Nursing interventions to reduce the risk of catheter-associated urinary tract infection
@article{Willson2009NursingIT, title={Nursing Interventions to Reduce the Risk of Catheter‐Associated Urinary Tract Infection: Part 2 Staff Education, Monitoring, and Care Techniques}, author={Margaret M. Willson and Mary H. Wilde and Marilyn-Lu Webb and Donna L. Thompson and Diana Parker and Judith Harwood and Laura Callan and Mikel L Gray}, journal={Journal of Wound, Ostomy and Continence Nursing}, year={2009}, volume={36}, pages={137–154} } BACKGROUND The US Centers for Medicare & Medicaid Services has enacted 2 policies that have focused considerable attention on the optimal use of indwelling catheters in the acute and long-term care settings and the prevention of complications including catheter-associated urinary tract infection (CAUTI). OBJECTIVES This is the second of a 2-part Evidence-Based Report Card reviewing current evidence pertaining to nursing actions for prevention of CAUTI in patients with short- and long-term… Show 126 CitationsReferencesSHOWING 1-10 OF 58 REFERENCES A urinary tract infection (UTI) is an infection involving any part of the urinary system, including urethra, bladder, ureters, and kidney. UTIs are the most common type of healthcare-associated infection reported to the National Healthcare Safety Network (NHSN). Among UTIs acquired in the hospital, approximately 75% are associated with a urinary catheter, which is a tube inserted into the bladder through the urethra to drain urine. Between 15-25% of hospitalized patients receive urinary catheters during their hospital stay. The most important risk factor for developing a catheter-associated UTI (CAUTI) is prolonged use of the urinary catheter. Therefore, catheters should only be used for appropriate indications and should be removed as soon as they are no longer needed. Resources for PatientsFrequently Asked Questions about CAUTIs GuidelineCDC, in collaboration with other organizations, has developed guidelines for the prevention of Catheter-associated UTIs and other types of healthcare-associated infections.
PreventionFacilities can monitor the rates of Catheter-associated UTIs and assess the effectiveness of prevention efforts through CDC’s National Healthcare Safety Network (NHSN).
Description of HICPAC recommendation categories.
* Please refer to Methods for implications of Category designations. Recommendations for Appropriate urinary catheter use by ID number and category.
I.B. Consider using alternatives to indwelling urethral catheterization in selected patients when appropriate.Recommendations for Consider using alternatives by ID number and category.
Recommendations for Proper urinary catheter insertion techniques by ID number and category.
Recommendations for Proper urinary catheter maintenance techniques by ID number and category.
Recommendations for Catheter materials by ID number and category.
Recommendations for Management of catheter obstruction by ID number and category.
Recommendations for Specimen collection by ID number and category.
Recommendations for Spatial separation of patients by ID number and category.
Recommendations for Surveillance by ID number and category.
V.A. Provision of guidelinesRecommendations for Quality improvement programs by ID number and category.
V.B. Education and TrainingRecommendations for Education and training by ID number and category.
V.C. SuppliesRecommendations for Urinary catheter supplies by ID number and category.
V.D. System of documentationRecommendations for System of documentation by ID number and category.
V.E. Surveillance resourcesRecommendations for Surveillance resources by ID number and category.
Recommendations for Surveillance by ID number and category.
What nursing interventions would you perform to prevent catheterCatheter-associated urinary tract infections (CAUTI) are preventable by reducing unnecessary catheter use, length of catheter use, and improving insertion technique [3].
How can you reduce the risk of catheter related UTI?CAUTI can be prevented by things such as hand washing, not using urine drain tubes and if they must be used, inserting them properly and keeping them clean. Catheters should be put in only when necessary, and removed as soon as possible.
What are 3 interventions that could be implemented to reduce catheter related infection?ANA Initiative to Prevent CAUTI
There are three areas to improve evidence-based clinical care to reduce the rate of CAUTI: (1) prevention of inappropriate short-term catheter use, (2) nurse-driven timely removal of urinary catheters, and (3) urinary catheter care during placement.
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