CAUTI Publications

Adoption of policies to prevent catheter-associated urinary tract infections in United States intensive care units - Abstract

BACKGROUND: Little is known about whether recommended strategies to prevent catheter-associated urinary tract infection (CAUTI) are being implemented in intensive care units (ICU) in the United States.

Indwelling urinary catheter management and catheter-associated urinary tract infection prevention practices in Nurses Improving Care for Healthsystem Elders hospitals - Abstract

BACKGROUND: Indwelling urinary catheters (IUCs) are commonly used in hospitalized patients, especially elders. Catheter-associated urinary tract infections (CAUTIs) account for 34% of all health care associated infections in the United States, associated with excess morbidity and health care costs. Adherence to CAUTI prevention practices has not been well described.

Reduction of catheter-associated urinary tract infections among patients in a neurological intensive care unit: a single institution's success - Abstract

Object To date, there has been a shortage of evidence-based quality improvement initiatives that have shown positive outcomes in the neurosurgical patient population.

A single-institution prospective intervention trial with continuous feedback was conducted to investigate the implementation of a urinary tract infection (UTI) prevention bundle to decrease the catheter-associated UTI rate. Methods All patients admitted to the adult neurological intensive care unit (neuro ICU) during a 30-month period were included. The study consisted of two 1-month preintervention observation periods (approximately 1200 catheter days) followed by a 30-month intervention phase (20,394 catheter days). A comprehensive evidence-based UTI bundle encompassing avoidance of catheter insertion, maintenance of sterility, product standardization, and early catheter removal was enacted. Results The urinary catheter utilization rate dropped from 100% to 73.3% during the intervention phase (p < 0.0001) without any increase in the rate of sacral decubitus ulcers or other skin breakdown. The rate of catheter-associated UTI was also significantly reduced from 13.3 to 4.0 infections per 1000 catheter days (p < 0.001). There was a linear relationship between the decreased quarterly catheter utilization rate and the decreased catheter-associated UTI rate (r(2) = 0.79, p < 0.0001). Conclusions This single-center prospective study demonstrated that a comprehensive UTI prevention bundle along with a continuous quality improvement program can significantly reduce the duration of urinary catheterization and rate of catheter-associated UTI in a neuro ICU.

Written by:
Titsworth WL, Hester J, Correia T, Reed R, Williams M, Guin P, Layon AJ, Archibald LK, Mocco J. Are you the author?
Department of Neurosurgery.

Reference: J Neurosurg. 2012 Jan 6. [Epub ahead of print]


PubMed Abstract
PMID: 22224785

Factors associated with catheter-associated urinary tract infections and the effects of other concomitant nosocomial infections in intensive care units - Abstract

Background: Catheter-associated urinary tract infections (CAUTIs) are the most common nosocomial infections in intensive care units (ICUs). The objectives of this study were to describe the incidence, aetiology, and risk factors of CAUTIs in ICUs and to determine whether concomitant nosocomial infections alter risk factors.

Antagonistic effect of bacteriocin against urinary catheter associated Pseudomonas aeruginosa biofilm - Abstract

CONTEXT: Pseudomonas aeruginosa is a gram negative opportunistic bacteria causes several infections commonly colonize these devices and developing biofilms. Bacteria in biofilm can be up to 1,000 times more resistant to antibiotics than the same bacteria circulating in a planktonic state.

An indwelling urinary catheter for the 21st century - Abstract

What's known on the subject? and What does the study add? A vast literature has been published on the prevalence, morbidity and microbiology of catheter-associated urinary tract infections.

Nurse-directed interventions to reduce catheter-associated urinary tract infections - Abstract

BACKGROUND: Catheter-associated urinary tract infections (CAUTIs) are common, morbid, and costly. Nearly 25% of hospitalized patients are catheterized yearly, and 10% develop urinary tract infections. Evidence-based guidelines exist for indwelling urinary catheter management but are not consistently followed.

An in vitro urinary tract catheter system to investigate biofilm development in catheter-associated urinary tract infections - Abstract

Biofilm development in urinary tract catheters is an often underestimated problem. However, this form of infection leads to high mortality rates and causes significant costs in health care.

Guidelines to prevent catheter-associated urinary tract infection: 1980 to 2010 - Abstract

OBJECTIVES: We set out to review and compare guidelines to prevent catheter-associated urinary tract infection (CAUTI), examine the association between recent federal initiatives and CAUTI guidelines, and recommend practices for preventing CAUTI that are associated with strong evidence and are consistent across guidelines.

International Nosocomial Infection Control Consortium (INICC) report, data summary of 36 countries, for 2004-2009 - Abstract

The results of a surveillance study conducted by the International Nosocomial Infection Control Consortium (INICC) from January 2004 through December 2009 in 422 intensive care units (ICUs) of 36 countries in Latin America, Asia, Africa, and Europe are reported.

Trends in catheter-associated urinary tract infections in adult intensive care units-United States, 1990-2007 - Abstract

Background: Over the past 2 decades, multiple interventions have been developed to prevent catheter-associated urinary tract infections (CAUTIs). The CAUTI prevention guidelines of the Healthcare Infection Control Practices Advisory Committee were recently revised.

Healthcare-associated infection in Irish long-term care facilities: Results from the First National Prevalence Study - Abstract

BACKGROUND: Prevalence of healthcare-associated infection (HCAI) and antimicrobial use in Irish long-term care facilities (LTCFs) has never been studied.

Evaluation of healthcare-associated infection surveillance in Pennsylvania hospitals - Abstract


Objective: In Pennsylvania, reporting of healthcare-associated infections (HAIs) was mandated in 2007, and hospitals were encouraged to implement qualified electronic surveillance (QES) systems to assist HAI detection. This study evaluated the usefulness of these systems in reducing HAIs.

Acute treatment options for spinal cord injury - Abstract

OPINION STATEMENT: Most treatment options for acute traumatic spinal cord injury (SCI) are directed at minimizing progression of the initial injury and preventing secondary injury.

Prevention of catheter-associated urinary tract infections in patients with hip fractures through education of nurses to specific catheter protocols - Abstract

The majority of patients who experience hip fractures are elderly, and complications in these patients increase length of hospital stays, medical costs, and mortality rates.

Introducing the patient safety professional: Why, what, who, how, and where? - Abstract

BACKGROUND: Hospital-acquired complications, such as nosocomial infection, falls, and venous thromboembolism, are well known to be frequent and morbid.

Using MedPAR Data as a Measure of Urinary Tract Infection Rates: Implications for the Medicare Inpatient DRG Payment System

Jerry Stringham, BS, MBA, president of Medical Technology and Nancy Young, BA, director of information management

Estimating the proportion of healthcare-associated infections that are reasonably preventable and the related mortality and costs - Abstract

To estimate the proportion of healthcare-associated infections (HAIs) in US hospitals that are "reasonably preventable," along with their related mortality and costs.

Fluorescence in situ hybridization rapidly detects three different pathogenic bacteria in urinary tract infection samples - Abstract

The detection of pathogenic bacteria in urine is an important criterion for diagnosing urinary tract infections (UTIs). By using fluorescence in situ hybridization (FISH) with rRNA-targeted, fluorescently labeled oligonucleotide probes, bacterial pathogens present in urine samples were identified within 3-4h.

Early severe inflammatory responses to uropathogenic E. coli predispose to chronic and recurrent urinary tract infection - Abstract

Chronic infections are an increasing problem due to the aging population and the increase in antibiotic resistant organisms.