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Catheter Associated Urinary Tract Infections (CAUTI)

A urinary tract infection is an infection that can occur in the kidneys, in the tubes that take urine from the kidneys to the bladder, or in the bladder.  An indwelling urinary catheter is a tube placed inside the bladder that drains urine to a bag outside the body.  Some patients need urinary catheters to help monitor and treat certain conditions; for example, patients who are critically ill and require close monitoring, patients who are recovering from surgery and patients who cannot pass urine.  Patients who have indwelling urinary catheters are more likely to get a urinary tract infection.

JFK uses evidence based best practices to reduce the chances of CAUTI.  Interventions to reduce CAUTI include maintaining aseptic technique when inserting a catheter, using a separate emptying container for each patient, and using a device to secure the catheter tubing to a patient’s leg.  In addition, each day the nursing staff reviews the need for the catheter on every patient and discusses removal with the physician when the catheter is no longer needed.

What are we measuring?

The rate of patients with catheter associated urinary tract infections in the critical care units (ICU and CCU).

Note: Hospitals and other websites use different ways to calculate rates. We calculate rate using 1000 catheter days as the denominator.

2016-04CAUTI

What is our performance telling us?

This graph shows the occurrence of CAUTI over time on a downward trend.  Although the overall trend line continues downward, there is an increase beginning the first quarter of 2014.  We take this very seriously because our goal is to eliminate CAUTI.   We use the most current best practice guidelines to improve our processes as we continue to work to eliminate CAUTI.  For example, every day the nurses and physicians discuss whether the catheter can be removed.   In addition, we review each CAUTI individually to determine the cause and identify ways to further reduce CAUTI.

CAUTI rates may be reported on public websites such as Hospital Compare; different time frames for reporting data can show different rates of CAUTI.

What can you do to prevent a CAUTI?

  •  If you do not see your providers clean their hands, ask them to do so.
  • Always keep your urine bag below the level of your bladder.
  • Do not tug or pull on the tubing.
  • Do not twist or kink the catheter tubing.
  • Ask your healthcare provider each day if you still need the catheter.

http://www.cdc.gov/hai/pdfs/uti/CA-UTI_tagged.pdf