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Catheter-Associated Urinary Tract Infection (CAUTI) Prevention

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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.  Key prevention strategies include:

  1. Insert catheters only for appropriate indications
  2. Remove unnecessary catheters
  3. Perform hand hygiene in compliance with CDC or WHO
  4. Provide education on proper insertion and maintenance
  5. Limit insertion of catheters to trained personnel
  6. Insert catheters using aseptic technique and sterile equipment
  7. Properly secure indwelling catheters after insertion to prevent movement and urethral traction
  8. Maintain closed drainage system
  9. Cleaning the metal area with antiseptic solutions in unnecessary; routine hygiene is appropriate
  10. Remove catheter within 48 hours following surgical procedure or document reason for extended use
  11. Implement and promote alternatives to indwelling urinary catheterization

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.

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