New expert guidance highlights strategies in hospitals for implementing and prioritizing efforts to prevent catheter-associated urinary tract infections (CAUTI).

A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals: 2014 Updates is a collaborative effort led by the Society for Healthcare Epidemiology of America, the Infectious Diseases Society of America, the American Hospital Association, the Association for Professionals in Infection Control and Epidemiology, and The Joint Commission. The 2014 release updates the initial 2008 Compendium publication.
"Because of the widespread use of catheters, urinary tract infections are one of the most common infections acquired by patients," said Evelyn Lo, MD, co-lead author of the guidelines. "These strategies will help hospitals implement best practices for CAUTI prevention to curb catheter overuse and misuse, and foster a culture of accountability from the C-Suite to the front lines of medical care."
The strategies urge healthcare professionals to use a catheter only if there is clear clinical indication to do so and, if used, to discontinue as soon as possible. The updated guidelines also provide basic practices for acute care hospitals on the appropriate use of catheters including:
- Insertion and Management: To avoid complications due to misuse of catheters, the authors highlight protocols that address proper insertion and maintenance techniques to prevent CAUTIs.
- Healthcare Personnel Education: To reduce overuse, the guidance emphasizes the importance of education among healthcare professionals to highlight alternatives to catheters, as well as stressing the need to question in each patient's individual care plan if the device is actually necessary.
- Surveillance: To record progress in CAUTI prevention, each hospital is advised to create a program that can spotlight effective strategies and areas for improvement.
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Seven Compendium articles will be published in the May through August issues of Infection Control and Hospital Epidemiology, and will include strategies to prevent CAUTI, Clostridium difficile, surgical site infections, methicillin-resistant Staphylococcus aureus (MRSA) infections, central line-associated bloodstream infections, and ventilator-associated pneumonia, plus an article focused on hand hygiene improvement strategies. Each article contains infection prevention strategies, performance measures, and example implementation approaches.
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