Prevention of Cauti
Prevention of Catheter Associated Urinary Tract Infection (CAUTI)
Brandi Carter
Chamberlain College of Nursing
Capstone
NR-451
C. Anderson
August 04, 2012
Prevention of Catheter Associated Urinary Tract Infection (CAUTI)
CAUTIs are the most commonly reported HAI in the US. Although morbidity and mortality from CAUTI is considered to be relatively low compared to other HAIs, the high prevalence of urinary catheter use leads to a large cumulative burden of infections with resulting infectious complications and deaths ("Prevention of CAUTI-Acute care settings," 2011, p. 1). In addition, bacteriuria frequently leads to unnecessary antimicrobial use, and urinary drainage systems may serve as reservoirs for MDR bacteria and a source of transmission to other patients ("Prevention of CAUTI-Acute care settings," 2011, p. 4). Healthcare-associated infections exact a significant toll on human life. They are among the top ten leading causes of death in the United States, accounting for an estimated 1.7 million infections and 99,000 associated deaths in 2002. In hospitals, they are a significant cause of morbidity and mortality. Currently, urinary tract infections comprise the highest percentage (34%) of HAIs followed by surgical site infections (17%), bloodstream infections (14%), and pneumonia (13%). Some of the guidelines set forth for prevention of CAUTI are frequent catheter care, removal of the catheter as soon as possible, and using sterile technique on insertion (Center for Disease Control, n.d.). Education of the staff, frequent RN assessment and patient education are also a very important factor in the prevention of complications associated with urinary catheterization.
Step 1: Assess the Need for Change in Practice
Catheter-associated urinary tract infection (CAUTI), a frequent health care–associated infection (HAI), is a costly and common condition resulting in patient discomfort, activity restriction and hospital discharge delays (Saint, 2008, p.
Brandi Carter
Chamberlain College of Nursing
Capstone
NR-451
C. Anderson
August 04, 2012
Prevention of Catheter Associated Urinary Tract Infection (CAUTI)
CAUTIs are the most commonly reported HAI in the US. Although morbidity and mortality from CAUTI is considered to be relatively low compared to other HAIs, the high prevalence of urinary catheter use leads to a large cumulative burden of infections with resulting infectious complications and deaths ("Prevention of CAUTI-Acute care settings," 2011, p. 1). In addition, bacteriuria frequently leads to unnecessary antimicrobial use, and urinary drainage systems may serve as reservoirs for MDR bacteria and a source of transmission to other patients ("Prevention of CAUTI-Acute care settings," 2011, p. 4). Healthcare-associated infections exact a significant toll on human life. They are among the top ten leading causes of death in the United States, accounting for an estimated 1.7 million infections and 99,000 associated deaths in 2002. In hospitals, they are a significant cause of morbidity and mortality. Currently, urinary tract infections comprise the highest percentage (34%) of HAIs followed by surgical site infections (17%), bloodstream infections (14%), and pneumonia (13%). Some of the guidelines set forth for prevention of CAUTI are frequent catheter care, removal of the catheter as soon as possible, and using sterile technique on insertion (Center for Disease Control, n.d.). Education of the staff, frequent RN assessment and patient education are also a very important factor in the prevention of complications associated with urinary catheterization.
Step 1: Assess the Need for Change in Practice
Catheter-associated urinary tract infection (CAUTI), a frequent health care–associated infection (HAI), is a costly and common condition resulting in patient discomfort, activity restriction and hospital discharge delays (Saint, 2008, p.
References: CAUTI-Acute Hospital Settings. (2011). Retrieved from http://www.hhs.gov/ash/initiatives/hai/acute_care_hospitals.html Center for Disease Control. (n.d.). www.cdc.gov Healthy People 2010. (n.d). http://healthypeople.gov/2020 National Patient Safety Goals. (2012). Retrieved from http://www.jointcommission.org/topics/hai_cauti Saint, S. (2008, January 15, 2008). Preventing hospital acquired urinary tract infection. National Institute of Health, 46, 243-250. Retrieved from http://www.ncbi.nlm.nih.gov