Catheter-associated UTI (CAUTI) can lead to such complications as cystitis, pyelonephritis, gram-negative bacteriemia, prostatitis, epididymitis and orchitis in males and less, commonly, endocarditis, vertebral osteomyelitis, septic arthritis, endophthalmitis and neningitis in all patients. Complications associated with CAUTI cause discomfort to the patient, prolonged hospital stays by 1 to 3 days, and increased to overall patient cost , especially if bacteriemia occurs and also increased mortality. Each year, more than 13,000 deaths are associated with UTIs.40,41,42
Here are the facts:
More than 1 million cases of CAUTI occur each year in U.S. hospitals and nursing homes and CAUTIs account for up to 40% of HAIs. It is estimated that 25% of patient in the acute care settting will have an indwelling catheter at some point in their hospitalization, and 69% of patients in medical ICUs hospitalized in NNIS hospitals from 1992-1997 had urinary catheters.
Prevention of CAUTI is discussed in the CDC/HICPAC document, Guideline for prevention of Catheter-associaed Urinary Tract Infections.