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. 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.

  • 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....

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