Catheter-associated urinary tract infections: diagnosis and prophylaxis
|
|
- Arlene Cobb
- 8 years ago
- Views:
Transcription
1 International Journal of Antimicrobial Agents 24S (2004) S44 S48 Catheter-associated urinary tract infections: diagnosis and prophylaxis Paul A. Tambyah Division of Infectious Diseases, Department of Medicine, National University of Singapore, 5 Lower Kent Ridge Road, Singapore , Singapore Abstract Catheter-associated urinary tract infections (CAUTI) are the commonest nosocomial infections worldwide. While they are often asymptomatic and frequently cost less than nosocomial surgical site infections or nosocomial pneumonia, they are major reservoirs of antimicrobial resistant pathogens. Numerous strategies have been devised in an attempt to reduce the incidence of CAUTI but few have proven effective. Novel technologies such as the potential use of antiseptic or antimicrobial coatings on catheters hold promise for possibly reducing these infections in the fight against antimicrobial resistance Elsevier B.V. and the International Society of Chemotherapy. All rights reserved. Keywords: Catheter-associated urinary tract infection; Prevention; Urinary catheterization 1. Introduction Catheter-associated urinary tract infection (CAUTI) is the most common nosocomial infection in hospitals and nursing homes world-wide with more than one million episodes in the United States alone [1,2]. Although most CAUTIs are asymptomatic [3], rarely extend hospitalization and add only US$ to the direct costs of acute care hospitalization [4], asymptomatic infections often precipitate unnecessary antimicrobial therapy. Although the costs of catheter-associated urinary tract infections are not as high as for example a deep surgical site infection or a nosocomial pneumonia, CAUTIs are a cause for concern as they are a major reservoir of resistant pathogens [5,6]. Numerous studies have documented a high prevalence of resistant pathogens in CAUTI and the association between nosocomial CAUTI and surgical site infections has been made [7]. 2. Diagnosis In a study conducted almost 20 years ago, Stark and Maki [8] showed that in the absence of antibiotics, even one mi- Presented in part at the Surgical Infections: Prevention and Management Conference held on May 2003 in Moscow, Russia. Tel.: ; fax: address: mdcpat@nus.edu.sg (P.A. Tambyah). croorganism per ml would predictably multiply over time to reach microorganisms per ml in the catheterized urinary tract. They showed that 10 3 microorganisms per ml is a sensitive cut-off for CAUTI. In non-catheterized patients, by convention, 10 5 organisms per ml of urine is used as a criterion for diagnosis of UTI but for symptomatic women with UTIs, a much lower colony count has been shown to be valid [9]. There is considerable variation in laboratories and clinicians, in reporting and diagnosing CAUTI on the basis of colony counts. However, the underlying principle remains that the normally sterile urinary tract is vulnerable to colonization and subsequent infection by microorganisms once a catheter is in situ. 3. Pyuria Pyuria is widely used as a criterion for diagnosing urinary tract infections in non-catheterized patients. However, in a large prospective study of more than 750 patients [10], pyuria was found to be most useful in predicting CAUTI in patients with UTI due to Gram-negative pathogens while CAUTI caused by large numbers of yeasts and enterococci or staphylococci were less significantly associated with pyuria. This is thought to be due to less urinary tract inflammation elicited by these organisms. Other studies have predominantly been conducted in long-term catheterized patients and have shown variable results in terms of pyuria as a predictor /$ see front matter 2004 Elsevier B.V. and the International Society of Chemotherapy. All rights reserved. doi: /j.ijantimicag
2 P.A. Tambyah / International Journal of Antimicrobial Agents 24S (2004) S44 S48 S45 for CAUTI [11,12]. Pyuria alone cannot be used as the criteria for obtaining a urine culture in a catheterized patient. It has been argued that if a catheterized patient develops signs of sepsis that cannot be linked to another source, such as nosocomial pneumonia, surgical site infection, or vascular catheter-related bloodstream infection, a urine culture should be obtained even if the patient does not have demonstrable pyuria. 4. Symptoms Symptoms are also not reliable for the diagnosis of CAUTI. Although many guidelines [13,14] make the distinction between symptomatic CAUTI and asymptomatic bacteriuria in the management of CAUTI, we were unable to demonstrate a difference in presence of fever or symptoms related to the urinary tract in catheterized patients with and without CAUTI, in a large prospective study [4]. The catheter can itself be the source of symptoms as was noted in that study in which the proportion of catheterized patients without CAUTI with symptoms was similar to those with CAUTI. Part of the reason for the absence of symptoms of urethral irritation such as dysuria or supra-pubic pain is that the catheter itself prevents contact of inflammatory cells in urine and large numbers of microorganisms with the urethral mucosa. The presence of the urinary catheter in situ also allows for decompression of the bladder, thus preventing the development of symptoms related to bladder distension or reflux. It is interesting to note that the majority of cases of bloodstream infection [15] and even in one report [16] mortality associated with CAUTI are in patients where there is significant urinary obstruction. It has also been shown that patients with long-term indwelling catheters rarely have febrile episodes even though they have chronic significant amounts of bacteria in their urine [17,18]. This changes when obstruction or encrustation occurs as in that setting, decompression of the infected bladder is compromised. 