Preventing Catheter-Associated Urinary Tract Infections in the Intensive Care Unit

Critical Care Clinics

Volumn 29, Issue 1, 2013, Pages 19-32

  Chenoweth, Carol ^a   Saint, Sanjay ^b  

^a UNIVERSITY OF MICHIGAN HEALTH SYSTEM   (United States)

^b UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

Author keywords

Healthcare associated; ICU; Prevention; Urinary catheter; Urinary tract infection

Indexed keywords

ANTIBIOTIC RESISTANCE; BLADDER CATHETERIZATION; CATHETER INFECTION; COST EFFECTIVENESS ANALYSIS; HUMAN; INTENSIVE CARE UNIT; MORBIDITY; PATHOGENESIS; PERIOPERATIVE PERIOD; PRIORITY JOURNAL; REVIEW; RISK FACTOR; URINARY TRACT INFECTION;

AGE DISTRIBUTION; CATHETER-RELATED INFECTIONS; CATHETERS, INDWELLING; COSTS AND COST ANALYSIS; CROSS INFECTION; DRUG RESISTANCE, MICROBIAL; FEMALE; HUMANS; INTENSIVE CARE UNITS; MALE; MEDICARE; MIDDLE AGED; REIMBURSEMENT MECHANISMS; RISK FACTORS; SEX DISTRIBUTION; UNITED STATES; URINARY CATHETERIZATION; URINARY TRACT INFECTIONS;

EID: 84870184504     PISSN: 07490704     EISSN: 15578232     Source Type: Journal    
DOI: 10.1016/j.ccc.2012.10.005     Document Type: Review

References (66)

