Catheter Associated Urinary Tract Infection, A Different Perspective With A Focus on Long Term Urinary Catheterisations

Ms. Fiona Hamilton1

1Illawarra Shoalhaven Local Health District, Wollongong, Australia


Introduction: The regular change of urinary catheters in long-term clients in the community is core business for Ambulatory Primary Health Care (APHC) nurses. A gap in the knowledge regarding catheter associated urinary tract infections (CAUTI) was identified by a qualitative survey and an education presentation was formulated and presented.

Method: Firstly, qualitative surveys were conducted to analyse any gaps in CAUTI knowledge within the nurse cohort.

A review of relevant literature in relation to CAUTI prevention with a focus on long-term catheterisations was completed. A power point presentation was developed specifically for APHC nurses, with the aim of the presentation to define catheter- associated asymptomatic urinary bacteriuria (CA-ASB) and CAUTI, to discuss complications and explore the misdiagnosis/diagnosis of CAUTI, in addition prevention of CAUTI and finally a focus on antibiotic resistance.

Following the presentation of the education package staff were asked a series of further qualitative questions regarding their knowledge base and possible changes to their clinical practice. A pocket-sized card detailing the multiple bundle principles was provided to staff.

Results: A knowledge gap was identified in APHC staff in regards to CAUTI. Following the presentation, staff reported a higher level of understanding in the complexities of CAUTI in the long-term patient.

Conclusion: There is a dearth of quality evidence regarding CAUTI in long-term catheterisations. Understanding of CAUTI and the prevention in the community setting can be increased by the provision of education. A quantitative assessment regarding compliance of the bundle principles will be implemented within three months.


Fiona is currently working as a Clinical Nurse Specialist in Primary Health Care in the community. Roles include LINK nurse, Hand Hygiene auditor, chairperson of the Ambulatory Primary Health Care Standard 3 committee and regular secondments as Clinical Nurse Consultant within the Illawarra Shoalhaven Local Health District (ISLHD). Currently completing a Graduate Certificate of Infection Control Nursing at Adelaide University.

About the College

The ACIPC is the peak body for Infection Prevention and Control professionals in the Australasian region. Our stated vision is the prevention and control of infection in our communities. We commenced in January 2012 bringing together the various State and Territory infection control associations formerly in AICA (The Australian Infection Control Association) to support and encourage collaboration across Australasia.

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