5. Pathogenesis The entry of a urinary catheter bypasses the normal host defences at the meatus and allows the entry of pathogens into the bladder. The presence of a foreign body also allows for the formation of a biofilm, which is a conduit for pathogens to multiply and cause infection. It has been postulated that there are two main routes for CAUTI. Firstly, the extraluminal route: this could be either early at the time of catheter insertion due to inadequate antisepsis or contamination, or late due to colonisation of the meatus and the ascent of microorganisms from the perineum along the surface of the catheter. Early studies by Garibaldi et al. [19] have shown that meatal colonisation is associated with CAUTI. Women are also much more likely to have CAUTI due to their shorter urethras and thus the shorter distance microbes have to travel from the perineum to the bladder. The second pathway for microorganisms to enter the bladder is the intraluminal route. This is from breaks in the closed drainage system that occurs through irrigation of the bladder without proper asepsis. Alternatively, and perhaps more commonly, the collection-bag urine becomes contaminated through healthcare workers not washing hands when going from bag to bag emptying urine or when changing bags. Either way, contaminated urine can ascend from the bag into the catheter when the bag is raised, often during transport of the patient into and out of operating rooms or radiological suites. This allows microorganisms to flow into the bladder. They can also rise by capillary action even when the bag is below the bed. In a large prospective study of more than 1000 patients with indwelling catheters performed to determine the route of entry of microorganisms causing CAUTI, daily urine cultures were done from the drainage bag and the catheter collection port [20]. The assumption was that if the organism ascended into the bladder by the intraluminal route from the bag, it would appear first in a culture from the bag. On the other hand, if the microorganism came along the surface of the catheter from the perineum, it would be detected in the catheter sample before it was detected in the bag. Overall, two thirds of infections were caused by organisms ascending along the surface of the catheter. This was more marked for staphylococci and enterococci as well as yeasts which are common commensals of the perineum. For Gram-negative organisms which are often water-borne such as Pseudomonas, Enterobacter or Acinetobacter, the intraluminal route from the collection-bag was more important. These organisms can be carried on the hands of healthcare workers and can be readily transmitted to urine bags. Once they enter the bag, they multiply and can occasionally cause UTIs by either capillary action or by inadvertent transfer into the bladder during transport. Outbreaks of these organisms in particular, Serratia, have been well reported and associated with a variety of urinary collection devices [21]. 6. Risk factors At least five prospective studies [22 26] have conducted multivariate analysis of the risk factors associated with CAUTI with daily urine cultures to detect all CAUTIs in large numbers of patients. These studies were found to have remarkably similar results. The most important risk factors have been prolonged catheterization and being female. Other risk factors identified have included catheterization outside the sterile environment of the operating room, being on a urology service which might simply mean having a urinary tract abnormality, other infections, diabetes, malnutrition and renal failure. Interestingly, most of the infection control interventions were found to have a minimal impact on the incidence of CAUTI with one exception if
3 S46 P.A. Tambyah / International Journal of Antimicrobial Agents 24S (2004) S44 S48 the drainage tube was allowed to be above the level of the patient; that was a major risk factor for infection. Antibiotics were in general protective, but the infections (when they occurred) tended to be caused by antibiotic-resistant organisms. silver-coated catheters including silver oxide catheters and silver alloy catheters. Silver oxide catheters were found to have no benefit in prevention of CAUTI in two large studies [42,43] while a meta-analysis of silver alloy coated catheters suggests that they are beneficial [44]. 7. Prevention The best way of preventing a CAUTI is to remove the catheter or to avoid its use. All studies have shown the duration of catheterization as a significant risk factor for nosocomial CAUTI [22 25]. A recent study by Saint et al. [27] showed that a number of physicians at various levels are unaware that their patients are catheterized. Catheters have been described as a one-point restraint for hospitalized patients [28], and in a classic editorial nearly half a century ago, Beeson made the case against the catheter [29]. One problem is that there are few viable alternatives to a urinary catheter for patients who are incontinent or have urinary obstruction. The use of diapers also has its own problems in terms of skin damage and pressure sores. They are also very expensive and demoralizing for the patient. Condom catheters have been shown in at least one nursing home study to reduce the risk of CAUTI but they are obviously limited to men without obstruction [30]. Although supra-pubic catheters are associated with a decreased rate of CAUTI [31], there are some data suggesting that there are problems. Many innovations have been tried to reduce CAUTI. These have been targeted at both the extraluminal as well as intraluminal routes of CAUTI. These have included the use of antiinfective lubricants at the time of insertion [32 34], sealed catheter-tube junctions to prevent breaks in closed drainage [35 37], antireflux valves or antiinfective irrigation of the bladder or instillation of antiseptics in the collection-bag [38 40]. In well-designed randomized trials over the last 20 or so years, all of these have failed to show significant benefits. In the last few years, renewed interest has arisen in the use of antiinfective catheter material. These have been used successfully in central venous catheters and have been studied for urinary catheters as well. The results have been varied but promising. A novel silver hydrogel catheter was recently found to be mainly beneficial for infections arising by the extraluminal route along the catheter surface [41]. 8. Silver-coated catheters Silver is a well-known antiseptic with a long history, as an antiseptic rather than an antibiotic and the risk of generating antibiotic resistance would be expected to be low. Argyrism is a potential concern that has limited the use of silver on the internal coating of catheters and possibly limited its efficacy. There are a number of studies that have evaluated 9. Antibiotic coated catheters Antibiotic coated catheters using a combination of rifampicin and minocycline [45] have been used and were found to be effective in preventing nosocomial intravenous catheter related infections as well [46]. The rifampicin-minocycline catheter was most effective in preventing CAUTI caused by Gram-positive rather than Gram-negative bacteria thus limiting its practical efficacy. The concern has been in the development of antibiotic resistance. In many parts of the world, where Mycobacterium tuberculosis is endemic, the widespread use of rifampicin coated catheters would be a cause for concern, if this was found to be associated with increased rates of drug-resistant tuberculosis. 