Catheter-Associated Urinary Tract Infection (CAUTI) Prevention
Catheter-associated urinary tract infections (CAUTI) are one of the most common health care-associated infections and CAUTI reduction metrics are included in the Health and Human Services (HHS) National Action Plan to Prevent Health Care-Associated Infections. The participants of the DOH CAUTI collaborative achieved success with a statistically significant 35% decrease in CAUTI as well as a statistically significant 5% decrease in device utilization.
Best practices included, but were not limited to, the development and implementation of nurse-driven protocols for catheter removal, automated alerts, reminders, and/or stop orders to prompt catheter removal, incorporating daily assessment of indications for catheter use into multi-disciplinary rounding, monitoring adherence to aseptic technique and providing feedback to staff on performance, and educating staff on proper insertion, care, maintenance, and appropriate indications for use of urinary catheters.
- Key Prevention Strategies
- Insert catheters only for appropriate indications
- Remove unnecessary catheters
- Perform hand hygiene in compliance with CDC or WHO
- Provide education on proper insertion and maintenance
- Limit insertion of catheters to trained personnel
- Insert catheters using aseptic technique and sterile equipment
- Properly secure indwelling catheters after insertion to prevent movement and urethral traction
- Maintain closed drainage system
- Cleaning the metal area with antiseptic solutions in unnecessary; routine hygiene is appropriate
- Remove catheter within 48 hours following surgical procedure or document reason for extended use
- Implement and promote alternatives to indwelling urinary catheterization