1. For each of the financial years 2015/16 to 2019/20:
a. How many of your patients had an indwelling urinary catheter (also called a Foley catheter)H placed or were admitted with a urinary catheter in situ?
b. How many patients with an indwelling urinary catheter got a Catheter Associated Urinary Tract Infection (CAUTI)?
c. How many cases were there of a primary CAUTI developing into a gram-negative bloodstream infection?
A. This information is not able to be easily extracted from the Patient Administration System and would take longer than 18 hours to compile. Urinary catheters are only coded when certain conditions apply and not all are coded on the system. To check how many patients received an indwelling urinary catheter or were admitted with a catheter in situ would require checking all patient records for each of those years. In this instance we rely on the exemption given under Section 12 of the Act as this would take longer than 18 hours to complete. Accordingly, we are unable to provide the information for this question.
2. Do you track where CAUTIs originate i.e. the hospital Trust or in the community?
A. This information is recorded for Gram negative CAUTIs
3. Does your Trust follow guidance or protocols for:
a. The recognition, diagnosis and treatment of a CAUTI? If so, please indicate what these are.
- Patients are given a catheter passport on insertion of a catheter providing education on catheter care and signs and symptoms of Infection. Staff complete a catheter care plan following HOUDINI guidelines.
b. Urinary Catheter selection, insertion and ongoing care? If so, please indicate what these are.
- We complete High Impact Interventions for catheter insertion and ongoing catheter care
c. What processes does the Trust have in place to ensure practical adherence to the guidelines in a) and b)? How does the Trust monitor these processes?
- The Trust divisions submit monthly High Intervention Audits for catheter insertion and ongoing catheter care, these are reported monthly on the DIPC report.
4. How many prescriptions of antimicrobials/antibiotics were dispensed in each of the financial years from 2015/16 to 2019/20 in relation to a CAUTI?
a. How many different antimicrobials/antibiotics were used?
b. Are these antimicrobials/antibiotics used to treat other infections?
- This information is not recorded in the Pharmacy administration system or the patient administration system. Accordingly, we are unable to provide the information for this question.
