Urinary tract infections (UTIs) are the most common nosocomial infection; accounting for up to 40% of infections reported by acute care hospitals. Up to 80% of UTIs are associated with the presence of an indwelling urinary catheter. Catheter associated urinary tract infections (CAUTIs) represent the largest proportion of healthcare associated infections (HAI). Catheter-associated urinary tract infection (CAUTI) increases hospital cost and is associated with increased morbidity and mortality .CAUTIs are considered by the Centers for Medicare and Medicaid Services to represent a reasonably preventable complication of hospitalization. As such, no additional payment is provided to hospitals for ...view middle of the document...
2. female gender, more than 60 years of age
3. Not maintaining a sterile technique during insertion and closed drainage system after insertion.
4. The drainage bag of the bacteriuric patient is a reservoir for organisms that may contaminate the environment and be transmitted to other patients. 5.Outbreaks of infection with resistant gram-negative organisms attributable to bacteriuria in catheterized patients have also been reported.
1. Limiting catheter use and, when a catheter is indicated, minimizing the duration the catheter remains in situ are primary strategies for CAUTI prevention.
2. Ensure that only trained, dedicated personnel insert urinary catheters.
3. Implement a system for documenting the following information in the patient record: indications for catheter insertion, date and time of catheter insertion, individual who inserted catheter, and date and time of catheter removal
a. Include documentation in nursing flow sheet, nursing notes, or physician orders. Documentation should be accessible in the patient record and recorded in a standard format for data collection and quality improvement purposes.
4. Ensure that there are sufficient trained personnel and technology resources to support surveillance of...