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

...ecommendat...

...ecommendations to Prevent CAUTI (T...

Essential Prac...

...rastructure and reso...

...Perform a CAUTI risk assessment and impleme...

...ovide appropriate infrastructure for preventin...

...and implement evidence-based protocols to ad...

...only trained healthcare personnel (HCP...

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

...plement a system for documenting the f...

.... Ensure that sufficiently trained HCP...

...Perform surveillance for CAUTI if indic...

...rdize urine culturing by adapting an institutional...

...ucation and tra...

...ate HCP involved in the insertion,...

...lthcare professional competency in cathe...

...CP about the importance of urine-culture...

...ing on appropriate collection of uri...

...cians to consider other methods for bl...

...a in a timely fashion and report results...

...tion of indwelling catheters...

...urinary catheters only when necessary for pa...

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

...ate technique for catheter insertio...

...working in pairs to help perform patient posit...

...ice hand hygiene (based on CDC or Wor...

...rt catheters following aseptic techni...

...sterile gloves, drape, and sponges, a...

...ter with the smallest feasible diameter...

...anagement of indwelling ca...

...perly secure indwelling catheters afte...

...in a sterile, continuously closed dra...

...place the catheter and the collecting s...

...nation of fresh urine, collect a sm...

...te timely transport of urine samples...

...unobstructed urine flow. Remind bedside careg...

...routine hygiene. Cleaning the meat...

...onal Approaches...

...op a protocol for standardizing diagnosis and man...

...sh a system for analyzing and reporting data...

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

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

...tine use of antimicrobial/antiseptic impre...

...g a closed system. (L)3305...

...or asymptomatic bacteriuria in cat...

...r irrigation as a strategy to prevent i...

...e of systemic antimicrobials as pr...

...ine changing of catheters to avoid infecti...

.... Alcohol-based products on the ge...

Unresolved Issue...

...tiseptic solution versus sterile saline for...


.... Disrupting the Life Cycle of the Indwelling...


...ectious and Noninfectious Complica...