TU Urinary Tract Infections Discussion Reply

Question Description

I’m working on a nursing question and need a sample draft to help me learn.

Catheter associated urinary tract infections are infections involving any part of the urinary system caused by the insertion of a catheter that is inserted into the bladder through the urethra to drain urine. According to Centers for Disease Control and Prevention, Among UTIs acquired in the hospital, approximately 75% are associated with a urinary catheter. The majority of UTIs that patients get are due to the urinary catheter we use to empty the bladder. As a member of the Quality Improvement committee, the best thing to do in a situation where on our unit catheter associated urinary tract infections have increased by 20% is to come up with ways with our committee colleagues to avoid this cause for a UTI, and lower the increased numbers in our hospital unit. Our committee’s question would be: How or what can we do differently in our unit to decrease the number of urinary tract infections caused by catheter insertion?

The answer to this question can be tested within the quality improvement committee and therefore hopefully lead to an answer. Our plan will consist of first looking to use a urinary catheter the least possible, for example, not using it when patients are incontinent in nursing homes for the elderly and doing everything possible to avoid having to use it. Also minimiz(ing) urinary catheter use and duration of use in all patients, particularly those at higher risk for CAUTI or mortality from catheterization such as women, the elderly, and patients with impaired immunity. (CDC) Another form of avoiding using an indwelling catheter is to use external catheters instead. To avoid the bacteria causing these infections we can have all those who are able to insert a catheter practice being sterile, while doing so we must make sure they perform hand hygiene before and after and make sure they, who are properly trained, are the only ones to perform the insertion. If we must use the urinary catheter for example in operative patients, it should be removed as quickly as allowed to do so, for best outcomes, within 24 hours of insertion. There can be a meeting set with the staff of our unit to go over this plan and test it seeing if results improve.

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