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
...ecommendation...
...tions to Prevent CAUTI (Table 1)...
Essential Pract...
...rastructure and res...
...erform a CAUTI risk assessment and implement an o...
...ppropriate infrastructure for preventing CAU...
...implement evidence-based protocols to addres...
...nsure that only trained healthcare...
...upplies necessary for aseptic technique...
...plement a system for documenting the foll...
...t sufficiently trained HCP and technolo...
...rveillance for CAUTI if indicated based on fac...
...e urine culturing by adapting an institution...
...cation and traini...
...te HCP involved in the insertion, care, and maint...
...ealthcare professional competency in c...
...ate HCP about the importance of urin...
...e training on appropriate collection of uri...
5. Train clinicians to consider other methods fo...
...Share data in a timely fashion and report result...
...of indwelling catheters...
...rt urinary catheters only when necessar...
...Consider other methods for bladder managemen...
...opriate technique for catheter ins...
...working in pairs to help perform patient posi...
...e hand hygiene (based on CDC or Wo...
...t catheters following aseptic technique...
...gloves, drape, and sponges, a sterile...
...a catheter with the smallest feasible diameter...
...of indwelling catheters...
...y secure indwelling catheters after i...
...sterile, continuously closed drainage system....
...atheter and the collecting system using asep...
...on of fresh urine, collect a small sample by...
...imely transport of urine samples to labora...
...ntain unobstructed urine flow. Remind bedside...
...Employ routine hygiene. Cleaning the meata...
Additional App...
...lop a protocol for standardizing diagnosis...
...h a system for analyzing and reporting data on c...
...sh a system for defining, analyzing, and repor...
...hat Should Not be Considered a Routine Part...
.... Routine use of antimicrobial/antiseptic impre...
...ing a closed system. (L)3305...
...eening for asymptomatic bacteriuria in catheteriz...
...ter irrigation as a strategy to prevent infe...
...use of systemic antimicrobials as pr...
...tine changing of catheters to avoid infect...
7. Alcohol-based products on the genit...
...esolved Issu...
Use of antiseptic solution versus sterile sal...
...Disrupting the Life Cycle of the Ind...
...ure 2. Infectious and Noninfectious Complic...