Preventing Catheter-Associated Urinary Tract Infections (CAUTI) in a Rehabilitation Facility -- Meeting the Standards. Lisa Harris RN CIC, Leslie Forrester MA MSc, Jennifer Grant MDCM FRCPC Vancouver Coastal Health Authority, Division of Medical Microbiology and Infection Control. Objectives.
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Preventing Catheter-Associated Urinary Tract Infections (CAUTI) in a Rehabilitation Facility -- Meeting the Standards
Lisa Harris RN CIC, Leslie Forrester MA MSc, Jennifer Grant MDCM FRCPC
Vancouver Coastal Health Authority, Division of Medical Microbiology and Infection Control
1. Determine CAUTI and UTI rates on a spinal rehabilitation ward.
2. Assess practices to prevent CAUTI.
3. Identify practice gaps with new practice guidelines (1)
4. Change practices to meet standards.
5. Provide ongoing surveillance and feedback to care providers.
GF Strong Rehabilitation Center provides in-patient rehabilitation to clients with spinal cord injury, acute brain injury, arthritis and neuromuscular disease. Urinary catheters are most prevalent in the spine injury and acute brain injury client groups. Surveillance for CAUTI began with a point prevalence study, which identified spinal rehabilitation patients as being at highest risk. Monthly surveillance continued for all wards. Review of the new guidelines identified differences in practice and opportunities to decrease CAUTI. Innovative new practices were introduced to facilitate practices that are appropriate for both healthcare and for eventual client discharge.
Figure 1: novel leg-bag arrangement
Left picture is day bag
Right picture is night bag system
Figure 2: Results of point prevalence study.
Fig 3: UTI rate overall showing statistically significant decrease in rates of UTI
Fig 4: Ongoing surveillance of CAUTIs. Downward trend on SCI ward depicted with dotted line