2008/10/01 by Evelyn Lo, Lindsay E. Nicolle, David C. Classen +22 · 1 citation
Medicine · Health Professions · #Urinary Tract Infections Management #Surgical site infection prevention #Central Venous Catheters and Hemodialysis #Medicine #Urinary system #Catheter #Sepsis #Intensive care medicine #Bacteremia #Acute care #Urinary catheterization #Infection control #Epidemiology #Health care #Emergency medicine #Internal medicine #Surgery #Antibiotics
paper · doi:10.1086/591066
openalex publication_date 2008/10/01 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/22
Previously published guidelines are available that provide comprehensive recommendations for detecting and preventing healthcare-associated infections. The intent of this document is to highlight practical recommendations in a concise format designed to assist acute care hospitals in implementing and prioritizing their catheter-associated urinary tract infection (CAUTI) prevention efforts. Refer to the Society for Healthcare Epidemiology of America/Infectious Diseases Society of America “Compendium of Strategies to Prevent Healthcare-Associated Infections” Executive Summary and Introduction and accompanying editorial for additional discussion. 1. Burden of CAUTIs a. Urinary tract infection is the most common hospital-acquired infection; 80% of these infections are attributable to an indwelling urethral catheter. b. Twelve to sixteen percent of hospital inpatients will have a urinary catheter at some time during their hospital stay. c. The daily risk of acquisition of urinary infection varies from 3% to 7% when an indwelling urethral catheter remains in situ. 2. Outcomes associated with CAUTI a. Urinary tract infection is the most important adverse outcome of urinary catheter use. Bacteremia and sepsis may occur in a small proportion of infected patients. b. Morbidity attributable to any single episode of catheterization is limited, but the high frequency of catheter use in hospitalized patients means that the cumulative burden of CAUTI is substantial. c. Catheter use is also associated with negative outcomes other than infection, including nonbacterial urethral inflammation, urethral strictures, and mechanical trauma.