Question

Present a clinical issue: CAUTI Catheter-associated urinary tract infection

 1: purpose of study

 2: relevance

 3. the evidence identified

Answer 1

CAUTI
1, Purpose of the study
Catheter-associated Urinary Tract Infection(CAUTI) leads to increased hospital stay, high health care costs and increased patient mortality and morbidity. This study helps to take preventive measures and address the knowledge in the health care facilities for the needs of catheterization for the patients in case of longterm to short term duration.
2, Relevance:
The main risk factor for CAUTI is prolonged use of urinary catheter. catheters should be used only in case of emergency and it should be removed as soon as the patient stabilized. more than 5,50,000 suffereing with CAUTI each year. People in long term care facilities due to neurological disorder long term indwelling urinary catheter used. primary catheter problem caused by any blockage or infection and secondary catheter problem associated with pain. long use of a catheter can cause early signs of CAUTI.health care providers can identify the infection through any blockage and leakage in the catheter.
3, the evidence identified:
Risk factors identified through patients with different conditions like a post-surgery patient, incontinence patients, bladder obstruction patients, spinal cord injury patients, neurogenic bladder dysfunction children. studies included randomized controlled trials and observational studies. low-quality evidence in the female gender, older age, a bedridden and less aseptic technique followed and chronic illness, improper catheterization procedure. they had catheter blockage and fewer albumin levels and bacteriuria. high-quality evidence for prolonged catheter use and moderate-quality evidence for the female sex, poor aseptic technique followup, positive culture exposures. low-quality evidence suggests patients with old age, chronic illness, internal medical service are the risk factors for indwelling urinary catheter patients. studies found the highest risk for mortality in the older age groups. low-quality evidence suggests CAUTI risk for patient with a catheter.