What Nursing Interventions Reduce the Risk of Symptomatic Urinary Tract Infection in the Patient With an Indwelling Catheter?

QUESTION 1 What nursing strategies to reduce catheter-associated urinary tract infection (UTI) are promulgated in national guidelines on this topic? QUESTION 2 Do elements of catheter design (size and material of construction) reduce subsequent UTI risk? QUESTION 3 Does sterile technique during insertion prevent UTI? QUESTION 4 Does routine care of the urethral meatus reduce UTI risk? QUESTION 5 Does securing the catheter reduce UTI risk? QUESTION 6 Does the maintenance of a closed drainage system reduce the risk of UTI? QUESTION 7 Does irrigation of the catheter and/or bladder reduce UTI risk? QUESTION 8 Does the frequency of routine catheter changes influence UTI risk? QUESTION 9 Does placement of an antiseptic (antibacterial) solution in the drainage bag reduce UTI risk? QUESTION 10 Does separation of patients with catheter-associated UTI reduce the risk of UTI in other patients cared for in the same facility? QUESTION 11 Do staff education and quality improvement initiatives reduce the risk of catheter-associated UTI?