Diagnosis, management, and prevention of catheter-associated urinary tract infections.
Catheter-associated urinary tract infection (CAUTI) is common, costly, and causes significant patient morbidity. CAUTIs are associated with hospital pathogens with a high propensity toward antimicrobial resistance. Treatment of asymptomatic patients with CAUTI accounts for excess antimicrobial use in hospitals and should be avoided. Duration of urinary catheterization is the predominant risk for CAUTI; preventive measures directed at limiting placement and early removal of urinary catheters have an impact on decreasing CAUTI rates. The use of bladder bundles and collaboratives, coupled with the support and active engagement from both hospital leaders and followers, seem to help prevent this common problem.
Division of Infectious Diseases, Department of Internal Medicine, University of Michigan Health System, 3119 Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5378, USA. Electronic address: cchenow@umich.edu.
Carol E
CE
Chenoweth
Centers for Disease Control and Prevention, 1600 Clifton Road Northeast, Mailstop A-31, Atlanta, GA 30333, USA.
Carolyn V
CV
Gould
Division of General Medicine, Department of Internal Medicine, University of Michigan Health System and Veterans Affairs Ann Arbor Healthcare System, 2800 Plymouth Road, Building 16, Room 430 West, Ann Arbor, MI 48109-2800, USA.
Sanjay
S
Saint
D001437:Bacteriuria / Q000175:diagnosis; D055499:Catheter-Related Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology / Q000517:prevention & control; D002408:Catheters, Indwelling / Q000009:adverse effects; D006801:Humans; D017410:Practice Guidelines as Topic; D012307:Risk Factors; D014552:Urinary Tract Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology / Q000517:prevention & control
Health care-associated; ICU; Prevention; Urinary catheter; Urinary tract infection