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CAUTI– Preventing the Most Common HAI (Part 2)

Categories: Antibiotic use, CAUTI, Healthcare-associated infections

Linda R. Greene, RN, MPS, CIC

Linda R. Greene, RN, MPS, CIC

Linda R. Greene, RN, MPS, CIC

As an infection preventionist who is addressing this issue on a daily basis, I agree with Dr. Gould’s interpretation.

Despite the fact that urinary tract infections( UTI’s) are the most common healthcare-associated infection (HAI’s), they have traditionally not received the same level of attention as have other HAI’s. Most UTI’s are associated with the presence of a urinary catheter. Urinary catheters are used frequently in healthcare settings, however many of these catheters are not necessary and are sometimes inserted without appropriate justification. Often, this leads to overuse and misuse of antibiotics to treat these infections, which can lead to the emergence of drug-resistant bacteria. Because UTI’s can compromise one of the largest reservoirs of multidrug-resistant bacteria in healthcare settings, it is essential that we find ways to minimize their occurrence.

What are we doing about this? The Association of Professionals in Infection Control and Epidemiology (APIC) continues to work on ways to bring science to the bedside. In 2008, we developed a catheter-associated urinary tract infection (CAUTI) elimination guide. This CAUTI guide was developed to serve as a comprehensive tool to questions posed by our members. The APIC elimination guides are developed in sync with guidelines released by CDC, thereby helping to translate evidence into clinical practice and sharing strategies and tools which others have found to be successful.

How do we deal with the problem going forward? Well, it’s important to remember that sometimes the answer can be attention to simple processes such as the UTI bundle. These bundles are groups of care processes which, when taken as a whole, can reduce the risk of infection. They also require healthcare workers to function as a team, working together to improve patient care. For example, the UTI bundle focuses on proper technique when a catheter is inserted, checking to make sure that a catheter is needed, looking at alternatives to a catheter and always removing the catheter when it is no longer needed.

Public Comments

Comments listed below are posted by individuals not associated with CDC, unless otherwise stated. These comments do not represent the official views of CDC, and CDC does not guarantee that any information posted by individuals on this blog is correct, and disclaims any liability for any loss or damage resulting from reliance on any such information. Read more about our comment policy ».

  1. April 27, 2012 at 9:19 am ET  -   Britt Puzo

    I have been checking out some of your articles and it’s pretty good stuff. I will definitely bookmark your site.

    Link to this comment

  2. November 25, 2011 at 9:21 pm ET  -   manchester plumber

    It’s onerous to seek out educated individuals on this subject, however you sound like you realize what you’re speaking about! Thanks

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  3. November 22, 2011 at 9:07 pm ET  -   We Have Stuff

    Helpful info. Fortunate me I found your site accidentally, and I am surprised why this twist of fate did not came about in advance! I bookmarked it.

    Link to this comment

  4. November 20, 2011 at 5:22 pm ET  -   Grover Place

    great post, very informative. I wonder why the other experts of this sector do not realize this. You should continue your writing. I am sure, you have a huge readers’ base already!

    Link to this comment

  5. August 27, 2011 at 5:48 am ET  -   katzcd rapidshare downloads

    Jo Your site is great.

    Will share.

    Thanks for posting. :)

    Link to this comment

  6. June 22, 2011 at 11:00 am ET  -   Hans Kluger

    Thank’s to you for this great homepage and your fantastic work!!
    Disease control is so important.

    Link to this comment

  7. June 18, 2011 at 6:00 am ET  -   Roy Roberts

    Awesome, Just read through the guide you had listed above about UTI elimination. It’s great. I had a UTI once, not fun and I wish I had read this guide earlier, would have really helped me in the painfull battle with the infection. None the less, Thanks Linda:)

    Link to this comment

  8. April 29, 2011 at 7:20 am ET  -   ken kee

    saw this article bookmarked and really liked what I read. I will certainly bookmark it too and check the other articles when I get home.

    Link to this comment

  9. February 9, 2011 at 3:47 am ET  -   roja amber

    I agree with all these points.Very useful info. Hope to see more posts soon!

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  10. February 7, 2011 at 4:11 pm ET  -   Francisca Drummond

    Great writing, I have been waiting for something like that.

