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New 2009 CDC Guidelines for the Prevention of Catheter-Associated Urinary Tract Infections Include Bladder Volume Ultrasound
Date:12/16/2009

urate and reliable bladder volume measurements. The measurements are noninvasive, and the devices are portable and easy for staff to use.

The new CDC guidelines include the following information for portable ultrasound:

  1. Consider using a portable ultrasound device to assess urine volume in patients undergoing intermittent catheterization to assess urine volume and reduce necessary catheter insertions. (II-H)
  2. If ultrasound bladder scanners are used, ensure that indications for use are clearly stated, nursing staff are trained in their use, and equipment is adequately cleaned and disinfected in between patients. (II-H-1)
  3. Implement quality improvement (QI) programs or strategies to enhance appropriate use of indwelling catheters and to reduce the risk of CAUTI based on a facility risk assessment. (IV-A)

The purposes of the QI programs should be: 1) to assure appropriate utilization of catheters 2) to identify and remove catheters that are no longer needed (e.g. daily review of their continued need) and 3) to ensure adherence to hand hygiene and proper care of catheters. (IV-A)

Examples of programs that have been demonstrated to be effective include:

Protocols for management of postoperative urinary retention, such as nurse-directed use of intermittent catheterization and use of bladder ultrasound scanners. (IV-A-b)

Infection control and prevention is an increasing concern in healthcare settings -- and UTIs are the most common hospital-acquired infection.(2, 3) According to a study in the American Journal of Medicine, the annual cost of UTIs in hospitals may be as much as $451 million.(4)

In 2002, the CDC estimated that UTIs accounted for 36% of all nosocomial infections. That year, more than 13,000 deaths were attributed to hospital-acquired UTIs.(5) Up to 25% of hospitalized patients have a urinary catheter placed during
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SOURCE Verathon Inc.
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