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
...commendations...
...ons to Prevent CAUTI (Table 1)...
...ntial Practices...
...frastructure and res...
...Perform a CAUTI risk assessment and implem...
...Provide appropriate infrastructure for prevent...
...rovide and implement evidence-based protocols...
...ure that only trained healthcare personnel (H...
...nsure that supplies necessary for aseptic t...
...nt a system for documenting the following...
...sufficiently trained HCP and technology reso...
...Perform surveillance for CAUTI if indica...
9. Standardize urine culturing by ada...
...ducation and training
...involved in the insertion, care, and maintena...
...ess healthcare professional competency in cath...
.... Educate HCP about the importance of u...
.... Provide training on appropriate c...
...cians to consider other methods for...
6. Share data in a timely fashion...
...ertion of indwelling catheters...
...nsert urinary catheters only when neces...
...ther methods for bladder management such as i...
3. Use appropriate technique for catheter...
.... Consider working in pairs to help p...
...and hygiene (based on CDC or World Health Or...
...ert catheters following aseptic technique and...
.... Use sterile gloves, drape, and spo...
...ter with the smallest feasible diamete...
...of indwelling catheters...
...roperly secure indwelling catheters after inse...
...Maintain a sterile, continuously clos...
...atheter and the collecting system using asept...
...ation of fresh urine, collect a small sa...
...te timely transport of urine samples to labora...
...unobstructed urine flow. Remind bedsid...
...routine hygiene. Cleaning the meatal are...
Additional Approache...
...protocol for standardizing diagnosis and manage...
...system for analyzing and reporting data on cath...
...ish a system for defining, analyzing, and rep...
...Should Not be Considered a Routine Part of CAUTI...
...use of antimicrobial/antiseptic impregnated...
2. Breaking a closed system. (L)330535...
...ening for asymptomatic bacteriuria in cathete...
...ter irrigation as a strategy to prevent in...
...Routine use of systemic antimicrobials a...
...hanging of catheters to avoid infec...
...ed products on the genital mucosa. (L)...
...nresolved Is...
...Use of antiseptic solution versus sterile sali...
...pting the Life Cycle of the Indwel...
...re 2. Infectious and Noninfectious Compli...