Urinary Tract Infection Report
Urinary tract infections are the most common hospital-acquired infections and have made the list for nonpayment by the Center for Medicare and Medicaid Services (Chen et al., 2013). According to Center for Disease Control and Prevention (CDC), the prevalence of Catheter Associated Urinary Tract Infection (CAUTI) is greater in high acuity patients in Intensive Care Units (ICU). CAUTIs can lead to increased length of stays, mortality rates and ultimately, higher hospital costs. Approximately 560,000 cases of CAUTIs are reported yearly to the CDC, leading to an added expenditure of about half a billion dollars in the United States (CDC, 2009). CAUTI has been designated as one of the “never events” in a hospital settings. This is based on
…show more content…
For CAUTI in particular, he proposed a reduction of mean monthly rate by 50% from baseline by March 31st, 2016. The daily risk of acquiring a urinary tract infection varies from 3% to 6% when urinary catheter is in place. Basic interventions to reduce the risk of acquiring a CAUTI include (1) indications for use; (2) aseptic technique; (3) daily need assessment; (4) maintenance of the catheter while in place, such as cleaning and securing the catheter, unobstructed urine flow, and keeping the empty bag below the level of bladder (Gribogiannis, 2014). At BSLMC, Indwelling catheter insertion order does not contain catheter maintenance order for catheter care. Separate order is required for catheter care. Currently pericare and catheter care is required once in a twelve hours shift any time during this time period and as needed. Because it is performed randomly within twelve hour shift, it leads to delay or occasionally gets omitted due to patient leaving for procedures, emergencies, and transfers to another units. The risk of CAUTI is associated with the method and duration of catheterization, the quality of catheter care and host susceptibility (Pratt et al., 2007). The proposed change is to combine the indwelling catheter insertion and catheter care orders as well as to implement the indwelling catheter care at a fixed scheduled time once a shift. Routine daily personal hygiene is all that is required for meatal cleansing to reduce the risk for infection (Loveday et al.,
For CAUTI in particular, he proposed a reduction of mean monthly rate by 50% from baseline by March 31st, 2016. The daily risk of acquiring a urinary tract infection varies from 3% to 6% when urinary catheter is in place. Basic interventions to reduce the risk of acquiring a CAUTI include (1) indications for use; (2) aseptic technique; (3) daily need assessment; (4) maintenance of the catheter while in place, such as cleaning and securing the catheter, unobstructed urine flow, and keeping the empty bag below the level of bladder (Gribogiannis, 2014). At BSLMC, Indwelling catheter insertion order does not contain catheter maintenance order for catheter care. Separate order is required for catheter care. Currently pericare and catheter care is required once in a twelve hours shift any time during this time period and as needed. Because it is performed randomly within twelve hour shift, it leads to delay or occasionally gets omitted due to patient leaving for procedures, emergencies, and transfers to another units. The risk of CAUTI is associated with the method and duration of catheterization, the quality of catheter care and host susceptibility (Pratt et al., 2007). The proposed change is to combine the indwelling catheter insertion and catheter care orders as well as to implement the indwelling catheter care at a fixed scheduled time once a shift. Routine daily personal hygiene is all that is required for meatal cleansing to reduce the risk for infection (Loveday et al.,