1. Chenoweth C.E., Saint S. Urinary tract infections. Infect Dis Clin North Am 2011, 25:103-117.
2. Nicolle L.E. Urinary catheter-associated infections. Infect Dis Clin North Am 2012, 26:13-27.
3. Shuman K., Chenoweth C.E. Recognition and prevention of healthcare-associated urinary tract infections in the intensive care unit. Crit Care Med 2010, 38:S373-S379.
4. Burton D.C., Edwards J.R., Srinivasan A., et al. Trends in catheter-associated urinary tract infections in adult intensive care units-United States, 1990-2007. Infect Control Hosp Epidemiol 2011, 32:748-756.
5. Chang R., Greene M.T., Chenoweth C.E., et al. Epidemiology of hospital-acquired urinary-tract-related bloodstream infection at a university hospital. Infect Control Hosp Epidemiol 2011, 32:1127-1129.
6. Saint S., Meddings J.A., Calfee D., et al. Catheter-associated urinary tract infection and the Medicare rule changes. Ann Intern Med 2009, 150:877-884.
7. Umsheid C.A., Mitchell M.D., Doshi J.A., et al. Estimating the proportion of healthcare-associated infections that are reasonably preventable and the related mortality and costs. Infect Control Hosp Epidemiol 2011, 32:101-114.
8. Saint S., Chenoweth C.E. Biofilms and catheter-associated urinary tract infections. Infect Dis Clin North Am 2003, 17:411-432.
9. Donlan R.M. Biofilms and device-associated infections. Emerg Infect Dis 2001, 7(2):1-4.
10. Tambyah P.A., Halvorson K.T., Maki D.G. A prospective study of pathogenesis of catheter-associated urinary tract infections. Mayo Clin Proc 1999, 74:131-136.
11. Dudeck M.A., Horan T.C., Peterson K.D., et al. National Healthcare Safety Network (NHSN) Report, data summary for 2010, device-associated module. Am J Infect Control 2011, 39:798-816.
12. Weber D.A., Sickbert-Bennett E.E., Gould C.V., et al. Incidence of catheter-associated urinary tract infections in a healthcare system. Infect Control Hosp Epidemiol 2011, 32:822-823.
13. Hidron A.I., Edwards J.R., Patel J., et al. NHSN annual update: antimicrobial-resistant pathogens associated with healthcare-associated infections: annual summary of data reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2006-2007. Infect Control Hosp Epidemiol 2008, 29:996-1011.
14. Krieger J.N., Kaiser D.L., Wenzel R.P. Urinary tract etiology of bloodstream infections in hospitalized patients. J Infect Dis 1983, 148:57-62.
15. Saint S., Kaufman S.R., Rogers M.A., et al. Risk factors for nosocomial urinary tract-related bacteremia: a case-control study. Am J Infect Control 2006, 34:401-407.
16. Greene M.T., Chang R., Kuhn L., et al. Predictors of hospital-acquired urinary tract-related bloodstream infection. Infect Control Hosp Epidemiol 2012, 33:1001-1007.
17. Musher D.M., Thorsteinsson S.B., Airola V.M. Quantitative urinalysis: diagnosing urinary tract infection in men. JAMA 1976, 236:2069-2072.
18. Tambyah P.A., Maki D.G. The relationship between pyuria and infection in patients with indwelling urinary catheters: a prospective study of 761 patients. Arch Intern Med 2000, 160:673-677.
19. Tambyah P.A., Maki D.G. Catheter-associated urinary tract infection is rarely symptomatic: a prospective study of 1,497 catheterized patients. Arch Intern Med 2000, 160:678-682.
20. Gandhi T., Flanders S.A., Markovitz E., et al. Importance of urinary tract infection to antibiotic use among hospitalized patients. Infect Control Hosp Epidemiol 2009, 30:193-195.
21. Cope M., Cevallos M.E., Cadle R.M., et al. Inappropriate treatment of catheter-associated asymptomatic bacteriuria in a tertiary care hospital. Clin Infect Dis 2009, 48:1182-1188.
22. Centers of Disease Control and Prevention. NHSN manual: patient safety component protocols. Available at: Accessed July 23, 2012. http://www.cdc.gov/nhsn/TOC_PSCManual.html.
23. Rebmann T., Greene L.R. Preventing catheter-associated urinary tract infections: an executive summary of the Association for Professionals in Infection Control and Epidemiol. Am J Infect Control 2010, 38:644-646.
24. Gould C.V., Umscheid C.A., Agarwal R.K., et al. Healthcare Infection Control Practices Advisory Committee. (HICPAC). CDC Guideline for prevention of catheter-associated urinary tract infections 2009. Infect Control Hosp Epidemiol 2010, 31:319-326.
25. Lo E., Nicolle L., Classen D., et al. Strategies to prevent catheter-associated urinary tract infections in acute care hospitals. Infect Control Hosp Epidemiol 2008, 29(Suppl 1):S41-S50.
26. Fakih M.G., Greene T.M., Kennedy E.H., et al. Introducing a population-based outcome measure to evaluate the effect of interventions to reduce catheter-associated infection. Am J Infect Control 2012, 40:359-364.
27. Saint S., Kowalski C.P., Forman J., et al. A multicenter qualitative study on preventing hospital-acquired urinary tract infection in US hospitals. Infect Control Hosp Epidemiol 2008, 29:333-341.
28. Saint S., Kowalski C.P., Kaufman S.R., et al. Preventing hospital-acquired urinary tract infection in the United States: a national study. Clin Infect Dis 2008, 46:243-250.
29. Meddings J., Saint S., McMahon L.F. Hospital-acquired catheter-associated urinary tract infection: documentation and coding issues may reduce financial impact of Medicare's new payment policy. Infect Control Hosp Epidemiol 2010, 31:627-633.
30. Fakih M.G., Watson S.R., Greene T., et al. Reducing inappropriate urinary catheter use: a statewide effort. Arch Intern Med 2012, 172:255-260.
31. Boyce J.M., Pittet D. Guideline for hand hygiene in health-care settings. recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA hand hygiene task force. Society for Healthcare Epidemiology of America/Association for Professionals in Infection Control/Infectious Diseases Society of America. MMWR Recomm Rep 2002, 51(RR-16):1-45.
32. Dellit T.H., Owens R.C., McGowan J.E., et al. Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship. Clin Infect Dis 2007, 44:159-177.
33. Pavese P., Saurel N., Labarere J., et al. Does an educational session with an infectious diseases physician reduce the use of inappropriate antibiotic therapy for inpatients with positive urine culture results? A controlled before-and-after study. Infect Control Hosp Epidemiol 2009, 30:596-599.
