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CAUTI is an evident problem in healthcare, mostly it is preventable and costly. Medicare has stated it will not reimburse for healthcare acquired infections, which is costly to the institution. The fact that this is a preventable infection has hospitals worldwide seeking out solutions to virtually eliminate CAUTI’s. There are many options for prevention of CAUTI, but few have proven effective in the complete elimination of CAUTI’s. Worldwide there are a variety of procedures for insertion of a urinary catheter, there are a variety of insertion techniques and preparation and maintenance options used as well. Preparatory processes include, preparation of the meatus with normal saline, iodinated agents, or aseptic solutions. The insertion technique is a sterile procedure. There are several studies evaluating the effectiveness of additional steps added to procedures including bladder washout,
with solutions of normal saline or antibiotic solutions. Studies continue to develop to evaluate effectiveness of procedure and the education of clinicians inserting the catheters. As the studies conclude, more studies emerge to continue to improve upon results and to discover the best methods of prevention of CAUTI in hospitals. PICO TABLEExample:P (patient/problem)Urinary catheter associated urinary tract infection (CAUTI)I (intervention/indicator)Antiseptic, sterile catheter insertionEducation, impregnated tubing, antibiotic bladder washoutprocessC (comparison)Non-sterile, clean technique or break in the sterile process O (outcome)Reduction in rates of infection (CAUTI)PICO Question: What are best practices to reduce or prevent CAUTI occurrence in an in-patient hospital setting?The search strategy was diverse, utilizing the WGU library the following terms were searched. Clicking the boxes Full Text, Peer Reviewed, and Clinical trials, search terms of CAUTI prevention, with a publication date range of 2013 to 2018 had 11,673 article results. Further terms were added using Boolean operators, of AND also NOT. The terms added were AND in hospital, acute inpatient and utilizing NOT nursing homes and skilled nursing facilities were excluded, this produced 1,215 results. There were many from around the world, Korea, Turkey,
Mongolia, Spain, China, India and NICHE hospitals were among the CAUTI prevention articles that resulted. Search criteria of CAUTI prevention, in hospitals, in USA and not nursing homes resulted 4,111 articles on the topic. The article topics included CAUTI prevention assessments, educational interventions, review and comparison of costs associated with CAUTI, effect of nonpayment on hospitals. In addition to specific results there were also more generalized articles in the resultingsearch as well, including hospital acquired infections (HAI) and hand hygiene studies. It produced a wide variety of results, this allows for a more open exploration of the options and studies previously done to build on the EBP desired for study or application. Many of the