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The University of Southampton
Health Sciences

Dr Jacqui Prieto PhD, RN, BSc (Hons), BSc, PCAP

Associate Professor

Dr Jacqui Prieto's photo

Dr Jacqui Prieto is an Associate Professor within Health Sciences, University of Southampton and a Clinical Nurse Specialist in Infection Prevention at University Hospital Southampton NHS Trust. Jacqui’s pioneering role as a clinician academic combines her research and clinical work, which focuses on implementing, embedding and sustaining behavioural change in infection prevention practice. Her current focus is on reducing catheter-associated urinary tract infection, a leading cause of infection in healthcare.

Why are urinary catheters so common in healthcare? We need to understand and address this to prevent avoidable infections.

Jacqui graduated as a nurse from the University of Surrey, Guildford in 1990.  She began her career in the specialist area of infection prevention with a trainee post at Brighton and Sussex University Hospitals (formerly Brighton Health Care) in 1993 whilst at the same time undertaking a specialist degree at the University of Hertfordshire.  In 1995 she joined the infection prevention team at King's College London.  She returned to Brighton in 1998 to take up a senior nurse specialist post and commenced her PhD at the University of Southampton, which she completed in 2003. 

In 2004 she joined Health Sciences at Southampton as a lecturer.  She was awarded a senior clinical academic research fellowship in 2008 and pioneered a new joint appointment as a nurse specialist and research fellow.  In 2013 she was awarded a HEFCE/NIHR Senior Clinical Lectureship and has a joint appointment with the University of Southampton and University Hospital Southampton NHS Foundation Trust.  She is focusing on research to reduce catheter-associated urinary tract infection and to understand patients' experiences of healthcare associated infection.

Jacqui is a member of the Infection Prevention Society and in 2004-08 she chaired the newly formed Research and Development Committee, leading the development and delivery of a 5-year R&D strategy. She continues to serve as a committee member.  In 2011 she was a member of the Topic Expert Group convened to advise the National Institute for Health and Clinical Excellence (NICE) on the development of a guideline on the prevention and control of healthcare-associated infections.  Currently she is a professional advisor to the Department of Health revision of the national infection prevention guidelines (‘epic 3').  

Research interests

My research and clinical work focuses on how can we implement, embed and sustain behavioural change in infection prevention practice. It encompasses all aspects of practice including hand hygiene and personal protective equipment, management of invasive medical devices (e.g. urinary catheters), care of patients with infectious conditions and the patient’s experience of healthcare-associated infection.

Currently, I am leading a programme of research and quality improvement to understand how indwelling urinary catheters are used in hospitals, what influences their use, what drives unnecessary use and what potential exists to reduce use (including use of alternatives) in order to avoid urinary tract infection.

Research projects

Preventing catheter-associated urinary tract infection

Minimising the use of indwelling urinary catheters in acute care

Intermittent catheterisation: understanding the infection risks

Prevention and minimisation of biofilms on urinary catheters and equipment

Implementing infection prevention practice

Healthcare associated infection – the patient’s experience

 

Research group

Fundamental Care and Safety

Research project(s)

Development and Clinical trial of a mixed (Multi/single-use) catheter management package for users of Intermittent Catheters - MultICath

This is a randomised controlled trial in which participants must be willing to use one of two intermittent catheterisation strategies which will be randomly allocated by computer.

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Articles

Book Chapters

  • Fader, M., DeLaine, C., Norton, C., & Prieto, J. (2012). Managing continence. In I. Bullock, J. Macleod Clark, & J. Rycroft-Malone (Eds.), Adult Nursing Practice. Using Evidence in Care Oxford, GB: Oxford University Press.
  • Prieto, J., & Kiernan, M. (2012). Managing infection. In I. Bullock, J. Macleod Clark, & J. Rycroft-Malone (Eds.), Adult Nursing Practice. Using Evidence in Care Oxford, GB: Oxford University Press.
  • Prieto, J., & Kilpatrick, C. (2011). Infection prevention and control. In C. Brooker, & M. Nicol (Eds.), Alexander's Nursing Practice. 4th ed London, UK: Churchill Livingstone.
  • McCulloch, J., & Prieto, J. (2008). Health protection and the role of the public health nurse. In Public Health Skills: A Practical Guide for Nurses and Public Health Practitioners (pp. 155-169). Oxford, UK: Blackwell.

Conferences

Letters/Editorials

Thesis

Working Papers

Dr Jacqui Prieto is an NIHR senior clinical lecturer and nurse specialist in infection prevention at University Hospital Southampton Foundation Trust, and Southampton University. Her research is focused on reducing catheter associated urinary tract infection (CAUTI). She leads a combined programme of quality improvement and research, linked to national initiatives including:

  • Minimising the initial placement of indwelling urinary catheters;
  • Optimising care and management of urinary catheters including prompt removal; and
  • Investigating the patient experience of short term urinary catheterisation.

NHS outcomes have included:

  • Reduction in catheterisation rate from 3.1 to 2.7 per 1,000 bed days over 10 months, and a decrease in inappropriate catheterisations from 9 per cent to 7 per cent (the CQUIN target is a 2 per cent reduction);
  • Standardised documentation for recording insertion and care of indwelling catheters in adults and defined indications for catheterisation;
  • Development and launch of a new evidence based policy for the prevention of CAUTI;
  • Implementation of a portable bladder ultrasound scanner for the non-invasive assessment of acute urinary retention, saving £130,000 a year by reducing the risk of UTI;
  • Non-adoption of routine use of expensive antimicrobial impregnated catheters (including silver alloy), due to insufficient efficacy evidence, saving £133,000 per annum.
Dr Jacqui Prieto
Health Sciences Student Office University of Southampton Highfield Southampton SO17 1BJ

Room Number: SGH//MP11

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