The
best way to prevent catheter-associated urinary tract infections is to minimize
the use of catheters in ALL patients.
To
prevent infection nurses and doctors should take the following steps:
- Catheters are put in ONLY when necessary
- Determine what catheter is best for the patient keeping in mind that infection occurs less often when using intermittent catheterization compared to an indwelling catheter
- Properly trained staff will insert catheters using sterile technique (I have found its best to have two staff members present while anchoring a foley)
- Clean the skin in the peri area before placing the catheter
- Maintain a closed drainage system
- Consider
using the smallest bore catheter if possible, this will help eliminate trauma
during insertion
Proper techniques for urinary catheter maintenance:
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- Ensuring healthcare providers clean their hands before and after touching the catheter
- Avoid disconnecting the catheter and drain tube; this prevents germs from getting into the catheter tube
- Ensure the catheter is ALWAYS secured to the leg to prevent pulling of the catheter
- Avoid twisting or kinking of the catheter
- ALAWYS keep the bag lower than the bladder to prevent urine from back flowing into the bladder
- Empty the bag regularly
- Use standard precautions during catheter care
- Change indwelling catheters or drainage bags routinely
- Do not clean the periarea with antiseptics while the catheter is in place. Routine hygiene cleansing the meatas surface and surrounding area with warm soap and water is appropriate
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Senior
Management Level can also help to prevent catheter-associated urinary tract infections
- Use evidence based practice guidelines that address catheter use, insertion, and maintenance
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- Ensure that healthcare personnel have proper education and training.
- Ensure that supplies necessary for aseptic technique for catheter insertion are available
- Ensure staff are documenting indications for why the patient needs a catheter, date and time catheter placed, who inserted catheter, and date and time of removal.
Reference:
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