10.5680/lhuii000030
Prevention of catheter-associated UTI
Tambyah, Paul Anantharajah
Paul Anantharajah
Tambyah
Department of Medicine, Yong Loo Lin School of Medicine, National University Hospital, Singapore, Singapore
University Medicine Cluster, National University Health System, Singapore
Chuang, Leyland
Leyland
Chuang
Department of Medicine, Ng Teng Fong Hospital, National University Health System, Singapore, Singapore
Chiong, Edmund
Edmund
Chiong
Department of Urology, National University Hospital, Singapore
GMS
2018
Book chapter
610 Medical sciences; Medicine
Urology
2018-08-06
We surveyed existing guidelines and literature on the prevention of catheter-associated urinary tract infection (CAUTI). Key principles include avoiding unnecessary urinary catheterization, maintaining a closed aseptic drainage system and minimizing duration of catheterization. Institutional guidelines on appropriate indications for catheterization, reminder and stop-order systems, and policies on restricted urinary catheterization and nurse-directed catheter removal are effective and recommended. Urinary catheter care bundles and infection control interventions described in various guidelines are summarized and should be considered. While routine use of anti-infective coated catheters are not recommended, anti-infective-impregnated catheters may reduce risks of CAUTI for short term catheterization, and may be considered if shown to be cost effective. Evidence for the use of routine systemic antibiotic prophylaxis for the prevention of CAUTI is inconsistent and insufficient. Treatment of symptomatic CAUTI should be guided by local uropathogens, susceptibility patterns and urine culture results, and antibiotic should be deescalated to the narrowest spectrum choice where possible. Routine treatment of catheter-associated asymptomatic bacteriuria in not recommended.
Chapter of Living Handbook Urogenital Infections and Inflammations
en
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