CAUTI Out of Nation (CAUTI0N) Strategy

Catheter-Associated Urinary Tract Infection (CAUTI) is an infection of the urinary tract system associated with a urinary catheter, which is a tube inserted into the bladder through the urethra to drain urine. It is estimated that approximately 12%-16% of adult patients have an indwelling urinary catheter during their hospital stay and the risk of acquiring infection among them rises by 5% each day when the catheter remains in place. Based on the literature, urinary tract infections (UTIs) are the most common type of healthcare-associated infection, and it is accounting for more than 30% in compared to the other healthcare associated infections. The increasing rate of CAUTI lead to significant negative impacts on healthcare facilities such as increased healthcare cost, prolonged length of stay (LOS), high morbidity and mortality rate. Consequently, it is essential to develop a well-constructed approach to prevent CAUTI among patients in the healthcare facilities.

Description of CAUTI Out of Nation (CAUTI0N)

CAUTI0N is a national strategy aims to eliminate CAUTI in all national healthcare facilities through comprehensive approach of intensive implementation of multiple evidence -based measures.

Vision

  • To eliminate CAUTI in all national healthcare facilities by the end of the year 2025.

Mission

  • To enhance knowledge and practice related to the updated evidence-based bundles of interventions for the prevention of catheter-associated urinary tract infection (CAUTI) among all healthcare professionals in all national healthcare facilities.

Aim

  • To reduce the current national CAUTI rate by 50% in all national healthcare facilities, starting from March 2023 to March 2025 (3 years period).

Strategic Goals

  • To improve awareness of leaders, administrators, and decision-makers about CAUTIoN strategy and its impacts on the LOS, lowering the cost, and reducing morbidity & mortality consequently.
  • To construct evidence based best practices for effective implementation of CAUTIoN in the national healthcare facilities.
  • To maintain effective chain of supplies in healthcare facilities for proper urinary catheter insertion and maintenance practices.
  • To promote the knowledge and practice related to updated evidence-based recommendations for the prevention of catheter-associated urinary tract infection (CAUTI) among all healthcare professionals in all healthcare facilities.
  • To enhance patient and family members awareness on the appropriate care and maintenance of the urinary catheter devices.
  • To monitor and evaluate CAUTI events, rates, and device utilization ratio in the national healthcare facilities.
  • To initiate CAUTIoN to CAUTI (C2C) as one year competition among national healthcare facilities with the final releasing & announcing of the winners.
  • To encourage engagement of multidisciplinary stakeholders in order to support effective CAUTIoN implementation.
  • To establish a channel of communication to facilitate dissemination of information about CAUTIoN and to share our strategic experience.
  • To monitor and evaluate CAUTIoN key performance indicators (KPIs), and accordingly to send the noted KPIs reports to all regions.

The Beginning of CAUTIoN

A meeting was initially performed in the mid of November at the General Directorate of Infection Prevention & Control (GDIPC) of Healthcare Facilities at Ministry of Health to elaborate the overall status of CAUTI obtained data. It concluded with recommendation of the importance of developing a well-constructed strategy to tackle the reported issue. On the 24th of December 2022, a workshop was held at GDIPC to introduced CAUTIoN strategy for the 1st time to the GDIPC team members' which involved eight components.

CAUTIoN Components

It included eight (8) units as the following:
    1. Leadership and Governance.
    2. CAUTI Surveillance and data management.
    3. CAUTI prevention best practices.
    4. Personnel and communication management.
    5. Education and training for staff, patients, and their families.
    6. Urinary catheter insertion and maintenance supplies.
    7. Performance Improvement by monitoring and evaluation.
    8. CAUTI0N to CAUTI (C2C) initiative.

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