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.

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