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CDC recommends QI to reduce CA-UTIs
Implement based on facility risk assessment
The Centers for Disease Control and Prevention (CDC) recommends that infection preventionists implement quality improvement (QI) programs or strategies to enhance appropriate use of indwelling catheters and to reduce the risk of CA-UTI based on a facility risk assessment.1
That recommendation and all others in this summary unless otherwise noted is listed as Category IB, which the CDC Healthcare Infection Control Practices Advisory Committee (HICPAC) defines as: "A strong recommendation supported by low quality evidence suggesting net clinical benefits or harms or an accepted practice (e.g., aseptic technique) supported by low to very low quality evidence."
The purposes of QI programs should be:
1) to assure appropriate utilization of catheters;
2) to identify and remove catheters that are no longer needed (e.g., daily review of their continued need);
3) to ensure adherence to hand hygiene and proper care of catheters. Examples of programs that have been demonstrated to be effective include:
1. procedure-specific guidelines for catheter placement and postoperative catheter removal;
2. protocols for management of postoperative urinary retention, such as nurse-directed use of intermittent catheterization and use of bladder ultrasound scanners.
Recommendations considered essential for all health care facilities caring for patients requiring urinary catheterization include the following high-priority recommendations, which were chosen in part on the likely impact of the strategy in preventing CA-UTI.
Appropriate Urinary Catheter Use
Aseptic Insertion of Urinary Catheters
Priority Recommendations for Proper Urinary Catheter Maintenance