Catheter-Associated Urinary Tract Infection Prevention Practices in US Hospitals - Scorecard - MDSpire
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Strategies for Preventing Catheter-Associated Urinary Tract Infections in Hospitals Across the United States

  • By

  • Sanjay Saint

  • M. Todd Greene

  • Sarah L. Krein

  • Kristin Chrouser

  • Karen E. Fowler

  • David Ratz

  • Jennifer Meddings

  • October 6, 2026

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Clinical Scorecard: Strategies for Preventing Catheter-Associated Urinary Tract Infections in Hospitals Across the United States

At a Glance

CategoryDetail
ConditionCatheter-Associated Urinary Tract Infection (CAUTI)
Key MechanismsAvoiding unwarranted indwelling urinary catheter placement, maintaining aseptic technique, prompt removal of catheters, and employing alternatives.
Target PopulationPatients in acute care hospitals, including VA hospitals.
Care SettingAcute care hospitals

Key Highlights

  • CAUTI is a frequent and costly health care-associated infection.
  • Multimodal interventions can lower CAUTI rates by at least 25%.
  • Evidence-based approaches are endorsed by professional societies and governmental agencies.
  • VA hospitals may have different incentives and structures affecting CAUTI prevention practices.
  • Surveys conducted every four years since 2005 assess CAUTI prevention strategies.

Guideline-Based Recommendations

Diagnosis

    Management

    • Avoid unnecessary indwelling urinary catheter placement.
    • Maintain aseptic technique during catheter insertion and care.
    • Remove catheters promptly.

    Monitoring & Follow-up

      Risks

      • CAUTIs can lead to significant morbidity and increased healthcare costs.

      Patient & Prescribing Data

      Individuals in acute care settings, including veterans.

      Use of urinary catheter reminder systems and limiting catheter use to appropriate clinical indications.

      Clinical Best Practices

      • Implement multimodal interventions to reduce CAUTI rates.
      • Regularly assess and update CAUTI prevention practices based on current guidelines.

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