Catheter-associated Urinary Tract Infection (CAUTI) Tool.pptVIP

Evaluation Considerations Assess baseline policies and procedures Areas to consider Surveillance Prevention strategies Measurement Coordinator should track new policies/practices implemented during collaboration References/resources Gould CV, Umscheid CA, Agarwal RK, Kuntz G, Pegues DA, and HICPAC. Guideline for Prevention of Catheter-associated Urinary Tract Infections 2009./hicpac/cauti/001_cauti.html IHI Program to Prevent CAUTI / APIC CAUTI Elimination Guide / IDSA Guidelines (Clin Infect Dis 2010;50:625-63) SHEA/IDSA Compendium (ICHE 2008;29:S41-S50) National Quality Forum (NQF) Safe Practices for Better Healthcare – Update April 2010 CDC/Medscape collaboration /hicpac/ Each episode of SUTI costs additional $676; bacteremia: $2836 * Several challenges and needs related to the measurement of CAUTIs were identified. Participants suggested a comparison of NHSN symptomatic UTI (or available state data collecting similar variables) to administrative discharge data and a review of the UTI definition in non-acute care settings to validate data quality and ensure monitoring of the full burden of CAUTIs. Many experts pointed out current limitations of the UTI definition and proposed that the metric should focus only on bloodstream infections secondary to UTIs. In addition, participants suggested that strategies to widely implement “best practices” in the prevention of CAUTIs in a range of settings be developed. Participants felt that these actions would help identify targets and play a vital role in the selection of future metrics. Most microorganisms causing endemic CAUTI derive from the patients own colonic and perineal flora or from the hands of health-care personnel during catheter insertion or manipulation of the collection system. Organisms gain access in one of two ways (Figure 1). Extraluminal contamination may occur early, by direct inoculation when the catheter is inserted, or later, by organisms ascending from the perineum by capillary action in th