CAUTI

Catheter-associated Urinary
Tract Infection
UT (Urinary Tract)
• TIP insertion
• Gloves
• Housekeeping
• Aseptic Technique
CDC Guideline
• If not important do not insert (if patient movement restricted)
• Only for minimal time
• Intermittent
• Indwelling
When infection Occurs
How to reduce infection
Infections
• Community Acquired - diagnosed within 48 hours of admission
without any previous healthcare encounter.

• Hospital Acquired - infection whose development is favoured by a

hospital environment, such as one acquired by a patient during a
hospital visit
Guideline
• CDC- Centers for Disease Control
• NCBI
Symptoms
• Signs of Inflammation (5)
I. Redness
II. Swelling
III. Heat
IV. Pain
V. Functional Loss
Differential Diagnosis
• Erythema
• Pain
• Unexplained Persistent Pyrexia
• Wound Discharge (Fluid Discharge)
• Wound re-opening (after stitch opening)
• Wound healing delayed
Risk Factor
• Diabetic Patient
• Old Aged
• Immunocompromised
• Aseptic Technique
• Faulty Implant (Trustworthy Brand)
Prevention
CDC & NCBI Guideline

• Bath (antiseptic)
• Planned cases
• Pre-op Preparation (PAC to be followed)
• RBS – 200 mg/dl to be lower
• Temperature to be normal
• Safe Surgery Practices
- Identify Patient
- Site Marking
- Vitals to be normal
- Clean OT dress
- Part preparation (CDC Guideline – no razor only clipper or removal cream)
- Antibiotic Prophylaxis (WHO guideline)
Antibiotic Prophylaxis
WHO Guideline

List of Antibiotics

PAC Order to be checked by Nurse

 Vitals – RBS – Psychological Status – Respiratory Assessment
 Documentation
 Fio2 (Friction of inspired Oxygen)

Intubation

As per CDC
OT
Disinfection
- Deep mopping (1 % sodium hypo.)
- Fumigation
- OT dress
- OT Zoning
- Autoclave Instrument
- Proper aseptic technique
- Post op care….. Dressing
Follow-up
Surgery
- Minor… 1 month
- Major… 3 months
- Implant.. 1 Year
Follow-up ????
1. Condition through telephone or visit
If SSI – Post op SSI form to be filled

Air culture/ Swab culture after OT disinfection

Thank You