Strategies to Prevent Catheter-Associated Urinary Tract Infections in Acute-Care Hospitals

Publication Date: August 25, 2023

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

...ommendations...

...ecommendations to Prevent CAUTI (Table 1...

...ntial Practices

...nfrastructure and res...

...TI risk assessment and implement an organization-...

...Provide appropriate infrastructure for preventi...

...Provide and implement evidence-based protocol...

...only trained healthcare personnel...

...that supplies necessary for aseptic techn...

...plement a system for documenting the followin...

...that sufficiently trained HCP and technology resou...

...rveillance for CAUTI if indicated based on facil...

...dize urine culturing by adapting an institu...

Education and tra...

...P involved in the insertion, care,...

...healthcare professional competency in...

...P about the importance of urine-culture stewardshi...

...aining on appropriate collection of urin...

...rain clinicians to consider other metho...

...in a timely fashion and report result...

...on of indwelling catheters...

...inary catheters only when necessary for pa...

...her methods for bladder management such as i...

...ate technique for catheter insertio...

...Consider working in pairs to help perform pat...

...Practice hand hygiene (based on CDC or W...

...ers following aseptic technique and using sterile...

...loves, drape, and sponges, a sterile...

...heter with the smallest feasible diameter...

...nt of indwelling catheters...

...erly secure indwelling catheters after insertio...

...tain a sterile, continuously closed dr...

...e catheter and the collecting system using a...

...mination of fresh urine, collect a small sample...

...ilitate timely transport of urine samp...

...aintain unobstructed urine flow. Remind beds...

...y routine hygiene. Cleaning the meatal area with...

...ditional Approaches...

...op a protocol for standardizing diagnosis...

...Establish a system for analyzing and report...

...ish a system for defining, analyzing, and repo...

...t Should Not be Considered a Routine Part of C...

.... Routine use of antimicrobial/antiseptic im...

...a closed system. (L)3305355...

...for asymptomatic bacteriuria in ca...

...eter irrigation as a strategy to prevent...

...of systemic antimicrobials as prophylaxis...

.... Routine changing of catheters to avoid infection...

...d products on the genital mucosa. (L)330...

...nresolved Issu...

...e of antiseptic solution versus sterile salin...


...srupting the Life Cycle of the Indwelling Uret...


...nfectious and Noninfectious Complic...