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CAUTI Prevention — FRCA Final MCQ

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EasyAnaesthetic Equipment & SafetyCAUTI PreventionFRCA Final

A 45-year-old woman (ASA II) is undergoing elective hysterectomy. The surgical team requests that the anaesthetist inserts a urinary catheter. Current evidence shows catheter-associated urinary tract infection (CAUTI) is the most common healthcare-associated infection. According to NICE CG139, what is the most effective measure to reduce CAUTI?

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Correct answer: AProphylactic antibiotics at insertion

NICE CG139 and the EPIC3 guidelines identify early removal of urinary catheters as the single most effective intervention to reduce CAUTI. Each additional day of catheterisation increases the infection risk by 3-7%. A daily review of catheter necessity should be performed. Other preventive measures include: aseptic insertion technique, closed drainage system, adequate hydration, and catheter care. There is insufficient evidence to recommend antimicrobial-coated catheters for routine short-term use.

Reference: NICE – 2017 – CG139 Healthcare-associated infections; EPIC3 – 2014 – National evidence-based guidelines