OBJECTIVE Urinary tract infections (UTIs) are the most common type of hospital-acquired infection, and most are associated with indwelling urinary catheters, that is, catheter-associated UTIs (CAUTIs). Our goal was to reduce the CAUTI rate. DESIGN SETTING INTERVENTIONS We retrospectively examined the feasibility and cost-effectiveness of a bundle of four evidence-based interventions upo...

CriticalCareNurse Vol 36, No. 4, AUGUST 2016 e9 Supporting Evidence Assessment of Need for Indwelling Catheter 1. Prolonged catheterization is the major risk factor for CAUTIs.5 Develop written guidelines for urinary catheterization, and include indications for indwelling urinary catheterization and ensuring that catheter placement is limited to patients who meet indications.5,6 Bladder scannin...

From the Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia (C.V.G.); the Center for EvidenceBased Practice, University of Pennsylvania Health System, Philadelphia (C.A.U., R.K.A., G.K. ); and the Division of Infectious Diseases, David Geffen School of Medicine at University of California, Los Angeles (D.A.P.). Members of HICPAC are listed at ...

BACKGROUND Catheter-associated urinary tract infections (CAUTIs) are common, morbid, and costly. Nearly 25% of hospitalized patients are catheterized yearly, and 10% develop urinary tract infections. Evidence-based guidelines exist for indwelling urinary catheter management but are not consistently followed. METHODS A pre/post intervention design was used in this quality improvement project t...

BACKGROUND Nosocomial infections are an important public health problem in many developing countries, particularly in the intensive care unit (ICU). Limited data exists on the incidence and burden of nosocomial infection in the ICU in Argentina. METHODS We performed baseline prospective nosocomial infection surveillance of all patients for 6 months in 3 medical-surgical ICUs (MS-ICUs) in Arge...

INTRODUCTION Urinary tract infections range among the most frequent infections not only in hospital patients but also in residents of long-term care facilities for the elderly. Urinary catheters are the greatest risk factor for urinary tract infections. In the guidance paper on the "prevention of infections in nursing homes" (2005) as well as in the updated recommendations for the "prevention a...

Proteus mirabilis compromises the care of many patients undergoing long-term indwelling bladder catheterization. It forms crystalline bacterial biofilms in catheters which block the flow of urine, causing either incontinence due to leakage or painful distention of the bladder due to urinary retention. If it is not dealt with, catheter blockage can lead to pyelonephritis and septicemia. We have ...

candida glabrata was thought to be a primarily non-pathogenic organism. however, with the ever-increasing population of immunocompromised individuals, it is considered to be an opportunistic pathogen. patients with spinal cord injuries often using a long-term urinary catheter and are high risk for urinary tract infections. this case report describes a patient with spinal cord injury (thoracic r...

The urinary tract is a major site of nosocomial infections (4, 5). The leading cause of nosocomial urinary tract infections is urinary catheterization which, in turn, is the most common predisposing factor for fatal gram-negative sepsis in hospitals (6). A recent publication suggested that catheters coated with silver powder and containing a silver-plated connector could protect patients from c...

discussion: the present case demonstrates that the uropathogenic e. hermanii clone can cause destruction of the kidneys. during asymptomatic bacteriuria or cystitis, the bacteria remain in the urinary tract. even when pyelonephritis develops, inflammatory response of the host is still restricted to the urinary tract. these signs mean that uropathogenic e. hermanii may be not very virulent. intr...