Meatal Care and CAUTI

Q: In the ICU, using antibacterial urethral lubricants at the meatal site prevents catheter-related urinary tract infections (CAUTIs).

A) True

B) False

Answer: B

Applying disinfectants or antibacterial urethral lubricants at the meatal site does not prevent CAUTI and may instead lead to the development of resistant bacteria at the meatus. Cleansing the peri-urethral area with soap and water during daily bathing is adequate to prevent CAUTI.

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References:

1. Koskeroglu N, Durmaz G, Bahar M, et al. The role of meatal disinfection in preventing catheter-related bacteriuria in an intensive care unit: a pilot study in Turkey. J Hosp Infect 2004; 56:236.

2. Willson M, Wilde M, Webb ML, et al. Nursing interventions to reduce the risk of catheter-associated urinary tract infection: part 2: staff education, monitoring, and care techniques. J Wound Ostomy Continence Nurs 2009; 36:137.

3. . Classen DC, Larsen RA, Burke JP, et al. Daily meatal care for prevention of catheter-associated bacteriuria: results using frequent applications of polyantibiotic cream. Infect Control Hosp Epidemiol 1991; 12:157.