[Skip to Content]
[Skip to Content Landing]
Views 1,383
Citations 0
Research Letter
April 22, 2020

Incidence of Catheter-Associated Urinary Tract Infections With Compliance With Preventive Guidelines

Author Affiliations
  • 1Baylor College of Medicine, Surgery, Houston, Texas
  • 2Michael E. DeBakey, Veterans Affairs Medical Center, Surgery, Houston, Texas
JAMA Surg. 2020;155(7):661-662. doi:10.1001/jamasurg.2020.0428

The term never event, first introduced in 2001 by Ken Kizer and the National Quality Forum, has been adopted by the US Center for Medicare and Medicaid Services (CMS) to describe preventable hospital-acquired conditions, such as catheter-associated urinary tract infections (CAUTI).1 Between 60% and 75% of CAUTIs are avoidable when appropriate preventive strategies are used.2,3 Guidelines were introduced in 2005 through the Surgical Care Improvement Project by the US Centers for Disease Control and Prevention in attempt to prevent CAUTIs. In 2008, CMS stopped reimbursing hospitals for treatment of CAUTI as part of what it now known as the Hospital-Acquired Condition Reduction Program, with the goal of making CAUTIs a never event.1 However, despite these guidelines and payment penalties, CAUTIs continue to occur and cause significant morbidity for patients. We describe the incidence of CAUTI in a large academic medical center and show that even with prevention guideline adherence, CAUTI cannot truly be a never event.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words