AUA 2018: Panel Discussion: Catheter-Associated UTIs
San Francisco, CA USA (UroToday.com) Brian S. Schwartz, MD (UCSF) moderated the Plenary session on “Catheter-Associated UTIs” with Dr. Tomas Griebling (University of Kansas), Dr. Timothy Averch (University of Pittsburg), and Dr. Ben Chew (University of British Columbia) as the panelists.
Dr. Averch started off the discussion by defining the scope of the problem. The incidence of catheter associated urinary tract infections (CAUTIs) was 9.4 per 1000 catheterizations in 2001. This led to 13,000 attributable deaths/year, excess length of stay and increased costs. In 2008, the Center for Medicare & Medicaid Services made it a never event and no longer provided reimbursement for hospital acquired CAUTIs. Following this the CAUTI rate dropped to 5.3 cases in 2010. Risk factors for CAUTIs are female gender, emergency hospital admission, transfer patients and Medicare patients.
AUA 2018: The Impact of Common Urological Complications on the Risk of a Prosthetic Joint Infection
San Francisco, CA USA (UroToday.com) Nahid Punjani, MD, clinical urology resident from Western University, presented on the association between joint infections after total hip or knee arthroplasty (THA or TKA) and urologic complications such as urinary tract infections (UTI) or acute urinary retention (AUR). He began by establishing that PJIs can cause significant patient morbidity and healthcare costs.
AUA 2018: Recurrent UTI Prevention: Fact vs Fiction
San Francisco, CA USA (UroToday.com) This session presented an in-depth discussion on the nature of recurrent urinary tract infections (rUTIs), and challenged the classic thinking on their etiology and treatment. Recurrent UTIs are a common problem seen by nearly all urologists, but to date, there is no consensus on their management or even their definition. However, rUTI guidelines are in development and expected to be released in 2019. Here Melissa Kaufman, MD distinguishes myth from fact in rUTIs.
AUA 2018: Catheter Associated UTIs
San Francisco, CA (UroToday.com) Catheter-associated UTIs (CAUTI) are the most common type of healthcare-associated infections (HAI), accounting for >560,000 nosocomial UTIS annually and approximately 75% of hospital-acquired urinary tract infections. CAUTI is associated with the prolonged use of urinary catheters, and in 2001, it occurred in 9.4 cases per 100 catheterizations. CAUTI is responsible for more than 13,000 deaths per year, largely secondary to blood stream infections, and is associated with $500 million in healthcare costs.