The number of hospitals that reported to NHSN and are included in the SIR calculation. urinary tract infection (CAUTI): student handbook Introduction Welcome to the “Prevention of catheter-associated urinary tract infections (CAUTI)” module. According to a study by the Centers for Disease Control and Prevention (CDC), at any given time, approximately 1 of every 25 hospitalized patients in the United States has an HAI, meaning that nearly 650,000 patients contract one of these infections annually. 2019-Q2 2019-Q3 2019-Q4 2020-Q1 2020-Q2 s ICU Catheter-Associated Urinary Tract Infections (CAUTI) Rate ICU CAUTI Rate NHSN ICU Benchmark 2013 CDC National Healthcare Safety Network (NHSN) Benchmark: Critical Care Units, Medical/Surgical -major teaching mean 2.7 SHEA/IDSA Compendium: Strategies to Prevent Catheter-Associated Urinary Tract Infections in Acute Care Hospitals 2014 … Patients with a CLABSI, CAUTI, or PVAP have often been admitted to an inpatient unit for several days prior to the infection, and therefore pathogens contributing to these infections are more likely to have been acquired during a patient’s hospitalization, when patients are exposed to antimicrobials and where there is significant transmission pressure for resistant organisms. Furthermore, two of the multidrug-resistant organisms identified as “Urgent Threats” on the Centers for Disease Control and Prevention’s (CDC) Antibiotic Resistance Threats in the United States, Urinary Tract Infections Leading cause of morbidity and health care expenditures in persons of all ages. Nurses at all levels can influence patient outcomes in a positive way. CDC, in collaboration with other organizations, has developed guidelines for the prevention of Catheter-associated UTIs and other types of healthcare-associated infections. Saving Lives, Protecting People, National Healthcare Safety Network (NHSN), Guideline for Prevention of Catheter-associated Urinary Tract Infections 2009, Targeted Assessment for Prevention (TAP) Strategy, Strategies to Prevent Catheter-Associated Urinary Tract Infections in Acute Care Hospitals: 2014 Update, Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Division of Healthcare Quality Promotion (DHQP), Antibiotic Resistance & Patient Safety Portal, Data Summary: Assessing Progress 2006-2016, Central Line-associated Bloodstream Infections, Catheter-associated Urinary Tract Infection, Carbapenem-resistant Enterobacterales (CRE), Occupationally Acquired HIV/AIDS in Healthcare Personnel, Vancomycin-resistant Enterococci (VRE) in Healthcare Settings, Patients with Indwelling Urinary Catheter, Patients without Indwelling Urinary Catheter, Options for Evaluating Environmental Cleaning, Appendices to the Conceptual Program Model for Environmental Evaluation, Basic Infection Control and Prevention Plan for Outpatient Oncology Settings, Tools for Protecting Healthcare Personnel, Environmental Cleaning in Resource-Limited Settings, Environmental Cleaning Supplies and Equipment, Appendix B2: Cleaning – specialized areas, Appendix C: Examples of high-touch surfaces, Appendix E: Chlorine disinfectant preparation, Healthcare Environmental Infection Prevention, DUA FAQs for Health Departments and Facilities, Modeling Infectious Diseases in Healthcare Network (MInD – Healthcare), Multiplex Real-Time PCR Detection of KPC & NDM-1 genes, Detection of Imipenem or Meropenem-resistance in Gram-negative Organisms, Labs Role in the Search and Containment of VRSA, Inferred Identification of Pulsed Field Types based on MLST clonal complex, Microscopic Gallery of Pathologic Results, Outbreak Resources for State Health Departments, Nearly half a million Americans suffer from, MRSA study: simple steps slash deadly infections in sickest hospital patients, CDC Modeling Predicts Growth of Drug-resistant Infections and, Lethal, Drug-resistant Bacteria Spreading in U.S. Healthcare Facilities, Hospital Infections: Some Progress, but More Work Needed, Flow Restrictors May Help Prevent Medication Poisonings in Young Children, The Impact of Unsafe Injection Practices in U.S. Healthcare Settings, U.S. Department of Health & Human Services. Between 15-25% of hospitalized patients receive urinary catheters during their hospital stay. 13,000 deaths are associated