Reducing the risk of catheter-related urinary tract infection

Linda Bissett1

  • 1NHS Tayside, Primary Care Division, Murray Royal Hospital, Perth.

Nursing Times
|April 13, 2005
PubMed

Insights

Urinary tract infections (UTIs) are a common health care-associated infection (HAI) linked to urinary catheters. Prolonged catheter use significantly increases UTI risk, leading to extended hospital stays and substantial treatment costs.

Area of Science:

  • Healthcare-associated infections
  • Urology
  • Infectious Diseases

Background:

  • Urinary catheters are common in hospitals and community settings.
  • Urinary tract infections (UTIs) constitute a major proportion of health care-associated infections (HAIs).
  • A significant percentage of HAIs are associated with urinary catheter insertion and use.

Purpose of the Study:

  • To highlight the prevalence of urinary catheter use.
  • To underscore the link between urinary catheters and UTIs.
  • To quantify the impact of catheter-related UTIs on patient outcomes and healthcare costs.

Main Methods:

  • Literature review of existing studies on urinary catheter prevalence.
  • Analysis of data on the incidence of UTIs in catheterized patients.
  • Estimation of treatment costs and extended hospital stay durations associated with UTIs.

Main Results:

  • 10-12% of hospital patients and 4% of community patients use urinary catheters.
  • Patients with catheters for 20 days face a near certainty of developing a catheter-related UTI.
  • UTI treatment costs are estimated at £1,327 per patient.
  • UTIs can extend hospital stays by an average of six days.

Conclusions:

  • Urinary catheter use is widespread, posing a significant risk for UTIs.
  • Catheter-related UTIs represent a substantial burden on healthcare systems due to increased costs and prolonged hospitalizations.
  • Effective strategies for UTI prevention in catheterized patients are crucial.

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