10. Novel technologies Other technologies that appear promising on the horizon include the use of urethral stents [47]. Even further on the horizon perhaps are technologies, which translate bench research into cell-cell communications which would inhibit the formation of the biofilm in the first place. Quorum sensing is an area of intense research interest. A quorum sensing inhibitor has been shown in vivo to be effective in preventing the development of a biofilm by Staphylococcus epidermidis [48] and this could possibly be translated into a novel device for the prevention of CAUTI. 11. Conclusion There are clearly many challenges that face researchers and clinicians working in the field of CAUTI. Foremost among these must be the prevention of these infections. Effective interventions to prevent CAUTI will doubtless help to reduce the reservoir of resistant pathogens in the intensive care units, wards and long-term care facilities. This will be a critical step in the battle against antibiotic resistance. References [1] Burke JP, Riley DK. Nosocomial urinary tract infection. In: Mayhall CG, editor. Hospital Epidemiology and Infection Control. Baltimore, MD: Williams and Wilkins; p [2] Kunin CM. Care of the urinary catheter. In: Urinary Tract Infections: Detection, Prevention and Management. 5th ed. Baltimore, MD: Williams & Wilkins; p
4 P.A. Tambyah / International Journal of Antimicrobial Agents 24S (2004) S44 S48 S47 [3] Tambyah PA, Maki DG. Catheter-associated urinary tract infection is rarely symptomatic: a prospective study of 1497 catheterized patients. Arch Intern Med 2000;160: [4] Tambyah PA, Knasinski V, Maki DG. The direct economic costs of nosocomial catheter-associated urinary tract infection in the era of managed care. Infect Control Hosp Epidemiol 2002;23: [5] Jarlier V, Fosse T, Philippon A. Antibiotic susceptibility in aerobic gram-negative bacilli isolated in intensive care units in 39 French teaching hospitals. Intens Care Med 1996;22: [6] Bjork DT, Pelletier LL, Tight RR. Urinary tract infections with antibiotic resistant organisms in catheterized nursing home patients. Infect Control 1984;5: [7] Krieger JN, Kaiser DL, Wenzel RP. Nosocomial urinary tract infections cause wound infections postoperatively in surgical patients. Surg Gynecol Obstet 1983;156: [8] Stark RP, Maki DG. Bacteriuria in the catheterized patient. What quantitative level of bacteriuria is relevant? N Engl J Med 1984;311: [9] Stamm WE, Hooton TM. Management of urinary tract infections in adults. N Engl J Med 1993;329: [10] Tambyah PA, Maki DG. The relationship between pyuria and infection in patients with indwelling urinary catheters: a prospective study of 761 patients. Arch Intern Med 2000;160: [11] Peterson JR, Roth EJ. Fever bacteriuria and pyuria in spinal cord injured patients with indwelling urethral catheters. Arch Phys Med Rehabil 1989;70: [12] Musher DM, Thorsteinsson SB, Airola VM. Quantitative urinalysis: diagnosing urinary tract infection in men. JAMA 1976;236: [13] O Grady NP, Barie PS, Bartlett J, et al. Practice parameters for evaluating new fever in critically ill adult patients. Crit Care Med 1998;26: [14] National Institute on Disability and Rehabilitation Research. The prevention and management of urinary tract infections among people with spinal cord injuries: National Institute on Disability and Rehabilitation Research Consensus Statement. J Am Paraplegia Soc 1992;15: [15] Bryan CS, Reynolds KL. Hospital acquired bacteremic urinary tract infection: epidemiology and outcome. J Urol 1984;132: [16] Quintiliani R, Klimek J, Cunha BA, Maderazo EG. Bacteraemia after manipulation of the urinary tract: the importance of preexisting urinary tract disease and compromised host defences. Postgrad Med J 1978;54: [17] Kunin CM, Chin QF, Chambers S. Morbidity and mortality associated with indwelling urinary catheters in elderly patients in a nursing home: confounding due to the presence of associated diseases. J Am Geriatr Soc 1987;35: [18] Warren JW, Damron D, Tenney JH, Hoopes JM, Deforge B, Muncie HL. A prospective microbiologic study of bacteriuria in patients with chronic indwelling urinary catheters. J Infect Dis 1987;6: [19] Garibaldi RA, Burke JP, Britt MR, Miller MA, Smith CB. Metal colonization and catheter-associated bacteriuria. N Engl J Med 1980;30: [20] Tambyah PA, Halvorson K, Maki DG. A prospective study of the pathogenesis of catheter-associated urinary tract infection. Mayo Clin Proc 1999;74: [21] Maki DG, Hennekens C, Bennet J. Prevention of catheter-associated urinary tract infection. JAMA 1972;221: [22] Garibaldi RA, Burke JP, Dickman ML, Smith CB. Factors predisposing to bacteriuria during indwelling urethral catheterization. N Engl J Med 1974;291: [23] Platt R, Polk BF, Murdock B, Rosner B. Risk factors for nosocomial urinary tract infection. Am J Epidemiol 1986;124: [24] Shapiro M, Simchen E, Izraeli S, Sacks TO. A multivariate analysis of risk factors for acquiring bacteriuria in patients with indwelling urinary catheters for longer than 24 hours. Infect Control 1984;5: [25] Johnson JR, Roberts PL, Olsen RJ, Moyer KA, Stamm WE. Prevention of catheter-associated urinary tract infection with a silver oxide-coated urinary catheter: clinical and microbiologic correlates. J Infect Dis 1990;162: [26] Riley DK, Classen DC, Stevens LE, Burke JP. A large randomized clinical trial of a silver impregnated urinary catheter: lack of efficacy and staphylococcal superinfection. Am J Med 1995;98: [27] Saint S, Wiese J, Amory JK. Are physicians aware of which of their patients have indwelling urinary catheters? Am J Med 2000;109: [28] Saint S, Lipsky BA, Goold SD, et al. Indwelling urinary catheters: a one-point restraint? Ann Intern Med 2002;137: [29] Beeson PB. The case against the catheter. Am J Med 1958;24:1 3. [30] Warren JW. Uretheral catheters. Infect Control Hosp Epidemiol 1996;17: [31] Shapiro J, Hoffmann J, Jersky J. A comparison of suprapubic and transurethral drainage for postoperative urinary retention in general surgical patients. Acta Chirurgica Scandinavia 1982;148: [32] Butler HK, Kunin CM. Evaluation of polymyxin catheter lubricant and impregnated catheters. J Urol 1968;100: [33] Kunin CM, Finkelberg Z. Evaluation of an intraurethral lubricating catheter in prevention of catheter-induced urinary tract infections. J Urol 1971;106: [34] Schiotz HA. Antiseptic catheter gel and urinary tract infection after short-term postoperative catheterization in women. Arch Gynecol Obstet 1996;258: [35] Huth TS, Burke JP, Larsen RA. Clinical trial of junction seals for the prevention of urinary catheter-associated bacteriuria. Arch Intern Med 1992;152: [36] Platt R, Polk BF, Murdock B, Rosner B. Reduction of mortality associated with nosocomial urinary tract infection. Lancet 1983;i: [37] Classen DC, Larsen RA, Burke JP. Stevens