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Keeping Patients Very Healthy
The foremost challenge regarding HAI Catheter Associated Urinary Tract Infections (CAUTI) is that they are fairly prevalent. In fact, CAUTI is the most commonly occurring HAI and is directly responsible for a third of HAIs among patients in hospital settings (Iowa Department of Public Health). The challenge, then, is in agreeing to the emphasis placed on CAUTI within the organization, and taking adequate risk management measures to prevent this condition from occurring.
Still, the very nature of this challenge presents opportunities for the aforementioned organization to engage in preventative action to preclude the occurrence of CAUTI as much as possible. Specifically, this organization should implement a number of strategies to help CAUTI from affecting patients in clinical environments. These strategies are readily stratified into two components: early prevention, necessary, and post procedure.
Early prevention strategies are centered on the notion that the organization should acknowledge the fact that almost anytime a patient has a catheter inserted in them, he or she is at risk for contracting CAUTI. Thus, this option should be used sparingly and only when completely necessary, ideally once other options have been exhausted. The necessary strategic component consists of reducing the risks with using the catheters. Thus, utmost care must be taken to ensure they are sterilized (North Carolina, 2018) and serviced only by licensed professionals. These workers must deploy the aseptic technique when using this equipment. Additionally, it is imperative to ensure the closed drainage system is maintained and that the urine flow is unobstructed.
The final strategic category, post-procedure, is also highly important. It involves removing the catheter as soon as possible to decrease the chance of infection, since “The most important risk factor for developing a catheter-associated UTI (CAUTI) is prolonged use of the urinary catheter” (CDC, 2015).
References
Centers for Disease Control and Prevention. (2015). Catheter-associated urinary tract infection. https://www.cdc.gov/ Retrieved from https://www.cdc.gov/hai/ca_uti/uti.html
Iowa Department of Public Health. (2018). CAUTI information. https://idph.iowa.gov/ Retrieved from https://idph.iowa.gov/hai-prevention/information/cauti
North Carolina Department of Health and Human Services. (2018). Catheter-associated urinary tract infection. https://epi.publichealth.nc.gov/ Retrieved from https://epi.publichealth.nc.gov/cd/diseases/cauti.html
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