Strategies to Prevent Catheter-Associated Urinary Tract Infections in Acute-Care Hospitals
Key Points
Key Points
- Urinary tract infections (UTIs) are one of the most common healthcare-associated infections.
- In 2003, 70%–80% of UTIs were attributable to the presence of an indwelling urethral catheter.
- In a 2019 analysis, over 5 years, catheter-associated urinary tract infections (CAUTI) decreased in proportion to non–device-associated UTIs but still made up an average of 44% of these infections per year among the hospitalized patients included in the study.
- Urinary catheters remain one of the most common medical devices experienced by adults in emergency departments and hospitals worldwide.
- The high frequency of catheter use in hospitalized patients means that the cumulative burden of CAUTI is substantial.
- This pocket guide highlights practical recommendations to assist acute care hospitals in implementing and prioritizing catheter-associated urinary tract infections (CAUTI) prevention efforts.
- It is based on a synthesis of evidence, theoretical rationale, current practices, practical considerations, author consensus, and consideration of potential harm, where applicable.
- No guideline or expert guidance document can anticipate all clinical situations. This pocket guide is not meant to be a substitute for individual clinical judgment by qualified professionals.
Recommendations
Recommendatio...
Recommendations to Prevent CAUTI (T...
...ntial Practices...
Infrastructure and resou...
...a CAUTI risk assessment and implem...
...opriate infrastructure for preventing CAUTI....
...mplement evidence-based protocols to address mul...
...Ensure that only trained healthcare...
5. Ensure that supplies necessary for...
...ent a system for documenting the following in...
...e that sufficiently trained HCP and technology...
...illance for CAUTI if indicated based on facility...
...urine culturing by adapting an inst...
...ducation and training
...HCP involved in the insertion, care, an...
...ess healthcare professional competenc...
...bout the importance of urine-culture steward...
...ide training on appropriate collection of urine. S...
...inicians to consider other methods for bladder m...
.... Share data in a timely fashion and report...
...sertion of indwelling cathe...
...ry catheters only when necessary for patient car...
...er other methods for bladder management su...
...se appropriate technique for catheter insert...
...Consider working in pairs to help perform...
...d hygiene (based on CDC or World Health Org...
.... Insert catheters following aseptic...
...rile gloves, drape, and sponges, a sterile a...
.... Use a catheter with the smallest fe...
...ement of indwelling catheters...
...re indwelling catheters after inserti...
...a sterile, continuously closed drainage syste...
...the catheter and the collecting system u...
...For examination of fresh urine, collect a sm...
...acilitate timely transport of urine samples...
...Maintain unobstructed urine flow....
...Employ routine hygiene. Cleaning the m...
...ional Approaches...
...tocol for standardizing diagnosis and man...
...h a system for analyzing and reporting...
...a system for defining, analyzing, and reportin...
...at Should Not be Considered a Routine Part...
...Routine use of antimicrobial/antiseptic...
.... Breaking a closed system. (...
...reening for asymptomatic bacteriuria in cat...
...Catheter irrigation as a strategy...
...use of systemic antimicrobials as...
.... Routine changing of catheters to avoid in...
...ohol-based products on the genital mucosa....
...esolved Issues...
...se of antiseptic solution versus ste...
...upting the Life Cycle of the Indwelling Urethral...
...e 2. Infectious and Noninfectious C...