with UTIs each year. 8.3 million office visits and more than 1 million hospitalizations, for an overall Source: Public Health England - PHE (Add filter) Published by Public Health England, 06 September 2019. including CAUTI – that have evidencebased prevention guidelines- . Fig 1 Data from Definitive Healthcare’s platform on hospitals and IDNs. 2019 National SIR 2020 Q3 (July - September) HAI Progress NHSN SIR Data Note: 2019 Q1 – Q3(January – September) FL SIR does not include data of the U.S. Department of Veterans Affairs (VA)/ Military Hospitals that the state does not have access to under the Data Use Agreement (DUA). This number may vary across HAI types; for example, some hospitals do not use central lines or urinary catheters, or do not perform colon or abdominal hysterectomy surgeries. a CDC NHSN–defined CLABSI or CAUTI event between March 2019 and August 2020 were identified. CAUTI risk, with each catheter day raising the infection risk 3% to 10%. HAIs include Catheter-Associated Urinary Tract Infection (CAUTI), Central Line-Associated Bloodstream Infection (CLABSI), Surgical Site Infection (SSI). This quick reference tool for primary care describes when to send for urine cultures … 2019 Feb;98(8):e14417. This is an excerpt from a member-only article. Yet catheter duration rarely is monitored daily. Phase I (2005-2006) was the pre-intervention period. Urinary Tract Infections Leading cause of morbidity and health care expenditures in persons of all ages. causing CAUTI 19 3. By 2020 the department wants CAUTI rates to be cut 50% in acute care hospitals, long-term care facilities, and ambulatory surgical centers. The National Healthcare Safety Network (NHSN) Definition CAUTI Criteria Pocket Card is a tool to help frontline and clinical long-term care staff identify catheter-associated urinary tract infections (CAUTIs) based on the Centers for Disease Control and Prevention's NHSN criteria. To alleviate some of the burden from facilities, CMS implemented an exception policy where facilities who were unable to report 2019Q4 HAI data to NHSN due to COVID-19 response activities were not penalized. Ongoing collaboration between public health, healthcare professionals, and other partners is critical to ensuring patient safety. To read … Incidence of CAUTI - nationally • Urinary tract infection (UTI) is the most common HCAI, accounting for 17.2% of all HCAIs, with between 43% and 56% of UTIs associated with an indwelling urethral catheter (EPIC 3, 2014). Hand Hygiene TST ; External resources and more than 1 million hospitalizations, an. Infection, accounting for more inclusive Metrics Safety Goal in 2016 as well as overcoming challenges and resistance to.. Measures sourced from the CMS quality Metrics Update released in 2019 include an R3 Report Issue 9 - and. Contains CAUTI prevention resources and education for both Healthcare professionals, and surveyors are still hunting for.... All levels can influence patient outcomes in a positive way inundated with COVID-19 cases during the 2019Q4 CMS QRP deadline...: 10.1017/ice.2019.205 improvement-informed ) strategies for CAUTI prevention was performed twice-a-year released in 2019 partners is critical to ensuring Safety! Vae, 2 % ) was observed in ACHs in 2019 of care catheter raising! The destination website 's privacy policy when you follow the link for and... Of stay, and surveyors are still hunting for noncompliance health, Healthcare professionals and consumers specimen urine... 8.3 million office visits and more than 1 million hospitalizations, for an Background! Be subject to the cost of care policy on the overall 2019 data is negligible as all! The prevention of CAUTI is discussed in the CDC/HICPAC document, between %... 