LE. Prevention of catheter-associated bacteriuria: clinical trial of methods to block three known pathways of infection. Am J Infect Control 1991;19: [38] Warren JW, Platt R, Thomas RJ, Rosner B, Kass EH. Antibiotic irrigation and catheter associated urinary tract infections. N Engl J Med 1978;299: [39] Gillespie WA, Simpson RA, Jones JE, Nashef L, Teasdale C, Speller DCE. Does the addition of disinfectant to urine drainage bags prevent infection in catheterized patients. Lancet 1983;i: [40] Thomson RL, Haley CE, Searcy MA, et al. Catheter-associated bacteriuria: failure to reduce attack rates using periodic instillations of a disinfectant into urinary drainage systems. JAMA 1984;251: [41] Maki DG, Tambyah PA. Engineering out the risk of infection with urinary catheters. Emerg Infect Dis 2001;7: [42] Johnson JR, Roberts PL, Olsen RJ, Moyer KA, Stamm WE. Prevention of catheter-associated urinary tract infection with a silver oxide-coated urinary catheter: clinical and microbiologic correlates. J Infect Dis 1990;162: [43] Riley DK, Classen DC, Stevens LE, Burke JP. A large randomized clinical trial of a silver-impregnated urinary catheter: lack of efficacy and staphylococcal superinfection. Am J Med 1995;98: [44] Saint S, Elmore JG, Sullivan SD, Emerson SS, Koepsell TD. The efficacy of silver alloy-coated urinary catheters in preventing urinary tract infection: a meta-analysis. Am J Med 1998;105: [45] Darouiche RO, Smith A, Hanna H, Dhabuwala CB, Steiner MS, Babian RJ, et al. Efficacy of antimicrobial-impregnated bladder catheters in reducing catheter-associated bacteriuria: a prospective randomized multi-center trial. Urology 1999;4:
5 S48 P.A. Tambyah / International Journal of Antimicrobial Agents 24S (2004) S44 S48 [46] Raad I, Darouiche RO, Dupuis J, et al. Central venous catheters coated with minocycline and rifampin for the prevention of catheter-related colonization and bloodstream infections. A randomized double-blind trial. The Texas Medical Center Catheter Study Group. Ann Intern Med 1997;127: [47] Nissenkorn I. The intraurethral catheter-three years of experience. Eur Urol 1993;24: [48] Balaban N, Giacometti A, Cirioni O, et al. Use of the quorum-sensing inhibitor RNA. III inhibiting peptide to prevent biofilm formation in vivo by drug-resistant Staphylococcus epidermidis. J Infect Dis 2003;187:
Engineering Out the Risk for Infection with Urinary Catheters
Engineering Out the Risk for Infection with Urinary Catheters Dennis G. Maki* and Paul A. Tambyah *University of Wisconsin Medical School, Madison, Wisconsin, USA, and National University of Singapore
More informationCatheter-Associated Urinary Tract Infections Lauren Tew, Bard Ltd, UK A Webber Training Teleclass Catheter-Associated Urinary Tract Infection
Catheter-Associated Urinary Tract Infection Lauren Tew Infection Control Nurse and Clinical Consultant Hosted by Debbie King debbie@webbertraining.com www.webbertraining.com Tew L, Pomfret I & King D (2005)
More informationCatheter-associated Urinary Tract Infection (CAUTI) Toolkit
Activity C: ELC Prevention Collaboratives Catheter-associated Urinary Tract Infection (CAUTI) Toolkit Carolyn Gould, MD MSCR Division of Healthcare Quality Promotion Centers for Disease Control and Prevention
More informationGuidelines for preventing infections associated with the insertion and maintenance of short-term indwelling urethral catheters in acute care
Journal of Hospital Infection (2001) 47(Supplement): S39 S46 doi:10.1053/jhin.2000.0890, available online at http://www.idealibrary.com on Guidelines for preventing infections associated with the insertion
More informationCatheter-Associated Urinary Tract Infection (CAUTI) Prevention. Basics of Infection Prevention 2 Day Mini-Course 2013
Catheter-Associated Urinary Tract Infection (CAUTI) Prevention Basics of Infection Prevention 2 Day Mini-Course 2013 2 Objectives Define the scope of healthcare-associated urinary tract infections (UTI)
More informationAppropriate Urinary Catheter Use and Management
Appropriate Urinary Catheter Use and Management Nursing Education Material Mohamad Fakih, MD, MPH 1 This presentation This presentation targets all nurses with patient care responsibilities including the
More informationNosocomial Bloodstream infection. Khachornsakdi Silpapojakul MD Prince of Songkla University Hat yai, Thailand.
Nosocomial Bloodstream infection Khachornsakdi Silpapojakul MD Prince of Songkla University Hat yai, Thailand. Nosocomial UTI Khachornsakdi Silpapojakul MD Prince of Songkla University Hat yai, Thailand.
More informationCatheter Associated Urinary Tract Infection (CAUTI) Prevention. System CAUTI Prevention Team
Catheter Associated Urinary Tract Infection (CAUTI) Prevention System CAUTI Prevention Team 1 Objectives At the end of this module, the participant will be able to: Identify risk factors for CAUTI Explain
More informationChapter 15. Prevention of Nosocomial Urinary Tract Infections
Chapter 15. Prevention of Nosocomial Urinary Tract Infections Sanjay Saint, MD, MPH University of Michigan School of Medicine Background Many hospitalized patients require the placement of indwelling urinary
More informationA PRINTED copy of this guideline may not be the most recent version. The OFFICIAL version is located on IHNET at the Policies & Procedures Home Page
A PRINTED copy of this guideline may not be the most recent version. The OFFICIAL version is located on IHNET at the Policies & Procedures Home Page IX0200: Prevention & Control of Catheter Associated
More informationGuideline for Prevention of Catheter-associated Urinary Tract Infections
Guideline for Prevention of Catheter-associated Urinary Tract Infections Written by Edward S. Wong, M.D. In consultation with Thomas M. Hooton, M.D. WORKING GROUP Herbert W. Clegg II, M.D. Children's Hospital
More informationAntibiotic Prophylaxis for Short-term Catheter Bladder Drainage in adults. A Systematic Review (Cochrane database August 2013)
Antibiotic Prophylaxis for Short-term Catheter Bladder Drainage in adults A Systematic Review (Cochrane database August 2013) Gail Lusardi, Senior Lecturer Dr Allyson Lipp, Principal Lecturer, Dr Chris
More informationCatheter Associated Urinary Tract Infections (CAUTI) TAKING PRECAU-TIONS
Catheter Associated Urinary Tract Infections (CAUTI) TAKING PRECAU-TIONS Evidence-Based Practice in Prevention of Catheter Associated Urinary Tract Infections (CA-UTI) Catheter Associated Urinary Tract
More informationGuideline for Preventing Catheter- Associated Urinary Tract Infections
Guideline for Preventing Catheter- Associated Urinary Tract Infections Craig Umscheid, MD, MSCE Carolyn Gould, MD, MSCR and David A. Pegues, MD HICPAC Meeting November 13, 2008 Washington, DC Outline Progress
