gondar Comprehensive Specialized Referral Hospital from April 01 to May 01, 2021 among 423 nurses. Simple random sampling technique was used.
Data were collected by using self-administered questionnaire then coded and entered into EPI- Data version 4.6 and
then exported to SPSS version 23. Descriptive statistics was computed, and the result was summarized by texts, tables,
and charts. All variables with P-value < 0.25 in the univariate analysis were included in the multivariable regression
analysis. The degree of association was interpreted by using the adjusted odds ratio with 95% confidence intervals.
Results Good knowledge and practice of nurses towards CAUTI prevention was 37.7% and 51.8% respectively. Good
knowledge was associated with sex [AOR=1.84, 95% CI (1.09, 3.11)], work experience [AOR=2.36, 95% CI (1.09, 5.10)],
working unit [AOR=6.9, 95% CI (2.11, 22.52)], training [AOR=2.33, 95% CI (1.17, 4.65)] and had guideline [AOR=2.78,
95% CI (1.59, 4.88)]. Good practice was associated with sex, work experience, attitude and knowledge towards CAUTI
prevention [AOR=2.19, 95% CI (1.23, 3.88)], [AOR=5.44, 95% CI (1.66, 17.84)], [AOR=3.06, 95% CI (1.65, 5.67)], and
[AOR=5.28, 95% CI (2.86, 9.76)] respectively.
Conclusions Nearly one-third of nurses had good knowledge and more than half of nurses had good practice
towards CAUTI prevention. Sex, work experience, work unit, presence of guideline, and training were significantly
associated with knowledge. Sex, work experience, good attitude and, knowledge were associated with practice of