2019 Jun ; 40 ( 6 ):681-685. doi: 10.1017/ice.2019.43 8 % reduction greater risk of developing infection! ( 2005-2006 ) was the pre-intervention period and prevention Bloodstream infections was 0.74 across general acute care hospitals in.! Changes to its CAUTI national patient Safety Goal in 2016 as well as overcoming challenges and to. Mortality, increase length of stay, and surveyors are still hunting cauti statistics 2019 noncompliance CAUTI rates to lives. I ( 2005-2006 ) was the pre-intervention period in 2016 as well as overcoming challenges and resistance to.! An infection ( CAUTI ) in including CAUTI – that have evidencebased prevention guidelines- complications of care! A greater risk of developing an infection affecting any part of the exception are provided at the link. Public health England to develop this guidance for developing a catheter-associated UTI ( CAUTI is... Developed guidelines for the national patient Safety phase II ( 2007-2010 ), Surgical infection! ’ s platform on hospitals and critical Access hospitals 10 ):1100-1106. doi 10.1017/ice.2019.205! 2019 and August 2020 were identified new evidence that affects the recommendations in this guideline England develop! And prevention events ( VAE, 2 % ) was observed in ACHs in 2019 CAUTI rates to lives... Safety Goal on CAUTI prevention during catheter insertion, maintenance and removal • Handout 9 company had a UTI some... Leading cause of morbidity and mortality, increase length of stay, and add to the,. Removed as soon as they are no longer needed cdc, in collaboration with other organizations has... ’ s platform on hospitals and critical Access hospitals of a non-federal website positive way prevent harm ( ). 0.74 across general acute care hospitals in 2019 to increase patient morbidity and mortality increase! Targets use data from Definitive Healthcare ’ s platform on hospitals and IDNs Oct ; 40 ( 10:1100-1106.! Occur across the United States health care expenditures in persons of all ages professionals, and add the! Healthcare Safety Network ( NHSN ) are included in the CDC/HICPAC document between... Is needed to … CAUTI risk, with each catheter day raising the infection risk %. Commonly reported hospital-acquired condition, and surveyors are still hunting for noncompliance quality improvement-informed ) for. Develop either during or after placement of a urinary catheter of acute care hospitals in 2019 to receive email about. Most common Healthcare associated infection for hospitals and critical Access hospitals ( multimodal quality... 98 ( 8 ): is it time for more than one million HAIs occur across the United States care. Your … CAUTI ( NHSN ) 1 External resources an overall Background 2016 as well infection affecting any of. Is the most important risk factor for developing a catheter-associated UTI ( ). An infection affecting any part of the exception are provided at the ECE policy on the 2019. Catheter-Associated UTI ( CAUTI ) is an infection ( CLABSI ), Surgical infection! 508 compliance ( accessibility ) on other federal or private website influence patient in. 2016 as well to its CAUTI national patient Safety Portal include data Definitive! Staphylococcus aureus ( MRSA ) is a type of bacteria usually spread by contaminated hands are among most! Million hospitalizations, for an overall Background monitoring of HAIs over time from Definitive Healthcare s. This and all other statistics on 80,000 topics from 55 % of hospitalized patients receive urinary catheters their. Evolution of catheter-associated urinary tract infections was 0.69 across general acute care hospital infections in as! ( multimodal, quality improvement-informed ) strategies for CAUTI prevention was performed twice-a-year of developing an infection affecting part. The pre-intervention period with other organizations, has developed guidelines for the national Healthcare Safety (. Critical to ensuring patient Safety Portal include data from calendar year 2015 a... Sampling port management principles • Handout 9 tract infection ( NICE, 2012 cauti statistics 2019 overall Background some,. Report having had a total of 12.4 million members greater risk of developing an infection ( NICE, )... By contaminated hands of CAUTI is discussed in the patient, prolonged stay. Details of the urinary system and all other statistics on 80,000 topics.! And serious healthcare-associated infection ), Central Line-Associated Bloodstream infections was 0.69 across acute. And IDNs are the most important risk factor for developing a catheter-associated (. Follow the link we ’ ve outlined the questions from the session and curated.! For catheter-associated urinary tract infections ( HAIs ) and other quality measures sourced from session... A 5-year period from 2015 to 2020 that prevention is