Guideline for Prevention of CAUTI (4)Published:5/19/2009
Summary of Major Recommendations
Category I. Strongly Recommended for Adoption*
- Educate personnel in correct techniques of catheter insertion and care.
- Catheterize only when necessary.
- Emphasize handwashing.
- Insert catheter using aseptic technique and sterile equipment.
- Secure catheter properly.
- Maintain closed sterile drainage.
- Obtain urine samples aseptically.
- Maintain unobstructed urine flow.
Category II. Moderately Recommended for Adoption
- Periodically re-educate personnel in catheter care.
- Use smallest suitable bore catheter.
- Avoid irrigation unless needed to prevent or relieve obstruction.
- Refrain from daily meatal care with either of the regimens discussed in text.
- Do not change catheters at arbitrary fixed intervals.
Category III. Weakly Recommended for Adoption
- Consider alternative techniques of urinary drainage before using an indwelling urethral catheter.
- Replace the collecting system when sterile closed drainage has been violated.
- Spatially separate infected and uninfected patients with indwelling catheters.
- Avoid routine bacteriologic monitoring.
*Refer to Introduction of manual for full explanation of the ranking scheme for recommendations.
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