Abstract:
Introduction:
Catheter-Associated Urinary Tract Infections have been highly associated with patient
discomfort, increased hospitalization and healthcare costs, morbidity and mortality. Lack
of knowledge and practice among nurses regarding basic infection control protocols could
lead to hospital-acquired infections. Therefore, this study aimed to assess knowledge,
practice and associated factors of Catheter-Associated UrinaryTract Infections prevention
among nurses working at referral hospitals in the West Oromia region, Ethiopia, 2022.
Methods: A facility-based cross-sectional study was conducted among 423 nurses at five
referral hospitals of the West Oromia region from May1-20, 2022. A simple random
sampling technique was used to select nurses. A pre-tested and structured selfadministered
questionnaire
was used to collect the data, and then coded and entered into
EPI- Data version 4.6; cleaned and analyzed using Stata version 16.0. All variables with
P-value <0.25 in the binary logistic regression analyses were included in the multivariable
regression analysis. The degree of the association was interpreted by using the adjusted
odds ratio with 95% confidence intervals, and the significance level was declared at Pvalue
<0.05.
The
Hosmer–Lemeshow
test was
checked
for
the
fitness
of the
model.
Results: Among 423 nurses, 411(97.2%) nurses participated. This study found that the
knowledge and practice of nurses toward preventing Catheter-Associated Urinary Tract
Infections was 57.9% with 95% CI (53.1, 62.6) and 54.5% with 95% CI (49.6,59.3)
respectively. Good knowledge was significantly associated with working experience
[AOR=2.8, 95% CI (1.5, 5)], training [AOR=2.1, 95% CI(1.04, 4.2)] and had guideline
[AOR=2.6, 95% CI(1.3, 5.4)]. Good practice was significantly associated with the work
experience [AOR=2,95%CI(1.05,4.05)], guideline[AOR=2.3, 95% CI(1.02, 5.2)], training
[AOR=2.3,95% CI(1.06, 5.1)] and good knowledge [AOR = 8.7, 95% CI (5.1, 14.8)].
Conclusion: This study showed that more than half of nurses had good knowledge and
good practice regarding preventing catheter-associated urinary tract infections, and were
significantly associated with work experience, training and guideline.
Keywords: Catheter, Knowledge, Nurse, Practice, West Oromia Region.
