![]() The new UTI criteria, which took effect in January 2009, can be found in the NHSN Patient Safety Manual. The time period for follow-up surveillance after catheter removal also has been shortened from 7 days to 48 hours to align with other device-associated infections. Among the changes are removal of the asymptomatic bacteriuria (ASB) criterion and refinement of the criteria for defining symptomatic UTI (SUTI). NHSN has recently revised the UTI surveillance definition criteria. A suprapubic catheter is surgically inserted into the bladder through an incision above the pubis.Īlthough UTIs associated with alternative urinary drainage systems are considered device-associated, CAUTI rates reported to the National Healthcare Safety Network (NHSN) only refer to those associated with indwelling urinary catheters. ![]() The most commonly used external catheter is a soft flexible sheath that fits over the penis (“condom” catheter). An external catheter is a urine containment device that fits over or adheres to the genitalia and is attached to a urinary drainage bag. Intermittent (“in-and-out”) catheterization involves brief insertion of a catheter into the bladder through the urethra to drain urine at intervals. ![]() Alternative methods of urinary drainage may be employed in some patients. An indwelling urinary catheter is a drainage tube that is inserted into the urinary bladder through the urethra, is left in place, and is connected to a closed collection system.
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