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Catheter stop orders may be losing ground
A 20-year national survey reveals substantial gains in infection surveillance but inconsistent use of strategies to limit unnecessary urinary catheterization.
A repeated cross-sectional study of 1,461 US hospitals assessed reported CAUTI prevention practices across 6 national survey waves from 2005 to 2025.
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Regular use of catheter reminders or stop orders reached 49% in nonfederal hospitals and 32% in VA hospitals in 2025, below earlier peaks.
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In 2025, nurse-initiated catheter discontinuation was reported by 58% of nonfederal hospitals and 38% of VA hospitals.
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By 2025, established CAUTI surveillance systems were reported by 98% of nonfederal hospitals and 99% of VA hospitals.
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Because the study measured reported practices rather than infection rates or patient outcomes, it cannot establish the clinical effects of changing practices.