Urinary Tractinfection

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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 education, research, consultation, collaboration,
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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



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

result in higher CAUTI rates with an associated risk of CAUTI-related bacteremia, unless appropriate prevention efforts are implemented. The 2008 SHEA/APIC Guideline “Infection Prevention and Control in the Long-term Care Facility”3 notes that “guidelines for prevention of catheter-associated UTIs in hospitalized patients are generally applicable to catheterized residents in LTCFs.” Strategies contained in this resource will be helpful in any healthcare setting, when the facility’s infection risk assessment identifies CAUTI as an infection prevention priority.

Legislative Mandates and CAUTI Risk Assessment
The impact of external factors is germane to facility
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