Catheter-associated urinary Tract infection (CAUTI)
is the Most-associated infection prevalent Healthcare
Worldwide (Tambyah and Oon, 2012th: 365). Within
NHS Scotland, urinary Tract infection (UTI) is
the Leading Cause of acute infection in Adult Health Care,
accounting for 22.6% of all Healthcare-associated infection.
(Health Protection Scotland (HPS), the 2012th). In addition,
approximately Half of all patients in Scotland Who were
diagnosed with a UTI had an indwelling urethral urinary
catheter (UUC) in the 7 days prior to the onset of infection
(HPS, in 2012). CAUTI Can have significant Consequences,
the Epic3 guidelines (Loveday et al, two thousand and fourteen) Point out that
4% of patients Who are diagnosed with CAUTI develop
Bacteraemia or sepsis, with mortality Rates ranging between
10% and 30%.
Diagnosis of CAUTI remains a considerable. Challenge
for clinical staff and is Far from Evidence-based (Scottish
Intercollegiate Guidelines Network (SIGN), 2 012). Despite
there being National Guidance in Scotland from SIGN (2,012)
and the Scottish Antimicrobial Prescribing Group (SAPG)
(2014) Concerning diagnosis of CAUTI in clinical Practice,
Classic Signs of UTI including Discoloured, Malodourous
urine are being used as a Predictor in the diagnosis. of
CAUTI, with dipstick urine of being a commonly used
Diagnostic Tool for CAUTI. In such Cases, catheter-associated
bacteriuria asymptomatic (CA-ASB), the Presence of bacteria
in the urine Signs and symptoms of CAUTI Without clinical,
is being Misdiagosed as CAUTI and inappropriately treated
with antimicrobials. Signs and symptoms of clinical CAUTI
include Fever, rigors, New onset or worsening confusion, flank
or pelvic discomfort and tenderness Costovertebral Angle
(Hooton et al, the 2,010th).
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