Reduction of Catheter Associated Urinary Tract Infection Through Implementation of an Evidence-Based Catheter Care Bundle: A Quality Improvement Project

Background: Catheter-Associated Urinary Tract Infection (CAUTI) is one of the most common healthcare-associated infections and is associated with increased morbidity, prolonged hospital stay, and increased healthcare costs. Prevention of CAUTI requires strict adherence to evidence-based catheter care practices. Objective: To reduce the CAUTI rate through implementation of a standardized catheter care bundle in a tertiary care hospital. Methods: This quality improvement (QI) project was conducted from January 2022 to December 2025. Evidence-based interventions were implemented, including stringent perineal care with 0.9% normal saline, aseptic catheter insertion, maintenance of a closed drainage system, minimal manipulation of Foley’s catheter, use of catheter securement devices, daily assessment of catheter necessity, staff education, and continuous Infection Prevention and Control (IPC) surveillance. CAUTI rates were calculated per 1000 catheter days. Results: A progressive reduction in CAUTI rate was observed during the study period. The CAUTI rate decreased from 1.06 per 1000 catheter days in 2022 to 0.74 in 2023, 0.72 in 2024, and 0.54 in 2025. The interventions contributed to improved compliance with catheter care practices and reduction in catheter-related infections. Conclusion: Implementation of a standardized catheter care bundle, along with continuous surveillance and staff education, was effective in reducing CAUTI rates. Sustained adherence to infection prevention practices is essential for improving patient safety and reducing healthcare-associated infections.