The U.S. Centers for Disease Control and Prevention (CDC) recently updated their
Guideline to Prevent Catheter Associated Urinary Tract Infections (CAUTI). The original guideline was published in 1981. The new guideline includes the latest evidence-based practices and technological advancements for the prevention of CAUTI. It is also the first CDC guideline to be released following the new HICPAC standardized methodology, which incorporates the latest systematic, transparent review of clinical evidence.
The CDC recommends several core strategies for the prevention of CAUTI:
1) Insert catheters only for appropriate indications.
2) Leave catheters in place only as long as needed.
3) Ensure that only properly trained personnel insert and maintain catheters.
4) Insert catheters using aseptic technique and sterile equipment.
5) Following aseptic insertion and maintain a closed drainage system.
6) Maintain unobstructed urine flow.
7) Practice hand hygiene and standard precautions according to the CDC HICPAC Guidelines.
Using the new CDC guideline and simple evidence-based practices, such as hand hygiene for both the patient and the healthcare provider, will decrease the risk for developing a CAUTI.
J. Hudson Garrett Jr., Ph.D, is the director of clinical affairs at PDI Healthcare.