Skip to main content Accessibility help

A Multimodal Intervention to Reduce Urinary Catheter Use and Associated Infection at a Veterans Affairs Medical Center

  • Brady L. Miller (a1) (a2), Sarah L. Krein (a1) (a2) (a3), Karen E. Fowler (a2) (a3), Karen Belanger (a2) (a3), Debbie Zawol (a1) (a3), Crystal Bye (a3), Mary Ann Rickelmann (a3), JoEllyn Smith (a2) (a3), Carol Chenoweth (a1) and Sanjay Saint (a1) (a2) (a3)...


We assessed the impact of a quality improvement intervention to reduce urinary catheter use and associated urinary tract infections (UTIs) at a single hospital. After implementation, UTIs were reduced by 39% (P = .04). Additionally, we observed a slight decrease in catheter use and the number of catheters without an appropriate indication.


Corresponding author

Veterans Affairs Ann Arbor Health Care System, Health Services Research and Development, Center for Clinical Management Research (152), 2215 Fuller Road, Ann Arbor, MI 48105 (


Hide All
1.Klevens, RM, Edwards, JR, Richards, CL Jret al.Estimating health care–associated infections and deaths in U.S. hospitals, 2002. Public Health Rep 2007;122:160166.
2.Meddings, J, Rogers, MA, Macy, M, Saint, S. Systematic review and meta-analysis: reminder systems to reduce catheter-associated urinary tract infections and urinary catheter use in hospitalized patients. Clin Infect Dis 2010;51:550560.
3.Gould, CV, Umscheid, CA, Agarwal, RK, Kuntz, G, Pegues, DA; Healthcare Infection Control Practices Advisory Committee. Guideline for prevention of catheter-associated urinary tract infections 2009. Infect Control Hosp Epidemiol 2010;31:319326.
4.Saint, S, Krein, SL, Manojlovich, M, Kowalski, CP, Zawol, D, Shojania, KG. Introducing the patient safety professional: why, what, who, how, and where? J Patient Saf 2011;7:175180.
5. Centers for Disease Control and Prevention. Catheter-Associated Urinary Tract Infection (CAUTI) Event, Published 2012. Accessed lune 28, 2012.
6.Saint, S, Chenoweth, CE. Biofilms and catheter-associated urinary tract infections. Infect Dis Clin North Am 2003;17:411432.
7.Edwards, JR, Peterson, KD, Andrus, ML, Dudeck, MA, Pollock, DA, Horan, TC. National Healthcare Safety Network (NHSN) report, data summary for 2006 through 2007, issued November 2008. Am J Infect Control 2008;36:609626.
8.Fakih, MG, Greene, MT, Kennedy, EH, et al.Introducing a population-based outcome measure to evaluate the effect of interventions to reduce catheter-associated urinary tract infection. Am J Infect Control 2012;40:359364.
9.Crouzet, J, Bertrand, X, Venier, AG, Badoz, M, Husson, C, Talon, D. Control of the duration of urinary catheterization: impact on catheter-associated urinary tract infection. J Hosp Infect 2007;67:253257.
10.Alho, JM. On prevalence, incidence, and duration in general stable populations. Biometrics 1992;48:587592.


Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed