Reducing catheter-associated urinary tract infections using a multimodal approach — the NSQIP experience of Oakville Trafalgar Memorial Hospital

Reducing catheter-associated urinary tract infections using a multimodal approach — the NSQIP experience of Oakville Trafalgar Memorial Hospital

Can J Surg 2018;61(4):E7-E9 | PDF | Appendix

Duncan Rozario, MD

Summary

Catheter-associated urinary tract infections (CAUTI) cause significant morbidity and mortality in the surgical population as well as significant costs to health care. It can be surprisingly difficult to address this common complication without a multifaceted, multimodal team-based approach to the problem. We used our National Surgical Quality Improvement Program (NSQIP) data on the incidence of CAUTI in our “procedure targeted” and “essentials” general surgery and orthopedic surgery cases before and after the implementation of our reduction strategy and found a significant improvement. This article discusses our multimodal approach to CAUTI.


Accepted for publication May 31, 2018

Acknowledgements: The author thanks Dr. Richard Casey of the Division of Urology for his time and insights; Carmen Caloian, the surgical clinical reviewer who powers the NSQIP program; and Neeta Bahia, professional practice clinician in the operating room, for her tireless efforts in education. The author also thanks Julie McBrien, program director of surgery at Halton Healthcare Services, and the program delivery team at Health Quality Ontario.

Affiliation: From the Oakville Trafalgar Memorial Hospital, Oakville, Ont.

Competing interests: None declared.

DOI: 10.1503/cjs.017217

Correspondence to: D. Rozario, Oakville Trafalgar Memorial Hospital, 3001 Hospital Gate, Oakville ON L6M 0L8, drozario@haltonhealthcare.com