Urinary Catheter Policies in Home Healthcare Agencies and Hospital Transfers due to Urinary Tract Infection

2021 ◽  
Author(s):  
Jordan M. Harrison ◽  
Andrew W. Dick ◽  
Elizabeth A. Madigan ◽  
E. Yoko Furuya ◽  
Ashley M. Chastain ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Catheter ◽  
Home Healthcare

P18.04 Urinary Tract Infection After Removal of Urinary Catheter; no Effect of Nitrofurantoin Profylaxis

2006 ◽  
Vol 64 ◽  
pp. S108
Author(s):  
A. Brandenburg ◽  
M. Lingsma ◽  
S. Terpstra ◽  
H. Vd Mijle ◽  
A. Ott
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Catheter

Preventing Catheter-Associated Urinary Tract Infections in the Pediatric Intensive Care Unit

2020 ◽  
Vol 40 (1) ◽  
pp. e12-e17
Author(s):  
Megan D. Snyder ◽  
Margaret A. Priestley ◽  
Michelle Weiss ◽  
Cindy L. Hoegg ◽  
Natalie Plachter ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Tract Infections ◽  
Urinary Catheter ◽  
Pediatric Intensive Care ◽  
Urinary Catheters ◽  
Bundle Compliance ◽  
Tract Infections

Background Catheter-associated urinary tract infections are common health care–associated infections and have been associated with increased mortality, morbidity, length of stay, and cost. Prevention strategies are grouped into bundles focused on reducing unnecessary catheter use and promptly removing urinary catheters. Before intervention in the study institution, no urinary catheters were unnecessarily used and compliance with the catheter-associated urinary tract infection bundle was 84%. Objective To increase bundle compliance by using targeted rounds specifically focused on eliminating dependent loops in drainage tubing and ensuring appropriate catheter use to reduce the incidence of catheter-associated urinary tract infections. Methods A multidisciplinary team was formed to identify misperceptions, highlight best practices, and eliminate barriers to success over 1 year in a single pediatric intensive care unit. The team completed a quality improvement project of daily targeted rounding for patients with an indwelling urinary catheter. The goals were to assess appropriateness of catheterization, increase bundle compliance, and decrease catheter-associated urinary tract infection risk. Targeted rounds were conducted in addition to the medical team rounds. Results Bundle compliance supported by targeted rounding increased from 84% to 93% and helped reduce the overall catheter-associated urinary tract infection rate from 2.7 infections per 1000 catheter-days at baseline to 0. This change was sustained for 1 year. Conclusion Targeted rounding for pediatric patients with an indwelling urinary catheter is an effective and sustainable strategy to reduce catheter-associated urinary tract infections. The ease of implementation for this intervention lends itself to generalizability to other patient populations.

scholarly journals Catheter-associated urinary tract infection: why do not we control this adverse event?

2019 ◽  
Vol 53 ◽  
Author(s):  
Écila Campos Mota ◽  
Adriana Cristina Oliveira
Keyword(s):  
Intensive Care Unit ◽  
Urinary Tract Infection ◽  
Intensive Care ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Catheter ◽  
Incidence Density ◽  
The Mean ◽  
Mean Time ◽  
Significant Factors

ABSTRACT Objective: To identify factors related to the occurrence of urinary tract infection associated with urinary catheter use. Method: A longitudinal, retrospective cohort study carried out by analyzing the electronic medical records of patients admitted to an intensive care unit of a high-complexity hospital from July 2016 to June 2017. Demographic and clinical data were analyzed by descriptive and analytical analysis. Results: The incidence density of urinary tract infection related to urinary catheter use was 4.8 per 1000 catheters/day, the majority (80.6%) with no indication for catheter use, and there was no prescription for insertion and/or maintenance in 86.7%. The mean time between catheter insertion and infection diagnosis was 11.3 ± 6.3 days (6 to 28 days). Statistically significant factors (p < 0.001) related to urinary infection linked to catheter use were hospitalization time in the unit (16.7 ± 9 days), catheter permanence time (12.7 ± 6.9 days), and the use of antimicrobials in the intensive care unit (8.6 ± 6.3 days). Conclusion: The association of indication absence and the record of the need for maintenance possibly potentiated the occurrence of urinary tract infection associated to catheter use.

Prevalence survey on catheter-associated urinary tract infection (CAUTI) in public hospitals in Hong Kong 2018

2020 ◽  
Vol 41 (3) ◽  
pp. 365-368
Author(s):  
Hong Chen ◽  
Joyce Wai Yan Lee ◽  
Kelvin Chung Ho Yu ◽  
Christina Ka Wai Chan ◽  
Andrew Tin Yau Wong ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Hong Kong ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Catheter ◽  
Public Hospitals ◽  
Point Prevalence ◽  
Prevalence Survey ◽  
Healthcare Associated ◽  
Catheter Care

AbstractWe conducted a survey of 16,914 patients to determine the point prevalence of healthcare-associated catheter-associated urinary tract infection (HA-CAUTI) and urinary catheter care in public hospitals in Hong Kong. Overall HA-CAUTI prevalence was 0.27%. Compliance was generally good, except for documenting the date of planned removal and securing the catheter properly.

