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CAUTI Prevention Information

What is CAUTI?

  • Catheter associated urinary tract infection (CAUTI)
  • Most commonly reported hospital-acquired infection (HAI)
  • Estimated more than 560,000 per year
  • Most prevalent with indwelling catheters and incidence rises the longer catheter is in place

Why is CAUTI Prevention Important?

  • CAUTI contributes to extended hospital stays, increased health care costs, and patient morbidity and mortality (ANA, 2015)
  • HAIs threaten patient safety and cost an estimated $33 billion in health care spending (ANA, 2015)
  • The Centers for Disease Control and Prevention (CDC) and The Partnership for Patients (PfP) report CAUTI to be on the rise

How is CAUTI Prevented?

Evidence-based best practices (ANA, 2015):

  • Determine if indwelling urinary catheter (IUC) is appropriate per CDC guidelines (CDC, 2009)
  • Select smallest appropriate IUC
  • Obtain assistance PRN to facilitate appropriate visualization/insertion technique
  • Hand hygiene before and after catheter insertion or manipulation
  • Perform peri-care and then re-perform hand hygiene
  • Maintain strict aseptic technique throughout IUC insertion; re-perform hand hygiene upon completion
  • Insert IUC to appropriate length and check urine flow before balloon inflation to prevent urethral trauma
  • Inflate IUC balloon correctly
  • Perform Triple Action for IUC/Drainage System

Other evidence-based practice recommendations:

  • Use urinary catheters only when necessary and for shortest time possible
  • Assess catheter use at least daily and remove as soon as possible
  • Ensure only properly trained individuals are responsible for insertion and maintenance of catheters
  • Empty collection bag regularly using separate container for each patient
  • Utilize reminders to remove unnecessary catheters
  • Implemen guidelines/protocols for nurse-initiated removal of unnecessary catheters
  • Provide education and performance feedback to staff regarding appropriate use of catheters, hand hygiene, and catheter care

References & Resources

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