Urinary tract infections are the most common nosocomial infection, accounting for up to 40% of infections reported by acute care hospitals.1,2 Up to 80% of urinary tract infections are associated with the presence of an indwelling urinary catheter.3 A catheter-associated urinary tract infection (CAUTI) increases hospital cost and is associated with increased morbidity and mortality.2,5,6 CAUTIs are considered by the Centers for Medicare and Medicaid Services to represent a reasonably preventable complication of hospitalization. As such, no additional payment is provided to hospitals for CAUTI treatment–related costs.5
Prior to placement of any indwelling urinary catheter, assess patient for accepted indications and alternatives. [Level C]
Adhere to aseptic technique for placement, manipulation, and maintenance of indwelling urinary catheters. [Level E]
Document all instances of indwelling urinary catheters, including insertion date, indication, and removal date....