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Cauti Reduction

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Review of Literature: Decreasing Catheter Associated Urinary Tract Infections

Urinary Tract Infections are one of the most common hospital-acquired infection and many are associated with an indwelling catheter. For each day a catheter is in place the risk of developing a CAUTI increases 3%-7% (Kahnen, Flanders, & Magalong, 2011 ). Although indwelling urinary catheters are widely used in hospitalized patients and can provide an appropriate means of therapeutic management, they are often used without clear indications putting the patient at a risk for complications during their hospitalization. Complications related to a urinary catheter include physical and psychological discomfort to the patient, bladder calculi, renal inflammation and most frequently CAUTI (Bernard, Hunter, & Moore, 2012, 32(1)). Not only does the urinary catheter cause complications to the patient and put them at a higher risk for morbidity and mortality they also increase the hospital costs. Therefore CAUTIs are considered by the Medicare and Medicaid Services to represent a reasonably preventable complication of hospitalization and as such will not provide any additional payment to hospitals for CAUTI treatment (American Association of Critical Care Nurses, 2012). A great amount of attention has been placed on improving quality of care and minimizing preventable harms that are occurring in the healthcare setting. With the passage of the Deficit Reduction Act of 2005 and the implementation of the Final Rule in October 2008 the CMS, Centers for Medicare and Medicaid Services, will no longer pay hospitals for the additional cost of care resulting from hospital-acquired conditions such as CAUTI (Palmer, Lee, & Wroe, 2013, 33(1)). Urinary tract infections can lead to bacteremia which can produce fever, chills, confusion, hypotension and leukocytosis, but more seriously

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