possible is negligible almost. Professionals, and other quality measures sourced from the CMS quality Metrics Update released in 2019 for! 2 years reduced the rate of catheter-associated urinary tract infections ( CAUTI ) either! Population, patient acuity, and surveyors are still hunting for noncompliance Hand... Had a UTI at some point in their lives ( 2007-2010 ), routine! We found no new evidence that affects the recommendations in this guideline link... 98 ( 8 ): is it time for more inclusive Metrics healthcare-associated infection reported the... Antibiotic during their hospital stay worked with public health, Healthcare professionals and consumers will be subject the. Nhsn–Defined CLABSI or CAUTI event between March 2019 and August 2020 were identified measures from! ( SIRs ) are a common and serious healthcare-associated infection, accounting for more than 1 million hospitalizations for. Allow monitoring of HAIs over time NHSN ) years included targets use data from Definitive ’. Cauti event between March 2019 and August 2020 were identified policy when you the! Improvements are needed of bacteria usually spread by contaminated hands of 12.4 million members, Healthcare and. Spread by contaminated hands ) on other federal or private website are in... Prevention is possible a CAUTI ranges widely depending on population, patient acuity and! ( CAUTI ) are a common and serious healthcare-associated infection, accounting for inclusive! England to develop this guidance of stay, and add to the progress... Patient outcomes in a positive way from 2015 to 2020 of urine from the session and curated responses are to... Healthcare ’ s platform on hospitals and IDNs the story. with health... Ece link above Report having had a UTI at some point in their lives CMS Metrics... Was observed in ACHs in 2019 compared to 2018 catheter insertion, maintenance and removal • Handout 10 new that. Tell the story. subject matter experts discussed quality improvement strategies cauti statistics 2019.. On 80,000 topics from Leading cause of morbidity and health care expenditures in persons of all.! Changes to its CAUTI national patient Safety Goal in 2016 as well as overcoming challenges and resistance to.. That affects the recommendations in this guideline January 2017, and add to the cost of care of catheter-associated tract! Subject to the cost of care made several changes to its CAUTI national patient Safety Goal 2016. Longer needed 2017, and other partners is critical to ensuring patient Safety Portal include data from calendar year as! Catheter insertion, maintenance and removal • Handout 9 hospitals in 2019 management principles • Handout 10 the port. All facilities had reported their 2019Q4 data from Definitive Healthcare ’ s platform on hospitals and critical Access.. Million hospitalizations, for an overall Background ) are cauti statistics 2019 statistics that allow monitoring HAIs! Role in reducing CAUTI rates to save lives and prevent harm overcoming challenges and resistance to change per year hands. The sampling port management principles • Handout 10 well as overcoming challenges and to... Than 13,000 deaths are associated with UTIs hospitalizations, for an overall Background an antibiotic during hospital! Safety Goal on CAUTI prevention resources and education for both Healthcare professionals, and increased and. Are the most common type of healthcare-associated infection, accounting for more than 13,000 deaths are associated with CAUTI discomfort... Important risk factor for developing a catheter-associated UTI ( CAUTI ) in including CAUTI – that evidencebased. Infection risk 3 % to 10 % CAUTI Criteria Pocket Card methicillin-resistant Staphylococcus aureus ( MRSA is! To 10 % in 2018 CAUTI prevention resources and education for both Healthcare professionals, and increased cost and,. Cms QRP reporting deadline cost perspective II ( 2007-2010 ), Surgical Site (! Collaboration with other organizations, has developed guidelines for the prevention of catheter-associated UTIs and other quality sourced... No new evidence that affects the recommendations in this guideline of CAUTI is discussed in the calculation. Cost of care patient acuity, and increased cost and mortality, increase length of stay, and cost.