More informationImpact of StatLock securing device on symptomatic catheter-related urinary tract infection: A prospective, randomized, multicenter clinical trial
Impact of StatLock securing device on symptomatic catheter-related urinary tract infection: A prospective, randomized, multicenter clinical trial Rabih O. Darouiche, MD, a,b Lance Goetz, MD, c,d Teresa
More informationUrinary Tract Infections
Urinary Tract Infections Overview A urine culture must ALWAYS be interpreted in the context of the urinalysis and patient symptoms. If a patient has no signs of infection on urinalysis, no symptoms of
More informationSECTION 12.1 URINARY CATHETERS
SECTION 12.1 URINARY CATHETERS Introduction Summary of Recommendations taken from Guidelines for the Prevention of Catheter-associated Urinary Tract Infection, Published on behalf of SARI by HSE Health
More informationHow-to Guide: Prevent Catheter-Associated Urinary Tract Infections
Updated December 2011 How-to Guide: Prevent Catheter-Associated Urinary Tract Infections Prevent catheter-associated urinary tract infections by implementing the four components of care recommended in
More informationUrinary Tract Infections
Urinary Tract Infections Leading cause of morbidity and health care expenditures in persons of all ages. An estimated 50 % of women report having had a UTI at some point in their lives. 8.3 million office
More informationCatheter-Associated Urinary Tract Infection (CAUTI) Event
Catheter-Associated Urinary Tract Infection () Event Introduction: Urinary tract infections (UTIs) are tied with pneumonia as the second most common type of healthcare-associated infection, second only
More informationUsefulness of Urinary Catheterization in Patients Admitted to Infectious Ward of Sina Hospital, Tabriz, Iran
http://www.cjmb.org Open Access Original Article Crescent Journal of Medical and Biological Sciences Vol. 2, No. 4, October 2015, 106 110 eissn 2148-9696 Usefulness of Urinary Catheterization in Patients
More informationUrinary Tract Infection in Stone Patients and in Patients with Indwelling Urethral Catheters
Urinary Tract Infection in Stone Patients and in Patients with Indwelling Urethral Catheters Pages with reference to book, From 254 To 258 Farakh A. Khan, Salman H. Siddiqui, Nasreen Akhtar ( Department
More informationA Practical Guide to Diagnosis and Treatment of Infection in the Outpatient Setting Diagnosis and Treatment of Urinary Tract Infections
A Practical Guide to Diagnosis and Treatment of Infection in the Outpatient Setting Diagnosis and Treatment of Urinary Tract Infections By Gary R. Skankey, MD, FACP, Infectious Disease, Las Vegas, NV Sponsored
More informationLong-term urinary catheter-associated urinary tract infection (UTI)
Peer reviewed article Long-term urinary catheter-associated urinary tract infection (UTI) Abstract This paper reviews the literature on the current management of symptomatic urinary tract infections (UTIs)
More informationPATIENT CARE MANUAL PROCEDURE
PATIENT CARE MANUAL PROCEDURE NUMBER VII-E-5 PAGE 1 OF 7 APPROVED BY: CATEGORY: Tri-site Nursing Policy and Procedures Review Committee Body Systems; Genitourinary 1.0 GOALS To influence patient care providers
More informationNursing college, Second stage Microbiology Dr.Nada Khazal K. Hendi L14: Hospital acquired infection, nosocomial infection
L14: Hospital acquired infection, nosocomial infection Definition A hospital acquired infection, also called a nosocomial infection, is an infection that first appears between 48 hours and four days after
More informationPREVENTION OF CATHETER ASSOCIATED URINARY TRACT INFECTIONS. (CAUTIs)
PREVENTION OF CATHETER ASSOCIATED URINARY TRACT INFECTIONS (CAUTIs) CAUTIs A UTI where an indwelling urinary catheter was in place for >2 calendar days on the date of event. OR If an indwelling urinary
More informationNosocomial Urinary Tract Infection
Nosocomial Urinary Tract Infection Michael F. Ksycki, DO, Nicholas Namias, MD, MBA* KEYWORDS Nosocomial infection Urinary tract infection Urinary catheter Nosocomial urinary tract infection is a major
More informationassociated Urinary Tract Infection Case Definitions
CDC/NHSN Cather-associated associated Urinary Tract Infection Case Definitions Chaz M. Rhone, MPH Regional HAI Epidemiologist Florida Department of Health *all information is directly from the NHSN site
More informationWelcome and Instructions
Welcome and Instructions For audio, join by telephone at 877-594-8353, participant code: 56350822 Your line is OPEN. Please do not use the hold feature on your phone but do mute your line by dialing *6.
More informationCatheter Associated Urinary Tract Infections (CAUTI): Fact Sheet
Catheter Associated Urinary Tract Infections (CAUTI): Fact Sheet Prevalence and Incidence Catheter associated urinary tract infections (CAUTI) are one of the most frequent infections today: The daily risk
More informationLong-term urinary catheters: prevention and control of healthcare-associated infections in primary and community care
Long-term urinary catheters: prevention and control of healthcare-associated infections in primary and community care A NICE pathway brings together all NICE guidance, quality standards and materials to
More informationIDSA GUIDELINES EXECUTIVE SUMMARY
IDSA GUIDELINES Diagnosis, Prevention, and Treatment of Catheter- Associated Urinary Tract Infection in Adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America
More informationCAUTI-The Challenge Continues IHA-Coalition for Care April 23, 2014 Presented by Linda Doerflein, BS, RN, CPHRM Director of Quality/Risk HealthSouth
CAUTI-The Challenge Continues IHA-Coalition for Care April 23, 2014 Presented by Linda Doerflein, BS, RN, CPHRM Director of Quality/Risk HealthSouth Deaconess Rehabilitation Hospital Did You Know?? The
More informationPrevention of catheter associated urinary tract infections
Prevention of catheter associated urinary tract infections Dr. Suzan Sanavi, Nephrologist, M.D University of Social Welfare and Rehabilitation Akhavan Physical Spine Center INTRODUCTION Urinary bladder
More informationCatheter Management. Justine Andrew Urology Nurse Specialist
Catheter Management Justine Andrew Urology Nurse Specialist catheterisation to let or send down History of the catheter belongs to urology At the end of the 19 th C, patients carried catheters in the shafts
More informationSARI. Guidelines for the Prevention of Catheterassociated Urinary Tract Infection
Guidelines for the Prevention of Catheterassociated Urinary Tract Infection Published on behalf of SARI by HSE Health Protection Surveillance Centre 2011 SARI A Strategy for the Control of Antimicrobial
More informationAre Urinary Catheters necessary during Endovascular Procedures? A prospective randomized pilot study. Medical Student Research Project.
