Knowledge, Practice and Associated Factors of Catheter-Associated Urinary Tract Infection Prevention Among Nurses Working at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2021

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Abstract 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. To date, knowledge and practice of nurses towards catheter-associated urinary tract infection is still lower. However, in Ethiopia, there is no published scientific research describing the knowledge and practice of nurses on catheter-associated urinary tract infections prevention. Therefore, this study aimed to assess knowledge, practice and associated factors of catheter-associated urinary tract infection prevention among nurses working at university of Gondar comprehensive specialized hospital, northwest Ethiopia, 2021Methods: Institutional based cross sectional study was conducted at University of Gondar Comprehensive Specialized Referral HospitalfromApril 01 to May01, 2021 among 423nurses. 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. All variables with P-value <0.25 in the binarylogistic regression analyses were included in the multivariable regression analysis. The degree of association was interpreted by using the adjusted odds ratio with 95% confidence intervals, and the significance level was declared at P-value <0.05. The Hosmer–Lemeshow test was used to check the fitness of the model.Results: The knowledge and practice of nurses towards CAUTI prevention was 53% and 50% 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)], received 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 significantly associated with sex, work experience, good attitude and good 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:Inthis study nearly half of nurses had good knowledge and practice towards CAUTI prevention. Sex, work experience, work unit, presence of guideline, and training were significantly associated with knowledge; while sex, work experience, good attitude and, knowledge were significantly associated with practice of nurses towards CAUTI prevention.

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