Maintenance bundle for use in the Community 
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ARCHIVED CONTENT
The content of the care bundles featured here has been superseded by the targeted literature reviews undertaken by HPS in 2011/12.
Please refer to these literature reviews and summary of key recommendations.
NHS Boards are strongly encouraged to map the content of their bundles and tools against the recommendations presented within the links provided.
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Urinary Catheter Care Maintenance Bundle - Community Settings
The Catheter Associated Urinary Tract Infection (CAUTI) maintenance bundle for use in the Community is to optimise the care of patients who require urinary catheterisation - and to ensure that urinary catheters are changed and maintained appropriately. This bundle is different from the bundle used in acute settings where the emphasis is on removal of the urinary catheter when clinically indicated as opposed to ensuring urinary catheters are changed and maintained appropriately in the community setting.
CAUTI is the second leading cause of device-related bacteraemia. They increase the risk of UTI by:
- enabling organisms to gain entry to the bladder - via external surface or opened connection
- reducing the bodys defence of flushing out organisms during mictuition
- facilitating biofilm formation
The organisms causing CAUTI, can be endogenous - from the patient's own gut flora, or cross-transmitted through poor infection control practices.
Healthcare workers should always look for opportunities to reduce the use of invasive devices.
This bundle will be reviewed in November 2010.
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