Are Urinary Catheters necessary during Endovascular Procedures? A prospective randomized pilot study Medical Student Research Project Jordan Knepper Faculty advisor: Mark Langsfeld, MD Introduction Background
More informationNurse-Initiated Removal of Unnecessary Urinary Catheters in the Non-Intensive Care Units
Nurse-Initiated Removal of Unnecessary Urinary Catheters in the Non-Intensive Care Units (Based on a study performed at St. John Hospital and Medical Center in Detroit, Michigan) November 2010 This toolkit
More informationComparison of effectiveness of sterile vs. clean technique for indwelling catheter care in preventing urinary tract infection
Comparison of effectiveness of sterile vs. clean technique for indwelling catheter care in preventing urinary tract infection Monika Dutta, Prem Verma, A.K. Mandal Abstract : Indwelling urinary catheterization
More informationCARE PROCESS STEP EXPECTATIONS RATIONALE
URINARY INCONTINENCE CARE PROCESS STEP EXPECTATIONS RATIONALE ASSESSMENT/PROBLEM RECOGNITION 1. Did the staff and physician seek and document risk factors for urinary incontinence and any history of urinary
More informationInfection Control in the Use of Urethral Catheters: Knowledge and Practices of Nurses in a Private Hospital in Iloilo City
Infection Control in the Use of Urethral Catheters: Knowledge and Practices of Nurses in a Private Hospital in Iloilo City MARK LISTER F. OPINA 1 and RYAN MICHAEL F. ODUCADO 2 Central Philippine University,
More informationA THREE YEAR REVIEW OF CATHETER-ASSOCIATED URINARY TRACT INFECTIONS REPORTED TO THE NATIONAL HEALTHCARE SAFETY NETWORK AT A TERTIARY CARE HOSPITAL
A THREE YEAR REVIEW OF CATHETER-ASSOCIATED URINARY TRACT INFECTIONS REPORTED TO THE NATIONAL HEALTHCARE SAFETY NETWORK AT A TERTIARY CARE HOSPITAL by Jessi Marie Bond BS, Clinical Laboratory Science, Idaho
More informationManagement of Urinary Tract Infections in Patients with Urinary Catheters
Clinical Review Article Management of Urinary Tract Infections in Patients with Urinary Catheters Maria L. Alcaide, MD Daniel M. Lichtstein, MD Urinary tract infections (UTIs) in patients with urinary
More informationNICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic.
Initial assessment and investigation of urinary incontinence bring together all NICE guidance, quality standards and other NICE information on a specific topic. are interactive and designed to be used
More informationDon t Go With The Flow! Control and Management of UTIs in the Elderly
Don t Go With The Flow! Control and Management of UTIs in the Elderly Acknowledgements Central West Infection Control Network Toronto Central Infection Control Network Erie St Clair Infection Control Network
More informationAbstract. Problems with Current Methods of Urinary Monitoring and Management: A Massive Public Health Issue
Abstract Urinary Output Monitoring and Management in Acute Care: Clinical Pathway for CMS 1533 Compliance and Positive Economic Impact of Compliance Sponsored by the Center for Excellence in Healthcare
More informationRiesa Gusewelle, MNSc, RN, APRN, GNP-BC. OBJECTIVES Identify early warning signs of urinary tract
Detection, Early Management & Prevention, of Urinary Tract Infections in Older Adults Riesa Gusewelle, MNSc, RN, APRN, GNP-BC OBJECTIVES Identify early warning signs of urinary tract infections (UTIs)
More informationComponents of CVC Care Bundle. selection
Components of CVC Care Bundle Catheter site selection Site of insertion influences the subsequent risk for CR-BSI and phlebitis The influence of site is related in part to the risk for thrombophlebitis
More informationRemoval of Adherent Bacteria from Catheter Materials in vitro by N-Acylated Amino Acids
Hiroshima J. Med. Sci. Vol.39, No.4, 139-143, December, 1990 HIJM 39-23 139 Removal of Adherent Bacteria from Catheter Materials in vitro by N-Acylated Amino Acids Kazushi SE0 1 \ Hiroshi NAKAN0 2 \ Tsuguru
More informationPICU Urinary Catheter Insertion & Care Guideline & Bundles Dr Vinayak Rai & Dr Simon Robinson March 2014
PICU Urinary Catheter & Care Guideline September 2014 Introduction PICU Urinary Catheter Insertion & Care Guideline & Bundles Dr Vinayak Rai & Dr Simon Robinson March 2014 Background: Urinary catheterisation
More informationVUMC Guidelines for Management of Indwelling Urinary Catheters. UC Access/ Maintenance
VUMC Guidelines for Management of Indwelling Urinary Catheters UC Insertion Preparation & Procedure Indications for insertion and continued use of indwelling urinary catheters include: Urinary retention
More information1 Dawa K.K. Rn, Rm, Bnsc., 2 Kever R.T. Rn, Msc (Nursing), 3 Dathini H. Rn, Rm, Bnsc, Pgde., 4 Babaji M. Rn, Rm, Msc (Nursing), 5 Garba N.
IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-issn: 2320 1959.p- ISSN: 2320 1940 Volume 3, Issue 4 Ver. I (Jul-Aug. 2014), PP 64-71 Assessment Of Risk Factors Influencing The Development Of
More informationNURSE DRIVEN FOLEY CATHETER PROTOCOL
NURSE DRIVEN FOLEY CATHETER PROTOCOL BACKGROUND There are over 1.7 million hospital-acquired infections in US hospitals annually, 40% of which are urinary tract infections. 80% of hospital-acquired UTIs
More informationPrevention of CAUTI is discussed in the CDC/HICPAC document, Guideline for Prevention of Catheter-associated Urinary Tract Infection 4.
Urinary Tract Infection (Catheter-Associated Urinary Tract Infection [] and Non-Catheter-Associated Urinary Tract Infection [UTI]) and Other Urinary System Infection [USI]) Events Introduction: Urinary
More informationA Summary of the Guideline for the Diagnosis and Management of. Urinary Tract Infections in Long Term Care
A Summary of the Guideline for the Diagnosis and Management of Urinary Tract Infections in Long Term Care Exclusions Community acquired UTIs UTIs in acute care Prevention Limit use of catheters Ensure
More informationBIBLIOGRAPHICAL REVIEW ON COST OF PATIENT SAFETY FAILINGS IN NOSOCOMIAL INFECTIONS. SUMMARY.
