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
...ecommendati...
...mmendations to Prevent CAUTI (Tabl...
...tial Practices...
...frastructure and re...
...a CAUTI risk assessment and implement...
...vide appropriate infrastructure for pr...
...Provide and implement evidence-bas...
...Ensure that only trained healthcare pe...
...that supplies necessary for asepti...
6. Implement a system for documenti...
...at sufficiently trained HCP and technolo...
...surveillance for CAUTI if indicated based on...
...andardize urine culturing by adapting an...
...ucation and trainin...
...ucate HCP involved in the insertion, care, an...
...ealthcare professional competency in catheter...
3. Educate HCP about the importance of...
...training on appropriate collection of u...
...linicians to consider other methods for bla...
...e data in a timely fashion and report resu...
Insertion of indwelling...
...inary catheters only when necessary for patient...
.... Consider other methods for bladder ma...
...e appropriate technique for catheter insertion....
...working in pairs to help perform patient positi...
...ctice hand hygiene (based on CDC or...
...Insert catheters following aseptic techn...
7. Use sterile gloves, drape, and sponges,...
...atheter with the smallest feasible diamet...
Management of indwelling cathete...
...perly secure indwelling catheters after i...
...sterile, continuously closed drainage s...
...catheter and the collecting syste...
...amination of fresh urine, collect a small sampl...
...timely transport of urine samples to laborat...
...ntain unobstructed urine flow. Remind bed...
...y routine hygiene. Cleaning the meatal a...
...nal Approaches...
...a protocol for standardizing diag...
...sh a system for analyzing and reporting data...
...stablish a system for defining, anal...
...proaches that Should Not be Consider...
...se of antimicrobial/antiseptic impregnated ca...
...aking a closed system. (L)3305355...
...Screening for asymptomatic bacteriuria in cathet...
...gation as a strategy to prevent infection. Do...
...ine use of systemic antimicrobials as prop...
...changing of catheters to avoid infection. Th...
...Alcohol-based products on the genital mucosa. (L...
...solved Issues...
...ntiseptic solution versus sterile saline for...
...pting the Life Cycle of the Indwelling Urethral...
...2. Infectious and Noninfectious Complicati...