CAUTI, SCHMAUTI !
here). This project uses the Comprehensive Unit-based Safety Program (CUSP) at 850 hospitals, and the report summarizes data from the first year of the project. The results were rather modest--from a baseline CAUTI rate of 2.55/1,000 catheter days there was a decrease to 2.14/1,000 catheter days. This represents a 16% relative reduction and translates to the avoidance of a whopping 0.41 infections per 1,000 catheter days. To provide some perspective, my 850-bed hospital has 49,000 catheter-days per year. An intervention of that magnitude would lead to a reduction of 20 infections yearly. Now 20 is better than nothing, but I would have to classify this as a high-burden, low-benefit intervention. And all of this begs the question: would it make more sense to take all the effort expended on CAUTI and re-direct it elsewhere (maybe hand hygiene)? Just sayin'....