2113. Process Change Implementation to Decrease Catheter-Associated Urinary Tract Infections

Background More than 50% of catheter-associated urinary tract infections (CAUTI) occur within 5 days of urinary catheter (UC) insertion suggesting poor insertion technique. Breaks in sterile technique and inappropriate UC kit use were observed resulting in increased insertion-associated CAUTI (iCAUTI, CAUTI occurring ≤5 days post-UC insertion). Specific challenges with UC insertion were identified in the emergency department (ED, high patient flow) and critical care units (CCU, high acuity). The objective of the study was to change the UC insertion process in the ED and CCU to reduce iCAUTI.