Skip to main content

Table 3 Probable definition of catheter-related infections [31]

From: De-implementation strategy to Reduce the Inappropriate use of urinary and intravenous CATheters: study protocol for the RICAT-study

Catheter-related infection Definition
Probable laboratory-confirmed bloodstream infection (LCBI) Patient has at least one of the following signs or symptoms: fever >38.0 °C, chills, or hypotension AND organism(s) identified from (peripheral) blood or catheter segment is not related to an infection at another site AND defervescence within 48 h of catheter removal or initiation of appropriate antibiotic therapy
Probable central line-associated BSI (CLABSI) A probable LCBI where the central line was in place for >2 calendar days on the date of event, with day of device placement being Day 1, AND the central line was also in place on the date of event or the day before
Phlebitis Local pain, warmth, tenderness, erythema, and a palpable cord along the vein OR by positive sonographic examination in conjunction with erythema and edema of the extremity
Probable urinary tract infection (UTI) Patient has at least two of the following signs or symptoms: fever >38.0 °C, suprapubic tenderness, costovertebral angle pain or tenderness, urinary urgency, urinary frequency, dysuriaa AND positive nitrite or leukocyte esterase dipstick test OR pyuria (>10 leukocytes/mm3) OR organism(s) seen in gram straining in not centrifuged urine OR two sequential urine culture (≥102 CFU/ml) with the same uropathogens (gram negative bacteria or S. saprophyticus) OR urine culture with one species of organism identified (≤105 CFU/ml) in a patient treated with appropriate antibiotic therapy OR the diagnose ‘urinary tract infection’ by doctor OR doctor starts appropriate antibiotic therapy
Probable catheter-associated UTI (CAUTI) A probable UTI where an indwelling urinary catheter was in place on the date of event or the 7 days before
  1. aAn indwelling urinary catheter in place could cause patient complaints of frequency, urgency, or dysuria, and therefore these cannot be used as symptoms when catheter is in place