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SHEAUTI09232
Disclaimer
is resource is for informational purposes only, intended as a quick-reference tool based on the cited
source guideline(s), and should not be used as a substitute for the independent professional judgment
of healthcare providers. Practice guidelines are unable to account for every individual variation
among patients or take the place of clinician judgment, and the ultimate decision concerning the
propriety of any course of conduct must be made by healthcare providers aer consideration of
each individual patient situation. Guideline Central does not endorse any specific guideline(s) or
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Abbreviations
CAUTI, catheter-associated urinary tract infections; CDC, U.S. Centers for Disease Control
and Prevention; EMR, electronic medical record; EUC, external urinary catheter; HCP,
health care personnel; NHSN, National Healthcare Safety Network; US, United States;
UTI, urinary tract infection; WHO, World Health Organization
Source
Patel PK, Advani SD, Kofman AD, Lo E, Maragakis LL, Pegues DA, Pettis AM, Saint
S, Trautner B, Yokoe DS, Meddings J. Strategies to prevent catheter-associated urinary
tract infections in acute-care hospitals: 2022 update. Infect Control Hosp Epidemiol.
2023;44(8):1209–1231. doi:10.1017/ice.2023.137.
Quality of Evidence
a
Category Definition
H =
High
Highly confident that the true effect lies close to that of the estimated size and
direction of the effect, for example, when there are a wide range of studies with
no major limitations, there is little variation between studies, and the summary
estimate has a narrow confidence interval.
M =
Moderate
e true effect is likely to be close to the estimated size and direction of the
effect, but there is a possibility that it is substantially different, for example,
when there are only a few studies and some have limitations but not major
flaws, there is some variation between studies, or the confidence interval of the
summary estimate is wide.
L = Low e true effect may be substantially different from the estimated size and
direction of the effect, for example, when supporting studies have major flaws,
there is important variation between studies, the confidence interval of the
summary estimate is very wide, or there are no rigorous studies.
a
Based on the CDC Healthcare Infection Control Practices Advisory Committee (HICPAC)
"Update to the Centers for Disease Control and Prevention and the Healthcare Infection Control
Practices Advisory Committee Recommendations Categorization Scheme for Infection Control
and Prevention Guideline Recommendations" (October 2019), the Grades of Recommendation,
Assessment, Development, and Evaluation (GRADE), and the Canadian Task Force on Preventive
Health Care.