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A focus on Preventing CAUTI —
Catheter Associated Urinary Tract Infections or CAUTI’s are preventable and account for 15% of all hospital acquired infections...every day a catheter is in place the risk of infection increases.
The most effective means to prevent a CAUTI is to remove the catheter ASAP!
A.R.M. your patients against CAUTI by:
Avoid the use of catheters…consider Alternatives (See toolkit)
Reduce the number of days a catheter is in place by regularly assessing the need for
the catheter. Remember the most effective means to prevent CAUTI is to remove the
catheter as soon as possible. If the correct POE order template (see toolkit) is used
a daily electronic reminder will be triggered. Without an order or use of a scripted
order this step is missed
Maintain the catheter below the level of the bladder and avoid dependent loops. Perform daily catheter care using warm soap and water. Maintain a closed system and avoid disconnecting the catheter from the drainage bag. Use only the sterile port to obtain urine specimens. Secure the catheter to to prevent urethral trauma and traction. Insert catheters using aseptic technique.
MGH CAUTI Toolkit
Alternatives to Foley Catheters
Hollister Male Urinary Pouch
Ordering Information: Availlable via "special purchase" through eBuy using peoplesoft number PS#411410.
Bedside female urinals
Ordering Information: Availlable via "special purchase" through eBuy using peoplesoft number #326427
(internal access only)
For more information about CAUTI or improvement strategies, please contact your:
Clinical Nurse Specialist or Infection Control Specialist
“Nurse-directed interventions to reduce catheter-associated urinary tract infections”
Oman, K. S., Makic, M. B., Fink, R., Schraeder, N., Hulett, T., Keech, T. & Wald, H. (2012). Nurse-directed interventions to reduce catheter- associated urinary tract infections. American Journal of Infection Control, 40(6), 548-553.
Did You Know?
Benjamin Franklin is considered to be the inventor of the first flexible urinary catheter. His older brother John suffered from frequent kidney stones. Ben created a pliable bendable catheter to decrease his discomfort.
According to the Centers for Disease Control (CDC), each year, millions of people acquire an infection while receiving care, treatment, and services in a health care organization.
The Joint Commission's National Patient Safety Goal number #7 Focuses on: Reduce the risk of health care associated infections or HAI’s. Goal number 07.06.01 addresses the implementation of evidence –base practices to prevent indwelling catheter-associated urinary track infections.
More information: Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals at http://www.shea-online.org/about/compendium.cfm
More info on:
National Patient Safety Goal: NPSG.07.06.01
There are numerous terms and acronyms in healthcare that may be unfamiliar. Please click here to visit a Glossary of Terms that may be helpful. And please email any suggested additions.
This month's featured term: CAUTI
When a patient develops a urinary tract infection and has had an indwelling urinary catheter in place for > 2 calendar days, and the patient did not have evidence of an infection on admission, it is considered a healthcare-associated Catheter-associated Urinary Tract Infection or CAUTI. Also, if an indwelling urinary catheter was in place for > 2 calendar days and then removed and the patient develops a UTI on the day of discontinuation or the next day, this is also considered a CAUTI. A combination of specific symptoms, urine culture results and in some cases urinalysis results are used to define a CAUTI
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