Urinary tract infections in surgical patients

Rajesh Ramanathan; Therese M Duane

doi:10.1016/j.suc.2014.08.007

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.

Authors

Rajesh Ramanathan¹, Therese M Duane²

Affiliations

¹ Virginia Commonwealth University Medical Center, 1200 East Broad Street, PO Box 980454, Richmond, VA 23298, USA.
² JPS Health Network, Department of Surgery, 1500 S. Main Street, 3rd Floor OPC Suite 300, Ft. Worth, TX 76104, USA. Electronic address: tduane@jpshealth.org.

PMID: 25440128
DOI: 10.1016/j.suc.2014.08.007

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