The nationwide nosocomial infection rate. CAUTIs are dangerous because they can lead to severe kidney infections. Healthcare-associated bloodstream infections secondary to a urinary focus: the Quebec Provincial Surveillance results.
Surveillance with benchmarking was reported, by itself, to decrease infection rates in German intensive care units, although the impact for CA-UTI was not as great as observed for ventilator-associated pneumonia or primary blood stream infections [ 14 ].
For example: the catheter may become contaminated upon insertion the drainage bag may not be emptied often enough bacteria from a bowel movement may get on the catheter urine in the catheter bag may flow backward into the bladder the catheter may not be regularly cleaned Clean insertion and removal techniques can help lower the risk of a CAUTI.
Bacteriuria in the catheterized patient. Interventions should focus on removing the catheter, whenever feasible, minimizing catheter trauma, and early identification of catheter obstruction. Diagnosis Urinalysis and urine culture for patients with symptoms or at high risk of sepsis Testing is done only in patients who might require treatment, including those who have symptoms and those at high risk of developing sepsis, such as Patients with granulocytopenia Organ transplant patients taking immunosuppressants Pregnant women Patients undergoing urologic surgery Diagnostic testing includes urinalysis and urine culture.
Once cultures are available, antibiotic selections should be refined to narrow the antimicrobial spectrum.
Ann Surg. Knowing what caused the infection can help your doctor treat it.