Abstract
The most common type of healthcare-associated infection (HAI) is a urinary tract infection (UTI), and 80 percent of these are associated with the use of indwelling urinary catheters (IUCs). These are termed catheter-associated urinary tract infections (CAUTIs). It has been estimated that about 25 percent of all hospitalized patients have an IUC placed during their hospital stay. In addition to the morbidity and mortality that may be associated with a CAUTI, there are also financial consequences. This is particularly true since as of October 1, 2008, the Centers for Medicare and Medicaid Services stopped reimbursing hospitals for several types of infections acquired during a hospital stay, including CAUTIs. In United States (U.S.) the estimated annual cost of treating these CAUTIs is $350 million. It has been proposed that a large percentage of CAUTIs should be preventable. This article will discuss the diagnosis, treatment, and prevention of CAUTIs
Highlights
Based on data submitted to the National Healthcare Safety Network (NHSN) of the Centers for Disease Control and Prevention (CDC) and the Emerging Infections Program Healthcare Associated Infections Community-Interface (EIPHAIC), in 2011 there were 722,000 healthcare-associated infection (HAI) in acute care hospitals [1]
The two most important factors that lead to the development of catheter-associated urinary tract infections (CAUTIs) are: (1) the inappropriate placement of an indwelling urinary catheters (IUCs), and (2) once an IUC has been placed, leaving it inserted for too long a period of time [27,31]
Guidelines to reduce the CAUTI rate have been published by the U.S Centers for Disease Control and Prevention (CDC), European Association of Urology (EAU), Healthcare Infection Control Practices Advisory Committee (HICPAC), Infectious Diseases Society of America (IDSA), and Society for Healthcare Epidemiology of America (SHEA) [20,21,22,23,24,25,26]
Summary
Catheter-Associated Urinary Tract Infections: Diagnosis, Treatment, and Prevention. Karen Clarke 1 Department of ncological Gynecology, Medical University of Lodz,USA. Corresponding Author : Karen Clarke, Department of ncological Gynecology, Medical University of Lodz. Received date: October 29, 2018;Accepted date : December 14, 2018; Published date: February 15, 2019. Citation : Karen Clarke, Catheter-Associated Urinary Tract Infections: Diagnosis, Treatment, and Prevention, Women Health Care And Issues
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