Urinary Tractinfection Essay

5991 words - 24 pages

An APIC Guide 2008

Guide to the Elimination of Catheter-Associated Urinary Tract Infections (CAUTIs)
Developing and Applying Facility-Based Prevention Interventions in Acute and Long-Term Care Settings

About APIC APIC’s mission is to improve health and patient safety by reducing risks of infection and other adverse outcomes. The Association’s more than 12,000 members have primary responsibility for infection prevention, control and hospital epidemiology in healthcare settings around the globe. APIC’s members are nurses, epidemiologists, physicians, microbiologists, clinical pathologists, laboratory technologists and public health professionals. APIC advances its mission through ...view middle of the document...

....….…. 6. Surveillance Methodology Basics…………………………………..…………………….....….…. 7. Understanding the Big Picture: Healthcare Reimbursement……………………………......….…. 8. Prevention of Catheter-Associated Urinary Tract Infections……….…..............................….…. 9. Putting it All Together – The Bundle Approach – and Summary……..………..……….......….…. 4 5 8 16 22 26 30 34 42

ASSOCIATION FOR PROFESSIONALS IN INFECTION CONTROL AND EPIDEMIOLOGY

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Guide to the Elimination of Catheter-Associated Urinary Tract Infections (CAUTIs)

Acknowledgments
The Association for Professionals in Infection Control and Epidemiology (APIC) acknowledges the valuable contributions of the following individuals: Authors Linda Greene, RN, MS, CIC James Marx, RN, MS, CIC Shannon Oriola, RN, CIC, COHN Reviewers Kathy Aureden, MS, MT(ASCP)SI,CIC Harriette Carr RN, MSN, CIC Carolyn Gould, MD, MS Russell Olmsted, MPH, CIC

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ASSOCIATION FOR PROFESSIONALS IN INFECTION CONTROL AND EPIDEMIOLOGY

Guide to the Elimination of Catheter-Associated Urinary Tract Infections (CAUTIs)

Guide Overview
Purpose
The purpose of this document is to provide evidence-based practice guidance for the prevention of Catheter-Associated Urinary Tract Infection (CAUTI) in acute and long-term care settings.

Background
Healthcare-associated infections (HAIs) are infections acquired during the course of receiving treatment for other conditions within a healthcare setting. HAIs are one of the top 10 leading causes of death in the United States, according to the Centers for Disease Control and Prevention (CDC), which estimates that 1.7 million infections annually were reported among patients. (“Questions and Answers about Healthcare-Associated Infections” may be accessed on the web at http://www.cdc.gov/ncidod/dhpq/hai_qa.html.) It has long been acknowledged that CAUTI is the most frequent type of infection in acute care settings. In a study that provided a national estimate of healthcare-associated infections, urinary tract infections comprised 36% of the total HAI estimate. (See figure 2.1 below.)1
Figure 2.1. Infection types in acute care settings.

In a 2000 review of literature by Saint2 on urinary tract infections related to the use of urinary catheters, it was reported that 26% of patients who have indwelling catheters for two to 10 days will develop bacteriuria, after which 24% of those with bacteriuria will develop a CAUTI. Of these patients, approximately 3% will develop bacteremia. The 1997 APIC/SHEA position paper on urinary tract infections in long-term care (LTC) identifies CAUTI as the most common infection in LTC residents, with a bacteriuria prevalence without indwelling catheters of 25% to 50% for women, and 15% to 40% for men. Therefore, usage of indwelling urinary catheters in residents of LTC facilities can be expected to

ASSOCIATION FOR PROFESSIONALS IN INFECTION CONTROL AND EPIDEMIOLOGY

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Guide to the Elimination of Catheter-Associated Urinary Tract...

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