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
6 min

Conexiant

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.