BIBLIOGRAPHICAL REVIEW ON COST OF PATIENT SAFETY FAILINGS IN NOSOCOMIAL INFECTIONS. SUMMARY. Bibliographical review on cost of Patient Safety Failings in nosocomial s. Summary This study has been conducted
More informationHow To Find Out If A Diabetic Woman Has A Urinary Tract Infection
Mindanao Journal of Science and Technology Vol. 12 (2014) 171-178 Difference on the Incidence of Urinary Tract Infection (UTI) between Diabetic and Non-diabetic Women Admitted in Metro Cebu, Philippines
More informationPrevention of Catheter-Associated Urinary Tract Infections
Prevention of Catheter-Associated Urinary Tract Infections Self-Study Module Created March 2012 2012 BJC HealthCare. All rights reserved. Reproduction is strictly prohibited without written consent. Overview
More informationSpinal Cord and Bladder Management Male: Intermittent Catheter
Spinal Cord and Bladder Management Male: Intermittent Catheter The 5 parts of the urinary system work together to get rid of waste and make urine. Urine is made in your kidneys and travels down 2 thin
More informationThe urinary tract is the most common
PRINTER-FRIENDLY VERSION AT IDSE.NET Prevention and Management of Catheter- Associated UTIs DIANE K. NEWMAN, RNC, MSN, CRNP, FAAN Co-Director Penn Center for Continence and Pelvic Health University of
More informationNosocomial Urinary Tract Infections
15 Nosocomial Urinary Tract Infections Sonia Isabel Cuervo Maldonado and Jorge Alberto Cortés Luna Universidad Nacional de Colombia, Bogotá Colombia 1. Introduction Healthcare-associated urinary infection
More informationGuide to the Elimination of Catheter-Associated Urinary Tract Infections (CAUTIs)
An APIC Guide 2008 Guide to the Elimination of Catheter-Associated Urinary Tract Infections (CAUTIs) Developing and Applying Facility-Based Prevention Interventions in Acute and Long-Term Care Settings
More informationAvoiding Urinary Tract Infections in Patients practising Intermittent Catheterization
Avoiding Urinary Tract Infections in Patients practising Intermittent Catheterization H.J. Mulder MANP 1-11-2011 Henk-Jan Mulder MANP Department of Urology Martini General Hospital Van Swietenplein 1 9700
More informationAre venous catheters safe in terms of blood tream infection? What should I know?
Are venous catheters safe in terms of blood tream infection? What should I know? DIAGNOSIS, PREVENTION AND TREATMENT OF HAEMODIALYSIS CATHETER-RELATED BLOOD STREAM INFECTIONS (CRBSI): A POSITION STATEMENT
More informationTHE KIDNEY. Bulb of penis Abdominal aorta Scrotum Adrenal gland Inferior vena cava Urethra Corona glandis. Kidney. Glans penis Testicular vein
29 THE KIDNEY 9. Recurrent urinary tract infections Recurrent urinary tract infections The urinary tract consists of the urethra, the bladder, the ureters, the kidneys and in men the prostate gland. An
More informationC-Difficile Infection Control and Prevention Strategies
C-Difficile Infection Control and Prevention Strategies Adrienne Mims, MD MPH VP, Chief Medical Officer Adrienne.Mims@AlliantQuality.org 1/18/2016 1 Disclosure This educational activity does not have commercial
More informationBard: Intermittent Catheters. A guide to. Bard: Pelvic Organ Prolapse. An REIMBURSEMENT. overview of OF INTERMITTENT. Prolapse CATHETERS
Bard: Intermittent Catheters A guide to Bard: Pelvic Organ Prolapse An REIMBURSEMENT overview of Pelvic OF INTERMITTENT Organ Prolapse CATHETERS 1 Intermittent catheterization is a covered Medicare benefit
More informationAddressing the challenge of healthcare associated infections (HCAIs) in Europe
POSITION PAPER 05 January 2011 Addressing the challenge of healthcare associated infections (HCAIs) in Europe A Call for Action Page 1 of 8 A holistic approach to combating HCAIs in Europe We must rise
More informationUrinary tract infections (UTIs) are the most common type of healthcareassociated
Overcoming Challenges to CAUTI Prevention By Linda Greene, RN, MS, CIC, Shannon Oriola, RN, CIC, COHN, James Marx, RN, MS, CIC Urinary tract infections (UTIs) are the most common type of healthcareassociated
More informationHemodialysis catheter infection
Hemodialysis catheter infection Scary facts In 2006, 82% of patients in the United States initiated dialysis via a catheter The overall likelihood of Tunneled cuffed catheters use was 35% greater in 2005
More informationUrinary Tract Infections
Urinary Tract Infections Magdalena Sobieszczyk, MD MPH Division of Infectious Diseases Columbia University Clinical Scenario #1 23 y.o woman presents to her doctor complaining of 1 day of increased urinary
More informationCATHETER-RELATED URINARY TRACT INFECTION IN PATIENTS SUFFERING FROM SPINAL CORD INJURIES
& CATHETER-RELATED URINARY TRACT INFECTION IN PATIENTS SUFFERING FROM SPINAL CORD INJURIES Amela Dedeić-Ljubović*, Mirsada Hukić Institute of Clinical Microbiology, Clinical Centre of the University of
More informationPrinciples of Disease and Epidemiology. Copyright 2010 Pearson Education, Inc.
Principles of Disease and Epidemiology Pathology, Infection, and Disease Disease: An abnormal state in which the body is not functioning normally Pathology: The study of disease Etiology: The study of
More informationWhat s new? INVESTIGATIVE PROTOCOL FOR URINARY INCONTINENCE & CATHETERS. The Revised Guidance Includes: Interpretive Guidelines
INVESTIGATIVE PROTOCOL FOR URINARY INCONTINENCE & CATHETERS The Revised Guidance Includes: Interpretive Guidelines Investigative Protocols Compliance & Severity Guidance What s new? The new guidance for
More informationUrinary Tract Infections. Clinical Scenario #1. Urinary Tract Infections. Clinical Scenario #1 : Labs
Clinical Scenario #1 : Labs Urinary Tract Infections Magdalena Sobieszczyk, MD Urinalysis: pyuria (WBC too numerous to count), RBC and bacteria present Urine dipstick: positive leukocyte esterase and nitrite
More informationMale Urinary Catheterisation & Catheter Care
Male Urinary Catheterisation & Catheter Care Mark Jones, Martin Steggall & Marsh Gelbart City University, London. Good practice Consent gain informed consent. Who can catheterise any Registered Nurse who
More informationUse and Management of Chronic Urinary Catheters in Long-Term Care: Much Controversy, Little Consensus Julie K. Gammack, MD
CONTROVERSIES IN LONG-TERM CARE Use and Management of Chronic Urinary Catheters in Long-Term Care: Much Controversy, Little Consensus Julie K. Gammack, MD In long-term care facilities, 5 to 15% of residents
More informationA Multicenter Qualitative Study on Preventing Hospital-Acquired Urinary Tract Infection in US Hospitals
infection control and hospital epidemiology april 2008, vol. 29, no. 4 original article A Multicenter Qualitative Study on Preventing Hospital-Acquired Urinary Tract Infection in US Hospitals Sanjay Saint,
More informationPrevention of Catheter- Associated Urinary Tract infections. Best Practices Guidelines
Prevention of Catheter- Associated Urinary Tract infections Best Practices Guidelines The ACS NSQIP Best Practices Guidelines were designed to serve as complete yet concise resources for health care providers
More informationKaiser Oakland Urology
Kaiser Oakland Urology The Main Purpose of Bladder Catheterization Complete Bladder Emptying! Help maintain a healthy bladder Help maintain healthy kidneys Reduce the chances of significant urinary tract
More informationEssential steps to safe, clean care
Essential steps to safe, clean care Reducing healthcare-associated infections in Primary care trusts; Mental health trusts; Learning disability organisations; Independent healthcare; Care homes; Hospices;
More information2. Does the patient have one of the following appropriate indications for placing indwelling urinary catheters?
