Framework Targets Hospital-Onset UTIs
The expert panel outlines surveillance, device management, and diagnostic stewardship strategies to address both catheter-associated and non–catheter-associated infections.
By
Kathryn Wighton
March 6, 2026
Clinical Scorecard: Framework Targets Hospital-Onset UTIs
At a Glance
Category Detail
Condition Hospital-onset urinary tract infections (HOUTIs) Key Mechanisms Focus on prevention strategies for both catheter-associated and non-catheter-associated infections. Target Population Adult hospitalized patients Care Setting Inpatient care settings
Key Highlights
Non-CAUTI HOUTIs are more frequent and associated with higher rates of secondary infections compared to CAUTIs. Strong consensus on 37 prevention statements across eight domains. Monthly reporting of non-CAUTI infection rates recommended for internal quality improvement. Guideline-Based Recommendations
Diagnosis
Define and track infection rates for both CAUTI and non-CAUTI HOUTIs using standardized surveillance definitions. Management
Use least invasive devices for bladder management and transition to less invasive approaches as clinically appropriate. Implement nurse-driven catheter management protocols. Monitoring & Follow-up
Daily reassessment of bladder management strategies to determine necessity of catheter use. Monitor outcomes related to urinary device use, including length of stay and antimicrobial exposure. Risks
Infection risk associated with unnecessary catheterization and improper urine culture practices. Patient & Prescribing Data
Adult hospitalized patients at risk for urinary tract infections.
Emphasize urine culture stewardship and appropriate indications for urine testing.
Clinical Best Practices
Strict hand hygiene adherence and aseptic technique during urinary device insertion. Use sealed, pre-connected closed catheter systems to maintain sterile drainage. References
