Postoperative Urinary Tract Infection Quality Assessment and Improvement: The S.T.O.P. UTI Program and Its Impact on Hospitalwide CAUTI Rates

Epidural analgesia for hepatopancreatobiliary operations and postoperative urinary tract infections: an unrecognized association of “best-practices” and adverse outcomes

“…However, most patients still do not receive an epidural catheter, with a clear opportunity to implement evidence-based approaches for adequate pain control. Given the association of TEA and UTI, and the incremental risk observed in elderly male patients, efforts must focus on rigorous adherence to best-practice urinary catheter removal guidelines, 31 as a key process within the ERAS framework. Similarly, when considering pain control options for patients at increased risk of TEA-related adverse events (vulnerable elderly population, males), more novel strategies, such as TAP blocks with liposomal bupivacaine, can provide effective results, with lower morbidity and costsand should be studied and strongly considered as a first-line alternative, in the right context.…”

Postoperative Complications After Sling Operations for Incontinence: Is Race a Factor?

“…6,7 Urinary tract infections contribute to lower quality metrics on surgical outcome data at a hospital system level, thus research has been undertaken to examine risk factors and implement prophylactic measures to decrease the incidence of complications. 8,9 Racial and ethnic minority groups experience higher rates of illness and death compared with their White counterparts in the United States, 10 and there is substantial evidence that this trend also exists in surgical outcomes. Broad multispecialty cohort studies of patients undergoing surgery demonstrate increased morbidity, mortality, and readmissions in patients of Black race.…”

“…Urinary tract infections account for more than 8 million office visits per year, longer hospital stays for inpatients, and increased antibiotic use 6,7 . Urinary tract infections contribute to lower quality metrics on surgical outcome data at a hospital system level, thus research has been undertaken to examine risk factors and implement prophylactic measures to decrease the incidence of complications 8,9 …”

Strategies to prevent catheter-associated urinary tract infections in acute-care hospitals: 2022 Update

“…The educational sessions may outline the evidence behind guidelines and the goals of the program and may target specific aspects of CAUTI prevention. Provide education on the following topics: Appropriate catheter care 139–141,145,149–153 Appropriate indications for catheter insertion 138,139,143,147,151,154,155 Insertion technique 141,144,149,151–154 Urine-culture indications, guidance on collection, storage, and transport of urine cultures Hand hygiene education 149 , 151 , 152 Alternatives for indwelling catheters, including to patient and family 66,145,156,157 Management of urinary retention Patient transportation. 66 Provide educational materials as follows: Daily assessment of need for catheter 147,158,159 Decision-making algorithm for catheter indication and urine-culture ordering 139 Case-based education by the infection prevention or stewardship team 139,160 Unit-based educational materials 161 Online learning materials 61,145 Novel cognitive aids—screensaver, hospital leadership memorandum 29 Patient and family educational materials 145 Checklists for resident physicians 162 Simulation training on catheter insertion and maintenance. 61 …”

“…Provide educational materials as follows: Daily assessment of need for catheter 147 , 158 , 159 Decision-making algorithm for catheter indication and urine-culture ordering 139 Case-based education by the infection prevention or stewardship team 139 , 160 Unit-based educational materials 161 Online learning materials 61 , 145 Novel cognitive aids—screensaver, hospital leadership memorandum 29 Patient and family educational materials 145 Checklists for resident physicians 162 Simulation training on catheter insertion and maintenance. 61 …”