Recommended strategies for CA-UTI prevention:

  • Limiting unnecessary catheterization

  • Indwelling catheters should be removed as soon as they are no longer required to reduce the risk of CA-UTI

  • Infection prevention -
    1. Hospitals should develop, maintain, and promulgate policies and procedures for recommended catheter insertion indications, insertion and maintenance techniques, discontinuation strategies, and replacement indications

    2. Strategies should include education and training of staff relevant to these policies and procedure
  • Alternatives to indwelling urethral catheterization

    • Alternative

    Indication

    Intermittent catheterization Neurogenic bladder, spinal cord injury, Prostate enlargement
    External catheters Condom catheters in male patient with no urinary obstruction and retention
  • Prevention of CA-UTI through a bundled 6-C Approaching ICU consisting of six easy-to-remember elements, this includes “6 Cs” of CA-UTI reduction
    1. Consider alternatives
    2. Connect with a securement device
    3. Keep it Clean
    4. Call for bladder scan before irrigating
    5. Keep it Closed
    6. Culture urine only when indication is clear