CAUTI In Nursing Case Studies
CAUTI or a catheter associated urinary tract infection is the most common of all health associated infections. So, CAUTIs consists of 40% of health associated infections (Ozella, 2010). The risk of a patient developing a CAUTI is about “3% to 7% in an acute care setting” (Ozella, 2010). In addition, CAUTIs results in approximately “$565 million in excess health care costs and approximately 13,000 deaths are each year” (Rabideaux, 2013). Furthermore, although the complications of CAUI can vary from patient to patient, urosepsis is the most serious complication of indwelling catheter use. CAUTIs are categorized as a complicated urinary tract infection (UTI). Moreover, the disease process occurs when a patient with an indwelling urinary catheter
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The nursing interventions to prevent CAUTI include recognizing the factors that contribute to CAUTI, such as; leaving a catheter in place for more than six days, inserting the catheter in an environment other than an operating room, using the catheter to measure urinary output, and not positioning the catheter correctly (Parida & Mishra, 2013). In addition, recognizing patients that are at a higher risk for CAUTI anti-infective catheters can be implemented, such as those that are; pregnant, malnourished, have diabetes mellitus, azotemia, or a ureteral stent. Nursing interventions to prevent CAUTI, include; prompt removal of the catheter, place catheters only when necessary, use of an alternative method of bladder drainage, having the collection system below the level of the bladder and not touching the floor, maintain a closed drainage system, encouraging fluid intake and avoiding irrigation of the bladder (Parida & Mishra, 2013). Also, further nursing interventions should consist of; using a sterile procedure for catheter insertion, using a catheter with the smallest size lumen and balloon possible and engaging in routine perineal care. Moreover, prevention strategies can be implemented and could include; education, outcome surveillance, process surveillance, feedback of CAUTI rates and performance indices of infection control practices. Furthermore, reducing CAUTI is an opportunity to decrease patient discomfort and length of stay and reduce unnecessary costs of
The nursing interventions to prevent CAUTI include recognizing the factors that contribute to CAUTI, such as; leaving a catheter in place for more than six days, inserting the catheter in an environment other than an operating room, using the catheter to measure urinary output, and not positioning the catheter correctly (Parida & Mishra, 2013). In addition, recognizing patients that are at a higher risk for CAUTI anti-infective catheters can be implemented, such as those that are; pregnant, malnourished, have diabetes mellitus, azotemia, or a ureteral stent. Nursing interventions to prevent CAUTI, include; prompt removal of the catheter, place catheters only when necessary, use of an alternative method of bladder drainage, having the collection system below the level of the bladder and not touching the floor, maintain a closed drainage system, encouraging fluid intake and avoiding irrigation of the bladder (Parida & Mishra, 2013). Also, further nursing interventions should consist of; using a sterile procedure for catheter insertion, using a catheter with the smallest size lumen and balloon possible and engaging in routine perineal care. Moreover, prevention strategies can be implemented and could include; education, outcome surveillance, process surveillance, feedback of CAUTI rates and performance indices of infection control practices. Furthermore, reducing CAUTI is an opportunity to decrease patient discomfort and length of stay and reduce unnecessary costs of