Urinary Catheter-Associated Infections

Infect Dis Clin North Am. 2018 Dec;32(4):885-897. doi: 10.1016/j.idc.2018.07.002. Epub 2018 Sep 18.


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.

Keywords: Catheter-associated urinary tract infection; Health care-associated infection; Prevention; Urinary catheter.

Publication types

  • Review

MeSH terms

  • Bacterial Infections / epidemiology
  • Bacterial Infections / etiology*
  • Bacterial Infections / prevention & control
  • Catheter-Related Infections / epidemiology
  • Catheter-Related Infections / etiology*
  • Catheter-Related Infections / prevention & control
  • Humans
  • United States
  • Urinary Catheters / adverse effects*
  • Urinary Tract Infections / epidemiology
  • Urinary Tract Infections / etiology*
  • Urinary Tract Infections / prevention & control