Catheter-associated urinary tract infection (CAUTI) reduction in a neuroscience intensive care unit: A multidisciplinary approach

Am J Infect Control. 2024 Mar;52(3):368-370. doi: 10.1016/j.ajic.2023.11.016. Epub 2023 Nov 28.

Abstract

Utilizing a multidisciplinary approach to identify catheter-associated urinary tract infection (CAUTI) risks in Neuroscience intensive care patients admitted for aneurysmal subarachnoid hemorrhage, our CAUTI rate decreased from 5.903 per 1,000 catheter days (June 2020-June 2021) to 0.371 per 1,000 catheter days in our postintervention time period (July 2021-March 2023). A review of our clinical treatment guideline to optimize the timing of indwelling urinary catheters and medication management related to bowel regimens has resulted in a sustained CAUTI reduction, particularly in postaneurysmal subarachnoid hemorrhage patients in the Neuroscience intensive care unit.

Keywords: CAUTI prevention; Critical care; Indwelling urinary catheter (IUC).

MeSH terms

  • Catheter-Related Infections* / epidemiology
  • Catheters, Indwelling
  • Cross Infection*
  • Humans
  • Intensive Care Units
  • Urinary Catheterization
  • Urinary Catheters / adverse effects
  • Urinary Tract Infections* / epidemiology