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Catheter-Associated Urinary Tract Infections

Catheter-Associated Urinary Tract Infections. What they are, how to recognize them, and what you can do. What is a Catheter-Associated Urinary Tract Infection (CAUTI) ?.

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Catheter-Associated Urinary Tract Infections

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  1. Catheter-Associated Urinary Tract Infections What they are, how to recognize them, and what you can do

  2. What is a Catheter-Associated Urinary Tract Infection (CAUTI) ? • A catheter is a tube inserted into the bladder to drain the bladder and is usually attached to a bag that holds the urine. This type of tube is called an indwelling catheter. • A urinary tract infection (UTI) is an infection of the bladder and/or kidneys. Catheter + UTI = CAUTI A type of urinary tract infection that is caused by a catheter.

  3. REMEMBER: YOU CAN’T GET A CAUTI IF YOU DON’T HAVE A CATHETER!

  4. 3-10% of people develop bacteria in their urinary tract every day a catheter is in place.

  5. Symptoms of CAUTI • Fever • Chills • New confusion or functional decline • New pain above your pubic bone or pain around your kidneys • Abnormally low blood pressure that is new or that you have had before with no other non-infectious site of infection • Acute pain, swelling or tenderness of male genitalia • Pus around your catheter

  6. Alternatives

  7. Incontinence And Your Well-being • Lowers social engagement • Lowers participation in other activities • Lowers quality of life

  8. Assessing Incontinence

  9. Managing Incontinence Without an Indwelling Catheter There are several types of toileting programs: • Habit training: Based on your routine • Prompted toileting: Based on being reminded • Timed toileting: Based on a set schedule

  10. Managing Incontinence Without an Indwelling Catheter If you do not respond to a toileting method, try: • Temporary catheter or external catheter for men • Absorbent pads, urinals, and bedpans • Treatment medications www.exmed.net

  11. 5 Steps to Prevention: What Can I Do?

  12. 1) Use alternatives to catheters if possible Use alternatives to avoid catheter use if possible. Remember: You can’t get a CAUTI if you don’t have a catheter!

  13. 2) If you have a catheter, make sure: • The urine bag is kept below your bladder, but not on the floor • The catheter is secured to your leg • The catheter tube is not pulled or kinked • The catheter and the drain tube do not become disconnected • The collection bag is emptied regularly

  14. 3) Stay hydrated • Ask that offering beverages and foods be included in your care plan • Tell staff about your favorite foods that are high in water content • Ask family and friends to bring your favorite beverages when visiting • Report signs/symptoms of dehydration to staff http://www.countrywise.net

  15. 4) Use hand hygiene • Use alcohol-based hand rubs to clean hands whenever possible • Wash hands with soap and water when visibly dirty or soiled • Ask staff and family members to wash their hands if they have not done so

  16. Alcohol-based hand rub • Apply hand rub to palm of hand • Rub hands together, covering all surfaces • Focus on thumbs, tips of fingers and under fingernails • Hands are clean when dry (Usually takes about 15-20 seconds) http://www.cdc.gov/handhygiene/Resources.html#HCP

  17. Soap and water hand washing • Wet hands with water • Apply soap to palm of hand • Rub hands together, covering all surfaces for at least 15 seconds • Rinse hands with water • Dry hands with paper towel, and use towel to turn off faucet (prevents hands from being re-contaminated by faucet handles). http://www.cdc.gov/handhygiene/Resources.html#HCP

  18. 5) Avoid overuse of antibiotics Ask these three questions about antibiotics before they are prescribed: • Could my symptoms be caused by something other than bacteria • What signs or symptoms should I look for that could mean I might need an antibiotic? • Can I be monitored to see if my symptoms improve with other remedies, without using antibiotics?

  19. Antibiotic side effects Side effects are common with antibiotics and may include: • Nausea • Diarrhea • Allergic reaction • Antibiotic-related infections

  20. Role of Residents and Family Members • Learn about CAUTI • Ask questions about catheters and ask about catheter alternatives • Report any signs/symptoms to staff • Always wash your hands • Remind staff to clean their hands • Question antibiotic use • Participate in care planning

  21. We Can Do It!!

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