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
Clinical Scorecard: Strategies for Preventing Catheter-Associated Urinary Tract Infections in Hospitals Across the United States
At a Glance
Category Detail
Condition Catheter-Associated Urinary Tract Infection (CAUTI)
Key Mechanisms Avoiding unwarranted indwelling urinary catheter placement, maintaining aseptic technique, prompt removal of catheters, and employing alternatives.
Target Population Patients in acute care hospitals, including VA hospitals.
Care Setting Acute 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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