Urinary Tract Infections

Carol E Chenoweth; Sanjay Saint

doi:10.1016/j.idc.2016.07.007

Urinary Tract Infections

Infect Dis Clin North Am. 2016 Dec;30(4):869-885. doi: 10.1016/j.idc.2016.07.007.

Authors

Carol E Chenoweth¹, Sanjay Saint²

Affiliations

¹ Division of Infectious Diseases, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, MI, USA. Electronic address: cchenow@umich.edu.
² Division of Infectious Diseases, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, MI, USA; Division of General Medicine, Department of Internal Medicine, University of Michigan Health System, 2800 Plymouth Road, Building 16, Room 430 West, Ann Arbor, MI 48109-2800, USA; Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, USA.

PMID: 27816141
DOI: 10.1016/j.idc.2016.07.007

Abstract

Catheter-associated urinary tract infection (CAUTI) remains one of the most prevalent, yet preventable, health care-associated infections and predominantly occurs in patients with indwelling urinary catheters. Targeted strategies for prevention of CAUTI include limiting urinary catheter use; physician reminder systems, nurse-initiated discontinuation protocols, and automatic stop orders have successfully decreased catheter duration. Alternatives to indwelling catheters should be considered in appropriate patients. If indwelling catheterization is necessary, proper aseptic practices for catheter insertion and maintenance and closed catheter collection system is essential for preventing CAUTI. The use of "bladder bundles" and collaboratives aids in the effective implementation of CAUTI prevention measures.

Keywords: Catheter-associated urinary tract infection; Health care–associated infection; Prevention; Urinary catheter.

Publication types

Review

MeSH terms

Catheter-Related Infections*
Female
Humans
Male
Risk Factors
Urinary Catheterization / adverse effects*
Urinary Catheters / adverse effects*
Urinary Tract Infections*