Catheter Associated Urinary Tract Infection (CAUTI)

Maintenance and Care

While a catheter is in place any breaches in asepsis or a break in the closed system may result in microorganisms entering the catheter and ascending into the bladder. The treating team should ensure routine review of the catheter once it is in situ to ensure that the integrity of the system remains uncompromised.

Information for Patients

This brochure provides information to patients with a catheter and their families and carers on how patients can help prevent a CAUTI from occurring during their hospital stay.

Reducing Catheter Associated Urinary Tract Infections in Hospital

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Urine Specimen Collection

Sending a patient’s urine specimen for culture is one of the most common clinical investigations undertaken in hospitals. However, urine specimens for culture are sometimes collected from catheterised patients for inappropriate reasons. As a result, subsequent culture results may be of little benefit to the patient and may encourage clinicians to initiate unnecessary antimicrobial therapy [1].

If not handled aseptically, the collection of a urine specimen from a catheterised patient also may be an opportunity for microorganisms to enter into drainage system and cause infection. It is important to ensure that urine specimen collection is always clinically indicated.

Awareness Materials

The following poster series has been produced to promote appropriate urine specimen collection. Posters can be printed and distributed locally.


References

[1] Daniels, K.R., G.C. Lee, and C.R. Frei, Trends in catheter-associated urinary tract infections among a national cohort of hospitalized adults, 2001-2010. American Journal of Infection Control, 2014. 42: p. 17-22.