What is the evidence for interventions to prevent catheter associated urinary tract infections?

Bottom line:  Best available evidence suggests that tap water can be used to effectively clean genitalia; daily cleaning of the meatal area and early removal of catheters are associated with reduction in CAUTIs.  Some evidence suggests silver-impregnated catheters associated with decreased incidence of bacteriuria.  Evidence does not support use of sealed drainage systems (as a single strategy), adding antibacterial solutions to drainage bags, or routinely changing drainage bags (as opposed to changing only when clinically necessary.)

SummaryUrethral Catheter (Indwelling Short-Term): Urinary Tract Infection Prevention.  Jahan, Nasreen.  Joanna Briggs Evidence Summaries.  AN: JBI594.  2013.

Moola S, Konno R.  A systematic review of the management of shot-term indwelling urethral catheters to prevent urinary tract infections.  JBI Library of Systematic Reviews.  2010;8(17): 695-729.

Review of studies retrieved from Medline and CINAHL and that included adult patients using urinary catheters 1 to 14 days.  Methodologies included first RCTs.  If no RCTs available, then non-randomized studies and before and after studies were included.  Results section describes findings for various types of intervention strategies.

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