Using quality improvement methods to prevent catheter-associated UTI
. British Journal of Nursing, 24(18), S22-S28.
The CDC defined catheter-associated UTI
(CAUTI) as "an infection where an indwelling urinary catheter was in place for more than 2 calendar days on the date of event, with day of device placement being Day 1, and an indwelling urinary catheter was in place on the date of event or the day before" (p.
The study revealed that catheter-associated UTI
in University Kebangsaan Malaysia Medical Center is caused by strong positive variety of multi-drug resistance gram negative bacteria and yeasts which can be able to produce strong biofilm on microtiter plate, cover glass and urinary catheter surfaces.
(1) Catheter-associated UTI
accounts for 36-40 per cent of health-care-associated infections (HAI), (2) thereby making it the most common HAI worldwide.
can be minimized if the duration of catheterization is less than 2 weeks and good aseptic care and sterile closed drainage system are maintained.
Improvement in the care of urinary catheters prevents both PUBS and catheter-associated UTI
The risk of developing a catheter-associated UTI
increases by 5% for every day the catheter is in place; long-term use has a 100% infection rate.
Here at the University of Michigan Health System, we've actually created a multidisciplinary catheter-associated UTI
committee, and we look at hospital-wide rates of catheter-associated UTIs
, and design interventions to improve our practice overall in this area.
Seymour C 2006 Audit of catheter-associated UTI
using silver alloy-coated foley catheters British Journal of Nursing 15 (11) 598-603
(159) Accordingly, the only way that the hospital could ensure that the patient in the example would not contract a catheter-associated UTI
is to not use the device.
For example, in the case of a catheter-associated UTI
, nurses can scan guidelines from the Infectious Disease Society of America, while reviewing some 18 full-text journal articles.
(2) Looking for advice on preventing Catheter-associated UTI
(CA-UTI) in your hospital?