The expert panel outlines surveillance, device management, and diagnostic stewardship strategies to address both catheter-associated and non–catheter-associated infections.
Hospital-onset urinary tract infections (HOUTIs) are prevalent in inpatient care and require targeted prevention strategies for both CAUTIs and non-CAUTIs.
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A multidisciplinary panel developed 37 consensus recommendations through a modified Delphi process to address gaps in prevention guidance for non-CAUTI HOUTIs.
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Strong consensus was reached on the importance of standardized surveillance definitions and monthly reporting of non-CAUTI infection rates for quality improvement.
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Recommendations included minimizing catheter use, employing bladder scanners, and adhering to strict hand hygiene and aseptic techniques during device insertion.
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The panel identified research gaps in hydration protocols, antimicrobial catheters, and diagnostic testing, emphasizing the need for standardized prevention strategies.
Protection against spread appeared strongest within 6 months of vaccination, while exposed vaccinated contacts showed no measurable reduction in infection risk.