34. Trautner B.W., Kelly P.A., Petersen N., et al. A hospital-site controlled intervention using audit and feedback to implement guidelines concerning inappropriate treatment of catheter-associated asymptomatic bacteriuria. Implement Sci 2011, 6:41.
35. Krein S.L., Kowalski C.P., Hofer T.P., et al. Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009. J Gen Intern Med 2012, 27:773-779.
36. Conway L., Pogorzelska M., Larson E., et al. Adoption of policies to prevent catheter-associated urinary tract infections in United States intensive care units. Am J Infect Control 2012, 40:705-710.
37. Saint S., Olmsted R.N., Fakih M.G., et al. Translating health care-associated urinary tract infection prevention research into practice via the bladder bundle. Jt Comm J Qual Patient Saf 2009, 35(9):449-455.
38. Meddings J., Saint S. Disrupting the life cycle of the urinary catheter. Clin Infect Dis 2011, 52:1291-1293.
39. Munasinghe R.L., Yazdani H., Siddique M., et al. Appropriateness of use of indwelling urinary catheters in patients admitted to the medical service. Infect Control Hosp Epidemiol 2001, 22(10):647-649.
40. Saint S., Wiese J., Amory J.K., et al. Are physicians aware of which of their patients have indwelling catheters?. Am J Med 2000, 109:476-480.
41. Fakih M.G., Pena M.E., Shemes S., et al. Effect of establishing guidelines on appropriate urinary catheter placement. Acad Emerg Med 2010, 17:337-340.
42. Knoll B.M., Wright D., Ellingson L., et al. Reduction of inappropriate urinary catheter use at a Veterans Affairs hospital through a multifaceted quality improvement project. Clin Infect Dis 2011, 52:1283-1290.
43. Conybeare A., Pathak S., Imam I. The quality of hospital records of urethral catheterisation. Ann R Coll Surg Engl 2002, 84:109-110.
44. Fakih M.G., Dueweke C., Meisner S., et al. Effect of nurse-led multidisciplinary rounds on reducing the unnecessary use of urinary catheterization in hospitalized patients. Infect Control Hosp Epidemiol 2008, 29:815-819.
45. Saint S., Kaufman S.R., Thompson M., et al. A reminder reduces urinary catheterization in hospitalized patients. Jt Comm J Qual Patient Saf 2005, 31:455-462.
46. Huang W.C., Wann S.R., Lin S.L., et al. Catheter-associated urinary tract infections in intensive care units can be reduced by prompting physicians to remove unnecessary catheters. Infect Control Hosp Epidemiol 2004, 25:974-978.
47. Cornia P.B., Amory J.K., Fraser S., et al. Computer-based order entry decreases duration of indwelling urinary catheterization in hospitalized patients. Am J Med 2003, 114:404-407.
48. Meddings J., Rogers M.A.M., Macy M., et al. Systematic review and meta-analysis: reminder systems to reduce catheter-associated urinary tract infections and urinary catheter use in hospitalized patients. Clin Infect Dis 2010, 51:550-560.
49. Wright M.-O., Kharasch M., Beaumont J.L., et al. Reporting catheter-associated urinary tract infections: denominator matters. Infect Control Hosp Epidemiol 2011, 32:635-640.
50. Wald H.L., Ma A., Bratzler D.W., et al. Indwelling urinary catheter use in the postoperative period: analysis of the national surgical infection prevention project data. Arch Surg 2008, 143:551-557.
51. Wald H.L., Epstein A.M., Radcliff T.A., et al. Extended use of urinary catheters in older surgical patients: a patient safety problem?. Infect Control Hosp Epidemiol 2008, 29:116-124.
52. Stephan F., Sax H., Wachsmuth M., et al. Reduction of urinary tract infection and antibiotic use after surgery: a controlled, prospective, before-after intervention study. Clin Infect Dis 2006, 42:1544-1551.
53. Wu A.K., Auerbach A.D., Aaronson D.S. National incidence and outcomes of postoperative urinary retention in the surgical care improvement project. Am J Surg 2012, 204:167-171.
54. Niel-Weise B.S., van den Broek P.J. Urinary catheter policies for short-term bladder drainage in adults. Cochrane Database Syst Rev 2005, (3). CD004203.
55. Stevens E. Bladder ultrasound: avoiding unnecessary catheterizations. Medsurg Nurs 2005, 14:249-253.
56. Saint S., Kaufman S.R., Rogers M.A., et al. Condom versus indwelling urinary catheters: a randomized trial. J Am Geriatr Soc 2006, 54:1055-1061.
57. Saint S., Lipsky B.A., Baker P.D., et al. Urinary catheters: what type do men and their nurses prefer?. J Am Geriatr Soc 1999, 47:1453-1457.
58. Pratt R.J., Pellowe C., Loveday H.P., et al. Guidelines for preventing infections associated with the insertion and management of short term indwelling urethral catheters in acute care. J Hosp Infect 2001, 47(Suppl):S39-S46.
59. Raz R., Schiller D., Nicolle L.E. Chronic indwelling catheter replacement before antimicrobial therapy for symptomatic urinary tract infection. J Urol 2000, 164:1254-1258.
60. Stensballe J., Tvede M., Looms D., et al. Infection risk with nitrofurazone-impregnated urinary catheters in trauma patients: a randomized trial. Ann Intern Med 2007, 147:285-293.
61. Schumm K., Lam T. Types of urethral catheters for management of short-term voiding problems in hospitalised adults. Cochrane Database Syst Rev 2008, (2):CD004013.
62. Johnson J.R., Kuskowski M.A., Wilt T.J. Systematic review: antimicrobial urinary catheters to prevent catheter-associated urinary tract infection in hospitalized patients. Ann Intern Med 2006, 144:116-126.
63. Jahn P., Preuss M., Kernig A., et al. Types of indwelling urinary catheters for long-term bladder drainage in adults. Cochrane Database Syst Rev 2007, (3). CD004997.
64. Saint S., Kowalski C.P., Banaszak-Holl J., et al. The importance of leadership in preventing healthcare-associated infection: results of a multistate qualitative study. Infect Control Hosp Epidemiol 2010, 31:901-907.
65. Saint S., Kowalski C.P., Banaszak-Holl J., et al. How active resisters and organizational constipators affect health-care-acquired infection prevention efforts. Jt Comm J Qual Patient Saf 2009, 35:239-246.
66. Damschroder L.J., Banaszak-Holl J., Kowalski C.P., et al. The role of the champion in infection prevention: results from a multisite qualitative study. Qual Saf Health Care 2009, 18:434-440.