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A Review of Strategies to Decrease the Duration of Indwelling Urethral Catheters and Potentially Reduce the Incidence of CatheterAssociated Urinary Tract Infections
Michael S. Bernard, Kathleen F. Hunter, and Katherine N. Moore

I

ndwelling urinary catheters are widely used in hospitalized patients and can be an appropriate means of therapeutic management under specific circumstances. However, many indwelling urinary catheters are used without clear indications (Gokula, Hickner, & Smith, 2004; Jain, Parada, David, & Smith, 1995), thus putting patients at an unnecessary risk for complications during their hospitalization. Catheter-associated complications include physical and psychological discomfort to the patient, bladder calculi, renal inflammation, and most frequently, catheter-associated urinary tract infections (CAUTI) (Gokula, Smith, & Hickner, 2007). The development of CAUTI in older adults can result in falls, delirium, and immobility (Hazelett, Tsai, Gareri, & Allen, 2006).

© 2012 Society of Urologic Nurses and Associates Bernard, M.S., Hunter, K.F., & Moore, K.N. (2012). A review of strategies to decrease the duration of indwelling urethral catheters and potentially reduce the incidence of catheter-associated urinary tract infections. Urologic Nursing, 32(1), 29-37.

The use of indwelling urinary catheters in hospitalized patients presents an increased risk of the development of complications, including catheter-associated urinary tract infection (CAUTI). With regard to the risk of developing a CAUTI, the greatest factor is the length of time the catheter is in situ. The aim of this article is to review the evidence on the prevention of CAUTI, particularly ways to ensure timely removal of indwelling catheters. Published studies evaluating interventions to reduce the duration of catheterization and CAUTI in hospitalized patients were retrieved. The research identified two types of strategies to reduce the duration of indwelling


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UROLOGIC NURSING / January-February 2012 / Volume 32 Number 1 37 Copyright of Urologic Nursing is the property of Society of Urologic Nurses & Associates, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder 's express written permission. However, users may print, download, or email articles for individual use.
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