Continuous Improvement Applied to Reducing Incidence of Indwelling Urinary Catheter–associated Uti in Home Care

Urinary tract infections (UTIs) associated with long-term indwelling urinary catheters represent about 80% of cases, constituting a major healthcare challenge (Provensia et al., 2022). These infections can be prevented through practical strategies such as proper hand hygiene, cleaning and disinfection of surfaces, use of personal protective equipment (PPE), and timely device changes as recommended (Pereira et al., 2021). Continuous improvement methods such as Plan-Do-Study-Act (PDSA) cycles have shown positive impact in reducing infection rates, improving patient safety, and lowering costs (Silva et al., 2023). To report the experience of a multidisciplinary home care team in Alagoas in reducing the incidence of indwelling catheter–associated UTI, focusing on continuous improvement and cost savings. Descriptive experience report conducted from January to May 2025 in a home care service in Alagoas. Actions were led by the Home Infection Control Service in partnership with clinical coordination and the multidisciplinary team. Strategic actions based on quality tools and PDSA cycles were implemented. Initially, a situational diagnosis was performed to identify potential causes of UTI. A prevention protocol was then implemented, standardizing prophylactic measures, audits, and replacing indwelling catheters with intermittent catheterization when clinically indicated. The team also underwent periodic training. UTI incidence decreased from 100% (January 2025) among 26 patients with indwelling catheters to 25% (May 2025), with only 6 affected patients. Approximately 20 UTI cases were estimated to have been prevented, generating positive impact on patient safety and reducing care-related costs. Implementing a continuous improvement program in home care proved effective in reducing device-associated infections. Results reinforce the importance of active multidisciplinary involvement, technical leadership, and support from senior management to strengthen a patient safety culture and sustain home care quality.