الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Urinary tract infections account for 36% of all nosocomial infections and are the most common nosocomial infection in ICUs; more than 80% of UTI in ICU are associated with an indwelling catheter. Urinary catheters are used routinely in ICUs, usually for frequent and accurate monitoring of urinary output. Once inserted, catheters tend to remain in place after appropriate indications for their use end. The insertion of a catheter results in colonization of the bladder with bacteria at a rate of 3% to 10% per day, and the incidence approaches 100% when the catheter remains in place for 30 days or longer. Urinary infections in critically ill patients are associated with increased length of stay, high cost and increased mortality rate (87-89,91).
CAUTIs are generally considered an avoidable complication. It has been estimated that, between 17% and 69% of all observed CAUTIs may be prevented by implementation of an evidence based prevention program that is particularly important in the ICU setting with a high prevalence of urinary catheterization and a high percentage of patients with co-morbidities (90,91). Therefore, the caring for patient with indwelling urethral catheter in the ICU requires knowledge, skills and through understanding of the nosocomial infection sources ( 92).
Critical care nurse has a major role in the management of patient with urethral catheter; it is a part of the nurses’ role to care for patients according to their needs and avoid complication such as CAUTI. One of the obstacles for providing appropriate education to the critical care nurses and thereby improving the patients’ care is the lack of information regarding the current knowledge and practices of critical care nurses. Therefore, this study conducted to determine the relationship between urethral catheter nursing care and catheter-associated urinary tract infection in critically ill patients. The result of this study will help to point out gaps between clinical practice and current recommendations, and could serve as a basis for the elaboration of guidelines.