    Stacy

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  11. February 7, 2011 at 7:06 am ET  -   Scot Obrien

    Great writing! I want to see a follow up to this topic :)

    Berry

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  12. February 6, 2011 at 3:40 am ET  -   Rosa

    Possibly the most amazing topic I read today…

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  13. February 5, 2011 at 5:57 am ET  -   Jon

    Great writing! You should definitely follow up to this topic??

    -Sincerest Regards,
    Armand

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  14. January 30, 2011 at 8:48 pm ET  -   Francisco Welsh

    Maybe the BEST blog I read all day.

    Link to this comment

  15. January 30, 2011 at 6:15 am ET  -   Leland Hay

    Possibly the BEST read that I have read all week :P

    -Warmest regards
    Brigitte

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  16. January 19, 2011 at 7:24 pm ET  -   Augustus Guy

    I’m very glad that you wrote this :D

    ansambel

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  17. January 18, 2011 at 10:09 am ET  -   Salmon Derby

    You seem to know a lot about this. This is good blog. A great read. I’ll certainly be back.

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  18. January 17, 2011 at 8:40 pm ET  -   Patricia

    Great writing! You might want to follow up to this topic!

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  19. January 14, 2011 at 7:55 pm ET  -   Luella Mccall

    Great post! Maybe you could do a follow up on this topic?!?

    Ramon

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  20. January 13, 2011 at 8:58 am ET  -   Nova Radio

    Keep up the good work – for sure i will check out more posts.

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  21. January 12, 2011 at 4:40 am ET  -   Abe Williamson

    Could be the best read I read all week :P

    Best Regards
    Melissa

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  22. January 11, 2011 at 7:56 am ET  -   Jolene Milligan

    Maybe the most interesting paper that I read all week!?!

    Augusta

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  23. November 23, 2010 at 6:51 am ET  -   Anonymous

    Very informative post. Thanks for taking the time to share your view with us.

    Link to this comment

  24. July 9, 2010 at 8:46 am ET  -   Anonymous

    This is a really good read for me, Must admit that you are one of the best bloggers I ever saw.Thanks for posting this informative article.

    Link to this comment

  25. June 16, 2010 at 1:00 pm ET  -   annemeyers

    I have posted a URL below where you will find a sheet of Frequently Asked Questions that should provide some answers about CAUTIs: http://www.cdc.gov/ncidod/dhqp/pdf/guidelines/CA-UTI_tagged.pdf

    Also, below is a URL for a fact sheet about Catheter-associated Bloodstream Infections:
    http://www.cdc.gov/ncidod/dhqp/pdf/guidelines/BSI_tagged.pdf

    Link to this comment

  26. June 15, 2010 at 2:55 pm ET  -   David Leben

    Can you please explain how pathogens arrive on a catheter in the first place. Is there contamination during the insertions process?

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  27. May 22, 2010 at 4:58 pm ET  -   Michael E. Bailey

    Nurse Greene’s article is great. It tells how easy it can be to eliminate urinary tract infections from catheter use. Training is the major key from reading Nurse Greene’s report. The people who put the catheters in must use the proper way of inserting them; people must study and know the catheter use and cleaning guidelines; and people involved in managing the patient’s catheter must work as a team and each know what the others are doing on it. The other critical part of the process is the cleaning, steralizing, and testing for bacteria of the catheters before they are used or re-used. It also is true that many times a catheter is used when not necessary. When it is necessary, it needs to be used. But in other cases, the doctor or nurse who wants to use a catheter on a patient should first empower the patient in the process and ask them if that is what they want, what the benefits and risks are, and what kinds of alternatives there are, andlet the patient make the decision. Best wishes, Michael E. Bailey.

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  28. May 21, 2010 at 1:28 pm ET  -   Tweets that mention CDC - Blogs - Safe Healthcare - CAUTI– Preventing the Most Common HAI (Part 2) -- Topsy.com

    [...] This post was mentioned on Twitter by Community Checkup, RWJF QualityEquality. RWJF QualityEquality said: Urinary tract infections are the most common healthcare- associated infection. http://ht.ly/1OdnU #healthquality [...]

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