Urinary tract infections (UTI) are the most common infections acquired in hospitals and long-term care facilities (LTCF). Studies estimate the incidence of healthcare associated UTIs at around 1-3 patients per 100 admissions.
A number of risk factors for healthcare associated UTI have been suggested, and it is now well established that the major predisposing factor for healthcare associated UTI is the presence of an indwelling urethral catheter.
At local, national and international level consideration is being given to the monitoring of emerging resistant organisms because of the serious implications this has for healthcare.
The revised framework for National Surveillance of Healthcare Associated Infection in Scotland: HDL (2006) 388 stated that "in addition to the mandatory requirements for surveillance, all infection control teams should also target local HAI surveillance to locally identified priority areas. Whenever possible, surveillance should be carried out using Scottish Surveillance of Healthcare Associated Infection Programme (SSHAIP) surveillance protocols. NHS Boards were encouraged to implement as many of the ‘voluntary’ list of surveillance topics as possible, and a minimum of two in addition to the compulsory elements".
As CAUTI surveillance is one of the voluntary surveillance topics, NHS Boards are encouraged to participate in this surveillance programme.
This protocol has been revised to make CAUTI surveillance less labour intensive.
For Protocol for Care of the Elderly wards see 'Urinary Tract Infection Surveillance for Use in Health and Social Care Facilities'.