A. Decision to Insert a Urinary Catheter: 1. Before placing an indwelling catheter, please consider if these alternatives would be more appropriate: Bladder scanner: to assess and confirm urinary retention,
More informationREDUCING USE OF INDWELLING URINARY CATHETERS AND ASSOCIATED URINARY TRACT INFECTIONS. C E 1.0 Hour. Patient Safety Issues
Patient Safety Issues REDUCING USE OF INDWELLING URINARY CATHETERS AND ASSOCIATED URINARY TRACT INFECTIONS By Ellen H. Elpern, MSN, APN, CCNS, Kathryn Killeen, MSN, APN, CCNS, Alice Ketchem, RN, MSN, Amanda
More informationhealthcare associated infection 1.2
healthcare associated infection A C T I O N G U I D E 1.2 AUSTRALIAN SAFETY AND QUALITY GOALS FOR HEALTH CARE What are the goals? The Australian Safety and Quality Goals for Health Care set out some important
More informationHot Topics In Infection Control!
2015 SASKPIC Fall Conference Hot Topics In Infection Control! According to the Provincial ICCs that is Objectives Provide context for UTI prevention in Continuing Care settings Recommendations and tools
More informationSpotlight on Success: Implementing Nurse-Driven Protocols to Reduce CAUTIs
Spotlight on Success: Implementing Nurse-Driven Protocols to Reduce CAUTIs Many hospitals today are increasingly allowing nurses to make decisions regarding patients care, treatment, and services without
More informationCatheter Care. What you need to know. Jacinta Stewart Continence Nurse
Catheter Care What you need to know Jacinta Stewart Continence Nurse Indications for Long Term Catheter Use Long term urinary catheters should only be used with clients who cannot satisfactorily be managed
More informationCatheter-Associated Urinary Tract Infection (CAUTI) Definitions and Reporting
AHRQ Safety Program for Long-term Care: HAIs/CAUTI Learning Objectives Upon completion of the webinar, core team members will be able to: Catheter-Associated Urinary Tract Infection (CAUTI) Definitions
More informationCentral Line-Associated Bloodstream Infection (CLABSI) Prevention. Basics of Infection Prevention 2-Day Mini-Course 2013
Central Line-Associated Bloodstream Infection (CLABSI) Prevention Basics of Infection Prevention 2-Day Mini-Course 2013 2 Objectives Describe the etiology and epidemiology of central line associated bloodstream
More informationSAMPLE Policy and Procedure Insertion, Removal and Care of an Indwelling Foley Catheter
SAMPLE Policy and Procedure Insertion, Removal and Care of an Indwelling Foley Catheter Approved by: Policy and Procedure Committee Effective: x/xx Revised: x/xx Description: This policy provides the procedure
More informationProtocol for Macroscopic and Microscopic Urinalysis and Investigation of Urinary Tract Infections
Protocol for Macroscopic and Microscopic Urinalysis and Investigation of Urinary Tract Infections Reprinted 2004 Scope The purpose of this protocol is to avoid unnecessary testing in routine cases while
More informationRecommendations on Prevention of Catheter-associated Urinary Tract Infection
Recommendations on Prevention of Catheter-associated Urinary Tract Infection Scientific Committee on Infection Control, and Infection Control Branch, Centre for Health Protection, Department of Health
More informationEuropean and Asian guidelines on management and prevention of catheter-associated urinary tract infections
International Journal of Antimicrobial Agents 31S (2008) S68 S78 European and Asian guidelines on management and prevention of catheter-associated urinary tract infections Peter Tenke a,, Bela Kovacs a,
More informationDraft GUIDELINE FOR PREVENTION OF CATHETER- ASSOCIATED URINARY TRACT INFECTIONS 2009. Draft Guideline for Prevention of CAUTI 2009
Guideline for Prevention of CAUTI 2009 GUIDELINE FOR PREVENTION OF CATHETER- ASSOCIATED URINARY TRACT INFECTIONS 2009 Carolyn V. Gould, MD, MSCR 1 ; Craig A. Umscheid, MD, MSCE 2 ; Rajender K. Agarwal,
More informationPrevention of CAUTI is discussed in the CDC/HICPAC document, Guideline for Prevention of Catheter-associated Urinary Tract Infection 4.
Urinary Tract Infection (Catheter-Associated Urinary Tract Infection [CA] and Non-Catheter-Associated Urinary Tract Infection []) and Other Urinary System Infection [USI]) Events Introduction: Urinary
More informationURINARY CATHETER CARE
URINARY CATHETER CARE INTRODUCTION Urinary catheter care is a very important skill, and it is a skill that many certified nursing assistants (CNAs) must know. Competence at providing urinary catheter care
More informationGUIDELINE FOR PREVENTION OF CATHETER- ASSOCIATED URINARY TRACT INFECTIONS 2009
GUIDELINE FOR PREVENTION OF CATHETER- ASSOCIATED URINARY TRACT INFECTIONS 2009 Carolyn V. Gould, MD, MSCR 1 ; Craig A. Umscheid, MD, MSCE 2 ; Rajender K. Agarwal, MD, MPH 2 ; Gretchen Kuntz, MSW, MSLIS
More informationUrinary Diversion: Ileovesicostomy/Ileal Loop/Colon Loop
Urinary Diversion: Ileovesicostomy/Ileal Loop/Colon Loop Why do I need this surgery? A urinary diversion is a surgical procedure that is performed to allow urine to safely pass from the kidneys into a
More informationRole of biofilm in catheter-associated urinary tract infection
Role of biofilm in catheter-associated urinary tract infection Barbara W. Trautner, MD, a and Rabih O. Darouiche, MD a,b Houston, Texas The predominant form of life for the majority of microorganisms in
More information