Urinary Catheter-Associated Infections

被引：64

作者：

Shuman, Emily K. ^{[1
,2
]}

Chenoweth, Carol E. ^{[1
,3
]}

机构：

[1] Michigan Med, Dept Internal Med, Div Infect Dis, F4007 Univ Hosp South,1500 East Med Ctr Dr, Ann Arbor, MI 48109 USA

[2] Michigan Med, Dept Infect Prevent & Epidemiol, 300 North Ingalls Bldg 8B06, Ann Arbor, MI 48109 USA

[3] Michigan Med, Antimicrobial Stewardship Program, F4141 Univ Hosp South,1500 East Med Ctr Dr, Ann Arbor, MI 48109 USA

来源：

INFECTIOUS DISEASE CLINICS OF NORTH AMERICA | 2018年 / 32卷 / 04期

关键词：

Prevention; Catheter-associated urinary tract infection; Health care-associated infection; Urinary catheter; CARE-ASSOCIATED INFECTIONS; TRACT-INFECTION; ASYMPTOMATIC BACTERIURIA; SAFETY NETWORK; DISEASES-SOCIETY; ANTIBIOTIC USE; UNITED-STATES; RISK-FACTORS; PREVENTION; MORTALITY;

D O I：

10.1016/j.idc.2018.07.002

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Catheter-associated urinary tract infection remains one of the most prevalent, yet preventable, health care-associated infections. General prevention strategies include strict adherence to hand hygiene and antimicrobial stewardship. Duration of urinary catheterization is the most important modifiable risk factor. Targeted prevention strategies include limiting urinary catheter use; physician reminder systems, nurse-initiated discontinuation protocols, and automatic stop orders have successfully decreased catheter duration. Alternatives should be considered. If catheterization is necessary, proper aseptic practices for insertion and maintenance and closed catheter collection systems are essential for prevention. The use of bladder bundles and collaboratives aids in the effective implementation of prevention measures.

引用

页码：885 / +

页数：15

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