Transcript QUESTIONS AND ANSWERS

QUESTIONS
AND
ANSWERS
A patient is admitted to the
surveillance specialty with a
catheter in situ
Are they included in CAUTI
surveillance?
NO
With the exception of patients
who have a catheter inserted in
A&E or theatre prior to being
admitted to the specialty
A patient is undergoing
treatment for a UTI
and has a urinary catheter
inserted
Are they included in the CAUTI
surveillance?
NO
Patients are excluded from CAUTI
surveillance if they are
undergoing treatment for a UTI at
the time the catheter is inserted
A patient had a catheter removed
and 2 days later they develop
signs and symptoms for UTI
Do they have a CAUTI?
YES
A UTI is considered to be
catheter associated if the
patient had a catheter removed
within the three
days prior to the onset of the UTI
A patient is observed in
surgical ICU or HDU
following surgery and prior
to admission to a surgical
ward
Are they included in CAUTI
surveillance?
If the ICU/HDUs are considered
part of the chosen specialty and
the patient population has been
defined to include these wards
when surveillance starts
A patient has a catheter
inserted in theatre before
transfer to the surveillance
specialty
Are they included in the
CAUTI surveillance?
YES
Patients who have a catheter
inserted in A&E or theatre prior to
being admitted to the specialty are
included
Patient has a catheter inserted
on day 2, the catheter is
removed on day 5 and the
patient is discharged on day 6
What is the reason for ending
surveillance?
Discharged
Surveillance ends:
•When a CAUTI is diagnosed
•The catheter is removed & 3 day follow-up
•The patient is discharged, transferred or died
or
•The 30 day surveillance period ends
Whichever is first
A patient has a catheter inserted.
5 days later the catheter is removed
and immediately replaced
Is this considered to be a “new” or
“continuous” catheterisation?
Continuous catheterisation
Any catheter replaced within 24 hours of
removal of the previous catheter is
a continuous catheterisation
If the interval between catheter removal
and catheter replacement is more than 24
hours, a new period of catheterisation
should be started
Following catheter removal,
for how many days should
the patient be followed up?
3 days
Unless they are discharged,
transferred or die, develop a
CAUTI or the 30 day surveillance
period ends before the end of
the 3 day follow up period
What date should be recorded
as the “Date of CAUTI
onset”?
The day the first positive
urine specimen is taken
OR
The day the physician diagnoses
the CAUTI and institutes antibiotics
A patient is admitted under
“Geriatric Medicine”, however due
to bed space they are nursed on
the chosen specialty, e.g.
“General Medical”
Are they included in surveillance?
NO
Patients not admitted to the
chosen specialty but nursed
in a ward designated to the chosen specialty
are not included in CAUTI surveillance
If in doubt, refer to the Consultants specialty
e.g. Geriatrician or Medic
A patient admitted to the chosen
specialty e.g. General Medical is
nursed on a ward
not allocated to that specialty
e.g. Geriatric Medicine.
Are they included in
surveillance?
NO
Patients are excluded if they
are nursed on wards not
allocated to that specialty
A patient is admitted to the
surveillance specialty and has a catheter
inserted on admission (Day 1).The
following day (Day 2) this patient presents
with a fever, loin tenderness and the
physician diagnoses a UTI and
prescribes antibiotics
Does the patient meet the criteria for a
CAUTI?
NO
The first positive urine specimen must be
taken or physician diagnosis of UTI
must be more than 48 hours after
the catheter was inserted
A patient admitted to the chosen
specialty e.g. Geriatric Medicine,
due to bed space they are
transferred to General Medical
for 6 hours. They are then
transferred back to Geriatric
Medicine
When does surveillance end?
Surveillance ends when the
patient is transferred to the
General Medical ward.
On return to the Geriatric
Medical ward the patient is
excluded from surveillance as
there is a catheter in situ on
admission.
A patient has a catheter
inserted, it is removed 4
hours later
Are they included in CAUTI
surveillance?
NO
Patients are excluded if the
indwelling catheter is in situ
for less than 6 hours
A patient has intermittent
catheterisation
Are they included in
surveillance?
NO
Patients are excluded if the
catheter is intermittent
A patient is transferred to the
surveillance specialty where a catheter is
inserted.
Transfer notes state that the patient had
a catheter in situ previously and it was
removed 5 days prior to transfer.
Does the patient meet the criteria for a
“Previous Period of Catheterisation”
YES
A patient who has has a previous
catheter removed more than 24 hours
but less than 7 days before the insertion
of the present catheter meets the criteria
for “Previous Period of Catheterisation”
A patient is admitted under
“Geriatric Medicine”, however due
to bed space they are nursed on
the chosen specialty, e.g.
“General Medical”
Are they included in the
Admission Data?
NO
Patients who are not from the
chosen specialty but are nursed
in a ward designated to the chosen
specialty are not included in the
Admission Data