Urinary tract infections in surgical patients

Surg Clin North Am. 2014 Dec;94(6):1351-68. doi: 10.1016/j.suc.2014.08.007. Epub 2014 Oct 3.

Abstract

Catheter-associated urinary tract infections (CAUTI) are common in surgical patients. CAUTI are associated with adverse patient outcomes, and negatively affects public safety reporting and reimbursement. Inappropriate catheter use and prolonged catheter duration are major risk factors for CAUTI. CAUTI pathogenesis and treatment are complicated by the presence of biofilms. Prevention strategies include accurate identification and tracking of CAUTIs, and the development of institutional guidelines for the appropriate use, duration, alternatives, and removal of indwelling urinary catheters.

Keywords: CAUTI; Catheter-associated urinary tract infection; Hospital acquired conditions; Patient safety; Urinary tract infections; Urosepsis.

Publication types

  • Review

MeSH terms

  • Catheter-Related Infections / diagnosis
  • Catheter-Related Infections / etiology*
  • Catheter-Related Infections / therapy
  • Catheters, Indwelling / adverse effects*
  • Catheters, Indwelling / microbiology
  • Cross Infection / diagnosis
  • Cross Infection / etiology*
  • Cross Infection / therapy
  • Humans
  • Postoperative Complications / diagnosis
  • Postoperative Complications / etiology*
  • Postoperative Complications / therapy
  • Risk Factors
  • Urinary Catheterization / adverse effects*
  • Urinary Catheterization / methods
  • Urinary Catheters / adverse effects*
  • Urinary Catheters / microbiology
  • Urinary Tract Infections / diagnosis
  • Urinary Tract Infections / etiology*
  • Urinary Tract Infections / therapy