Division of Infectious Diseases, Department of Internal Medicine, University of Michigan Medical School, F4141 South University Hospital, 1500 E. Medical Center Drive, Ann Arbor, MI 48109-5226, USA.
Infect Dis Clin North Am. 2021 Dec;35(4):857-870. doi: 10.1016/j.idc.2021.08.003.
Catheter-associated urinary tract infection (CAUTI) remains one of the most prevalent, but preventable, health care-associated infections and predominantly occurs in patients with indwelling urinary catheters. Duration of urinary catheterization is the most important modifiable risk factor for development of CAUTI. Alternatives to indwelling catheters should be considered in appropriate patients. If indwelling catheterization is necessary, proper aseptic practices for catheter insertion and maintenance and use of a closed catheter collection system are essential for preventing CAUTI. The use of intervention bundles and collaboratives helps in the effective implementation of CAUTI prevention measures.
导管相关性尿路感染(CAUTI)仍然是最常见但可预防的医疗保健相关感染之一,主要发生在留置导尿管的患者中。导尿管留置时间是 CAUTI 发展的最重要的可改变危险因素。应考虑在合适的患者中使用替代留置导尿管的方法。如果需要留置导尿管,则导管插入和维护的正确无菌操作以及使用密闭的导管收集系统对于预防 CAUTI 至关重要。使用干预包和协作有助于有效实施 CAUTI 预防措施。
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