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. 2023 Aug;44(8):1209-1231.
doi: 10.1017/ice.2023.137. Epub 2023 Aug 25.

Strategies to prevent catheter-associated urinary tract infections in acute-care hospitals: 2022 Update

Payal K Patel  1 , Sonali D Advani  2 , Aaron D Kofman  3 , Evelyn Lo  4 , Lisa L Maragakis  5 , David A Pegues  6 , Ann Marie Pettis  7 , Sanjay Saint  8   9 , Barbara Trautner  10   11 , Deborah S Yokoe  12 , Jennifer Meddings  8   9   13
Affiliations

Strategies to prevent catheter-associated urinary tract infections in acute-care hospitals: 2022 Update

Payal K Patel et al. Infect Control Hosp Epidemiol. 2023 Aug.

Abstract

The intent of this document is to highlight practical recommendations in a concise format designed to assist physicians, nurses, and infection preventionists at acute-care hospitals in implementing and prioritizing their catheter-associated urinary tract infection (CAUTI) prevention efforts. This document updates the Strategies to Prevent Catheter-Associated Urinary Tract Infections in Acute-Care Hospitals published in 2014. It is the product of a collaborative effort led by SHEA, the Infectious Diseases Society of America (IDSA), the Association for Professionals in Infection Control and Epidemiology (APIC), the American Hospital Association (AHA), and The Joint Commission.

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Conflict of interest statement

Conflicts of interest. The following disclosures reflect what has been reported to SHEA. To provide thorough transparency, SHEA requires full disclosure of all relationships, regardless of relevancy to the topic. Such relationships as potential conflicts of interest are evaluated in a review process that includes assessment by the SHEA Conflict of Interest Committee and may include the Board of Trustees and the Editor of Infection Control and Hospital Epidemiology. The assessment of disclosed relationships for possible conflicts of interest has been based on the relative weight of the financial relationship (ie, monetary amount) and the relevance of the relationship (ie, the degree to which an association might reasonably be interpreted by an independent observer as related to the topic or recommendation of consideration). The authors disclose the following: S.A. reports consulting fees with IDSA, bioMerieux, Locus Biosciences, and GSK, and participation on a bioMerieux Advisory Board, and is a co-owner of IPEC Experts, LLC. J.M. reports grant funding from the AHRQ, the CDC, the Ralph E. Wilson Foundation, and the VA HSR&D. All other authors report no conflicts of interest related to this article.

Figures

Figure 1.
Figure 1.
Disrupting the life cycle of the indwelling urethral catheter to reduce catheter-associated infection and trauma.
Figure 2.
Figure 2.
Infectious and noninfectious complications of an indwelling urethral catheter.
Figure 3.
Figure 3.
Tiered approach to reducing CAUTI.
See this image and copyright information in PMC

References

    1. Lo E, Nicolle LE, Coffin SE, et al. Strategies to prevent catheter-associated urinary tract infections in acute-care hospitals: 2014 update. Infect Control Hosp Epidemiol 2014;35 suppl 2:S32–S47. - PubMed
    1. The Society for Healthcare Epidemiology of America (SHEA) Handbook for SHEA-Sponsored Guidelines and Expert Guidance Documents. SHEA website. https://shea-online.org/wp-content/uploads/2022/02/2022-Handbook-Update-.... Accessed August 2021.
    1. Saint S, Chenoweth CE. Biofilms and catheter-associated urinary tract infections. Infect Dis Clin N Am 2003;17:411–432. - PubMed
    1. Strassle PD, Sickbert-Bennett EE, Klompas M, et al. Incidence and risk factors of non–device-associated urinary tract infections in an acute-care hospital. Infect Control Hosp Epidemiol 2019;40:1242–1247. - PMC - PubMed
    1. Foster CB, Ackerman K, Hupertz V, et al. Catheter-associated urinary tract infection reduction in a pediatric safety engagement network. Pediatrics 10 2020;146. - PubMed