Q: What is ABCDE or bladder bundle
to decrease "Catheter Associated Urinary Tract Infections"
(CAUTI)?
Answer:
“Bladder Bundle”
is implemented by the Michigan Health and Hospital Association (MHA) Keystone
Center for Patient Safety & Quality, called “ABCDE”
approach
- Adherence to general infection control principles is important (e.g., hand hygiene, surveillance and feedback, aseptic insertion, proper maintenance, education).
- Bladder ultrasound may avoid indwelling catheterization.
- Condom catheters or other alternatives to an indwelling catheter such as intermittent catheterization should be considered in appropriate patients.
- Do not use the indwelling catheter unless you must!
- Early removal of the catheter using a reminder or nurse-initiated removal protocol appears warranted.
Reference:
Saint S, Olmsted RN, Fakih MG, et al. Translating health
care-associated urinary tract infection prevention research into practice via
the bladder bundle. Jt Comm J Qual Patient Saf. 2009;35(9):449–55
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