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Urinary tract infection (UTI) is an important cause of morbidity and mortality in the healthcare setting, accounting for 19% of all nosocomial infections (Loveday et al, 2014).
It is estimated that 43–56% of these are catheter-associated urinary tract infections (CAUTI) (Loveday et al, 2014).
If inadequately treated, CAUTI may progress to bacteraemia and consequent urosepsis syndrome, multiplying the risk of mortality and extending hospital stay (Centers for Disease Control and Prevention, 2009).
Indwelling urinary catheters are still one of the most commonly used invasive devices in health care, with recognised significant risk factors, including catheter-associated urinary tract infection (CaUTI) and sepsis. Timely and successful removal of the catheter often falls to the responsibility of community nurses. There has been much debate about the optimum timing and circumstances for a successful trial without catheter (TWOC). This article looks at best practice guidelines and relevant clinical evidence to support healthcare professionals in making choices around TWOC procedures.
Urinary tract infections are the second most common infection after chest infections. Here, The Urology Foundation highlights how they champion the nurses working in urology who go above and beyond to improve their patients’ treatment and care, and how one nurse transformed practice in the field of urinary catheters.
