Catheter-associated Urinary Tract Infections (CAUTI) A urinary tract infection (UTI) is 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.

1. CAUTI
BUNDLE OF CARE
A quick review

2. C
A
U
T
I
INFECTION

3. A catheter-associated urinary tract infection
(CAUTI) occurs when germs (usually
bacteria) enter the urinary tract through
the urinary catheter and cause infection.

5. 449,334
CAUTI events per year

6. US 340 Million $ / Year
INR 24 Billion ₹ / Year
EXTRA COST IN HEALTHCARE
DUE TO CAUTI

7. 1. INSERTION
2. SECUREMENT
3. DRAINAGE BAG
4. HYGIENE
5. FAMILIES
6.REVIEW FOR NEED
7. INDICATIONS
8.ALTERNATIVES

8. Perform hand hygiene immediately before
(and after) insertion

9. Use sterile things Use appropriate antiseptic or
sterile solution for
peri-urethral cleaning

10. Use appropriate antiseptic
single-use packet of lubricant
jelly for catheter tip
Maintain
Aseptic technique

11. Place securely in the upper
thigh
Device will
keep catheter in place

12. Drainage bag should be below
the bladder level
Drainage bag should not touch
the floor
Drainage bag should be hang in
the bed frame

13. Maintain a sterile
closed drainage
System
Maintain
unobstructed urine
flow

14. Do not change
indwelling
catheters
or
drainage bags at
arbitrary fixed
intervals

15. Ensure that the
bag is emptied
prior to transport

16. Explain the need of
the catheter to the
patient and their
family

17. Incorporate
observation of urinary
catheter and bag
into routine rounds

18. Perform a simple check prior to transport to ensure that all lines and
catheters are patent
– Is the catheter secure?
– Is the drainage bag empty?

20. Its up to the patient
condition & treating
physician
1. Sheath/condom catheter
2. Suprapubic catheterization
3. Intermitted catheterization
4. Timed voiding program
5. Bedside commode/urinal
6. Incontinence pads/ diapers
7. Environmental changes

21. FOR CLEANING THE PERINEAL
AREA THIS IS BEST

22. Source: https://www.cdc.gov/infectioncontrol/pdf/strive/CAUTI104-508.pdf

23. CHECK WITH THE
CHEKLIST DAILY AT
EVERY SHIFT
CHECK FOR THE
NEED OF THE
CATHETER IN EVERY
SHIFT

24. Consider the use of checklists
If the patient must have an indwelling
urinary catheter, pay attention to
maintenance practices
It’s NOT complicated: simple can be
better (such as using soap and water
for periurethral care)