ブックタイトルカテーテル関連尿路感染の予防のためのCDCガイドライン 2009｜株式会社メディコン

概要

カテーテル関連尿路感染の予防のためのCDCガイドライン 2009｜株式会社メディコン

VI. Scope and PurposeThis guideline updates and expands the original CDC Guideline for Prevention of CAUTIpublished in 1981. The revised guideline addresses the prevention of CAUTI for patients in needof either short- or long-term (i.e., > 30 days) urinary catheterization in any type of healthcarefacility and evaluates evidence for alternative methods of urinary drainage, including intermittentcatheterization, external catheters, and suprapubic catheters. The guideline also includes specificrecommendations for implementation, performance measurement, and surveillance.Recommendations for further research are also provided to address the knowledge gaps inCAUTI prevention identified during the literature review.To evaluate the evidence on preventing CAUTI, we examined data addressing three key questionsand related subquestions:1. Who should receive urinary catheters?A. When is urinary catheterization necessary?B. What are the risk factors for CAUTI?C. What populations are at highest risk of mortality from catheters?2. For those who may require urinary catheters, what are the best practices?Specifically, what are the risks and benefits associated with:A. Different approaches to catheterization?B. Different catheters or collecting systems?C. Different catheter management techniques?D. Different systems interventions (i.e., quality improvement programs)?3. What are the best practices for preventing UTI associated with obstructed urinarycatheters?This document is intended for use by infection prevention staff, healthcare epidemiologists,healthcare administrators, nurses, other healthcare providers, and persons responsible fordeveloping, implementing, and evaluating infection prevention and control programs forhealthcare settings across the continuum of care. The guideline can also be used as a resourcefor societies or organizations that wish to develop more detailed implementation guidance forprevention of CAUTI.原文74 < 原文 > VI. Scope and Purpose