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
...Recomme...
...Recommendations t...
...Essential Practi...
...Inf...
...erform a CAUTI risk assessment and...
...appropriate infrastructure for preventing CAUTI....
...nd implement evidence-based protocol...
...at only trained healthcare personnel (HCP) in...
...hat supplies necessary for aseptic techniqu...
...t a system for documenting the following in...
...ufficiently trained HCP and technol...
...erform surveillance for CAUTI if indica...
...ze urine culturing by adapting an insti...
...Education and tra...
...e HCP involved in the insertion, care, and mai...
...sess healthcare professional compete...
.... Educate HCP about the importance of...
...ovide training on appropriate colle...
...clinicians to consider other methods for bla...
.... Share data in a timely fashion and report r...
Inser...
...urinary catheters only when necessary for...
.... Consider other methods for bladder management su...
...appropriate technique for catheter in...
...ing in pairs to help perform patient posit...
...tice hand hygiene (based on CDC or Worl...
...heters following aseptic technique and using s...
...loves, drape, and sponges, a sterile...
...se a catheter with the smallest feasible di...
...Manage...
...roperly secure indwelling catheters a...
...n a sterile, continuously closed drainage sy...
...e the catheter and the collecting system using ase...
...nation of fresh urine, collect a small sample...
...te timely transport of urine samples to laboratory...
...aintain unobstructed urine flow. Remin...
...e hygiene. Cleaning the meatal area...
...Additional Appr...
1. Develop a protocol for standardizing diagno...
...Establish a system for analyzing and reporting...
...sh a system for defining, analyzing,...
Approaches t...
1. Routine use of antimicrobial/an...
...a closed system. (L)33053...
...reening for asymptomatic bacteriuria...
...ter irrigation as a strategy to prevent inf...
...of systemic antimicrobials as prophylaxis....
...outine changing of catheters to avoid i...
...d products on the genital mucosa. (L)3...
...Unresolved...
...of antiseptic solution versus sterile s...
...rupting the Life Cycle of the Indwellin...
Figure 2. Infectious and Noninfect...