Catheter Associated Urinary Tract Infection (CAUTI)
“The indwelling urinary catheter is an important device for providing medical care. Use for urine drainage is essential for patients with obstruction, when accurate output monitoring is required, for selected urological and gynecological procedures in the perioperative period and, occasionally to assist in healing of pressure ulcers. Chronic indwelling urinary catheters are sometimes used for management of incontinence, especially for women, although this is a highly restricted indication.” ((Lindsay, 2014, p. 629)
In the same article, Lindsay (2014) mentioned that the most frequent and complication of the indwelling urinary catheter is urinary tract infection (UTI). As indwelling catheters are commonly used in the hospital, understanding the implication of use and management of indwelling catheter is important in reducing the CAUTI.
The clinical question chosen for this paper is; how do we decrease the rate of catheter associated urinary tract infection in hospitalized patients? “The indwelling urinary catheter is a frequently ordered medical device that often is inappropriately used. It’s insertion which might be assumed medically necessary by patients and hospital staff can complicate admission.” (Lee & Malatt, 2011 p. 24) Foley catheterization has been documented as a culprit in urosepsis and has been associated with urinary tract
In a 2000 review of literature by Saint2 on urinary tract infections related to the use of urinary catheters, it was reported that 26% of patients who have indwelling catheters for two to 10 days will develop bacteriuria, after which 24% of those with bacteriuria will develop a CAUTI. Of these patients, approximately 3% will develop bacteremia.
“Given the clinical and economic consequences of CAUTI, long term research studies are being conducted to evaluate the current initiatives to identify practical strategies to ensure the effective use of proven infection prevention...