Sage Journals: Discover world-class research

Abstract

Following a review of the current methodology for catheter associated urinary tract infection (CAUTI) surveillance in Scotland a protocol was developed by Health Protection Scotland incorporating infection definitions based on clinical signs and symptoms rather than microbiology criteria. These definitions are recommended by the European Centre for Disease Prevention and Control for use in care of the elderly facilities as they hope to reduce the overestimation of urinary tract infections by excluding asymptomatic bacteriuria.

In 2009, a pilot study of the protocol was carried out in volunteer care of the elderly facilities across Scotland. A total of 659 patients admitted to the care of the elderly facilities participated in CAUTI surveillance in six pilot hospitals and a total of 122 catheters were inserted. During the study period a total of 19 urinary tract infections were identified of which 15 met the criteria for CAUTI.

The CAUTI surveillance protocol and data definitions appeared to be robust. The study was therefore able to provide valuable data about catheter use and CAUTI incidence rates.

The surveillance protocol and collection tool can be easily adapted for use in care home settings thus providing a valuable surveillance tool for these resident populations.

Keywords

Urinary catheters care of the elderly healthcare associated infection catheterisation long term care

Get full access to this article

View all access options for this article.

References

Crouzet J. , Bertrand X. , Venier AG , Badoz M. , Husson C. , Talon D. ( 2007) Control of the duration of urinary catheterization: impact on catheter-associated urinary tract infection. Journal of Hospital Infection 67(3): 253-7.

Curran E. , Murdoch H. (2009) Aiming to reduce catheter associated urinary tract infections (CAUTI) by adopting a checklist and bundle to achieve sustained system improvements . Journal of Infection Prevention 10: 57-61.

Gandhi T. , F landers SA , Markovitz E. , Saint S. , Kaul DR ( 2009) Importance of urinary tract infection to antibiotic use among hospitalized patients. Infection Control and Hospital Epidemiology 30(2): 193-5.

Garibaldi R. ( 1993) Hospital acquired urinary tract infections. In: Wenzel R , ed. Prevention and control of nosocomial infections. 2nd ed. Baltimore ; London: Williams & Wilkins , pp. 600-13.

Gross PA , Patel B. ( 2007) Reducing antibiotic overuse: a call for a national performance measure for not treating asymptomatic bacteriuria. Clinical Infectious Diseases 45(10): 1335-7.

Huang WC , Wann SR , Lin SL , Kunin CM , Kung MH , Lin CH , Hsu CW , Liu CP , Lee SS , Liu YC , Lai KH , Lin TW ( 2004) Catheter-associated urinary tract infections in intensive care units can be reduced by prompting physicians to remove unnecessary catheters . Infection Control and Hospital Epidemiology 25(11): 974-8.

Hussain M. , Oppenheim BA , O’Neill P. , Trembath C. , Morris J. , Horan MA ( 1996) Prospective survey of the incidence, risk factors and outcome of hospital-acquired infections in the elderly. Journal of Hospital Infection 32(2): 117-26.

Leone M. , Albanese J. , Garnier F. , Sapin C. , Barrau K. , Bimar MC , Martin C. ( 2003) Risk factors of nosocomial catheter-associated urinary tract infection in a polyvalent intensive care unit. Intensive Care Medicine 29(7): 1077-80.

Madeo M. , Barr B. , Owen E. (2009) A study to determine whether the use of a preconnect urinary catheter system reduces the incidence of nosocomial urinary tract infections. Journal of Infection Control 10: 76-80.

10.

McGeer A. , Campbell B. , Emori TG , Hierholzer WJ , Jackson MM , Nicolle LE , Peppler C. , Rivera A. , Schollenberger DG , Simor AE ( 1991) Definitions of infection for surveillance in long-term care facilities. American Journal of Infection Control 19(1): 1-7.

11.

McNulty C. (2009) Reducing urinary catheter related infections in care homes: a review of the literature. Journal of Infection Prevention 10: 70-5.

12.

Nicolle LE ( 2001) The chronic indwelling catheter and urinary infection in long-term-care facility residents. Infection Control and Hospital Epidemiology 22(5): 316-21.

13.

Ouslander JG , Greengold B. , Chen S. ( 1987) Complications of chronic indwelling urinary catheters among male nursing home patients: a prospective study. Journal of Urology 138(5): 1191-5.

14.

Scottish Executive Health Department (2002 ) Reducing the risk of healthcare associated infection. NHS HDL: SEHD 82.

15.

Scottish Executive Health Department (2006 ) A revised framework for national surveillance of healthcare associated infection in Scotland. NHS HDL: SEHD 38.

16.

Scottish Intercollegiate Guidelines Network ( 2006) Management of suspected bacterial urinary tract infection in adults. A national clinical guideline. SIGN: Edinburgh.

17.

Stamm WE ( 1991) Catheter-associated urinary tract infections: epidemiology, pathogenesis, and prevention. American Journal of Medicine 91(3B): 65S-71S.

18.

Tambyah PA , Maki DG ( 2000) The relationship between pyuria and infection in patients with indwelling urinary catheters: a prospective study of 761 patients. Archives of Internal Medicine 160(5): 673-7.

Catheter associated urinary tract infection within care of the elderly facilities: results from a Scottish pilot study

Abstract

Keywords

Get full access to this article

References