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
...commendatio...
...ndations to Prevent CAUTI (T...
...ntial Practices...
...ucture and resources...
...m a CAUTI risk assessment and implemen...
...vide appropriate infrastructure for preventing C...
...ovide and implement evidence-based p...
...only trained healthcare personnel (HCP)...
...t supplies necessary for aseptic techn...
...ent a system for documenting the following i...
...ufficiently trained HCP and technology res...
...rform surveillance for CAUTI if indicate...
...ndardize urine culturing by adapting an ins...
...on and training...
...Educate HCP involved in the insertion,...
...hcare professional competency in cathe...
...about the importance of urine-culture stewards...
...Provide training on appropriate collection of...
...ain clinicians to consider other m...
...re data in a timely fashion and report results t...
...of indwelling catheters...
...rinary catheters only when necessary for patient c...
...her methods for bladder management...
...opriate technique for catheter ins...
...Consider working in pairs to help perform p...
...ice hand hygiene (based on CDC or World Health Org...
...atheters following aseptic techniqu...
...Use sterile gloves, drape, and sponges, a st...
...Use a catheter with the smallest feas...
...ment of indwelling cath...
.... Properly secure indwelling cathete...
...Maintain a sterile, continuously c...
...ace the catheter and the collecting system us...
...examination of fresh urine, collect a small sample...
...tate timely transport of urine samples to...
...n unobstructed urine flow. Remind...
...outine hygiene. Cleaning the meatal a...
...onal Approache...
...rotocol for standardizing diagnosis and man...
...system for analyzing and reporting...
...lish a system for defining, analyzing,...
...at Should Not be Considered a Routine Part o...
...f antimicrobial/antiseptic impregnated...
...g a closed system. (L)3305355...
...r asymptomatic bacteriuria in cathe...
...heter irrigation as a strategy to preven...
...use of systemic antimicrobials as...
...anging of catheters to avoid infect...
...d products on the genital mucosa. (L)3...
...olved Issues
...f antiseptic solution versus sterile...
...Disrupting the Life Cycle of the Indwelling Ur...
...tious and Noninfectious Complications o...