Antibiotic Prophylaxis at Urinary Catheter Removal Prevents Urinary Tract Infection After Kidney Transplantation

2014 ◽  
Vol 46 (10) ◽  
pp. 3463-3465 ◽  
Author(s):  
H.H. Wolters ◽  
D. Palmes ◽  
E. Lordugin ◽  
R. Bahde ◽  
N. Senninger ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Kidney Transplantation ◽  
Urinary Tract ◽  
Tract Infection ◽  
Antibiotic Prophylaxis ◽  
Urinary Catheter ◽  
Catheter Removal

scholarly journals Regional Variation in Urinary Catheter Use and Catheter-Associated Urinary Tract Infection: Results from a National Collaborative

2014 ◽  
Vol 35 (S3) ◽  
pp. S99-S106 ◽  
Author(s):  
M. Todd Greene ◽  
Mohamad G. Fakih ◽  
Karen E. Fowler ◽  
Jennifer Meddings ◽  
David Ratz ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Regional Variation ◽  
Regional Differences ◽  
Urinary Catheter ◽  
Population Based ◽  
Census Bureau ◽  
The West ◽  
Cross Sectional

Objective.To examine regional variation in the use and appropriateness of indwelling urinary catheters and catheter-associated urinary tract infection (CAUTI).Design and Setting.Cross-sectional study.Participants.US acute care hospitals.Methods.Hospitals were divided into 4 regions according to the US Census Bureau. Baseline data on urinary catheter use, catheter appropriateness, and CAUTI were collected from participating units. The catheter utilization ratio was calculated by dividing the number of catheter-days by the number of patient-days. We used the National Healthcare Safety Network (NHSN) definition (number of CAUTIs per 1,000 catheter-days) and a population-based definition (number of CAUTIs per 10,000 patient-days) to calculate CAUTI rates. Logistic and Poisson regression models were used to assess regional differences.Results.Data on 434,207 catheter-days over 1,400,770 patient-days were collected from 1,101 units within 726 hospitals across 34 states. Overall catheter utilization was 31%. Catheter utilization was significantly higher in non-intensive care units (ICUs) in the West compared with non-ICUs in all other regions. Approximately 30%–40% of catheters in non-ICUs were placed without an appropriate indication. Catheter appropriateness was the lowest in the West. A total of 1,099 CAUTIs were observed (NHSN rate of 2.5 per 1,000 catheter-days and a population-based rate of 7.8 per 10,000 patient-days). The population-based CAUTI rate was highest in the West (8.9 CAUTIs per 10,000 patient-days) and was significantly higher compared with the Midwest, even after adjusting for hospital characteristics (P = .02).Conclusions.Regional differences in catheter use, appropriateness, and CAUTI rates were detected across US hospitals.

scholarly journals Reviewing the Emergence ofLactococcus garvieae: A Case of Catheter Associated Urinary Tract Infection Caused byLactococcus garvieaeandEscherichia coliCoinfection

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Tatvam T. Choksi ◽  
Farhan Dadani
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Catheter ◽  
Identification System ◽  
Microbial Identification ◽  
Lactococcus Garvieae ◽  
History Of ◽  
Vitek 2 ◽  
Human Infections

Lactococcus garvieaeis considered a low virulence organism which is rarely associated with human infections. Most of the reported cases have been associated with bacteremia with or without endocarditis. We report a rare case of catheter associated urinary tract infection (CAUTI) caused byLactococcus garvieaeandEscherichia colicoinfection without any bacteremia in a patient with indwelling urinary catheter placed for benign prostatic hyperplasia (BPH). The patient also had a history of gastroesophageal reflux disease (GERD) with long standing famotidine treatment. In our case,Lactococcus garvieaewas initially misidentified asEnterococcusspecies but was later detected by automated microbial identification system VITEK-2 (BioMerieux, Marcy-l'Étoile, France) and was confirmed with API 32 Strep system (BioMerieux, Marcy-l'Étoile, France). The patient responded well to a two-week course of cephalosporin. Interestingly, apart from the acid suppressive treatment, no other risk factors were identified.

Strategies to Prevent Urinary Tract Infection From Urinary Catheter Insertion in the Emergency Department

2010 ◽  
Vol 36 (6) ◽  
pp. 546-550 ◽  
Author(s):  
Kimberly Parnell Burnett ◽  
Deborah Erickson ◽  
Ann Hunt ◽  
Lynn Beaulieu ◽  
Peggy Bobo ◽  
...  
Keyword(s):  
Emergency Department ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Catheter ◽  
Catheter Insertion
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