Clinical Practice

White Paper on Catheter-Associated Urinary Tract Infections

The American Urological Association (AUA) has developed a White Paper on Catheter-Associated Urinary Tract Infections: Definitions and Significance in the Urologic Patient. A white paper workgroup organized by the Quality Improvement and Patient Safety Committee and led by Dr. Timothy Averch drafted the paper, which was approved by the AUA Board of Directors in October 2014. Diane K. Newman, DNP, FAAN, BCB-PMD, represented SUNA on the workgroup.

The workgroup noted that while health care in general has increased its focus on catheter-associated urinary tract infection (CAUTI) prevention and the inappropriate use of catheters, much of this attention does not apply to urologic patients. Therefore, the white paper delves in to this particular area and also provides pertinent definitions pertaining to CAUTIs.

Download the White Paper

 

White Paper on the Incidence, Prevention, and Treatment of Complications Related to Prostate Needle Biopsy

In response to a noted increase in the reports of sepsis and infectious complications after prostate biopsies SUNA and the American Urological Association (AUA) collaborated to draft a white paper. An emerging pattern of fluoroquinolone resistant bacteria, lack of evidence-based, standardized regimen for pre-procedural prophylaxis, and a lack of equipment reprocessing guidelines are addressed in this white paper.

Members of the workgroup included Christopher M. Gonzalez, MD, MBA; Timothy Averch, MD; Lee Ann Boyd, MSN, ARNP, CUNP; J. Quentin Clemens, MD, MSCI; Robert Dowling, MD; Howard B. Goldman, MD; Danil V. Makarov, MD, MHS; Vic Senese, RN; and Mary Anne Wasner, BSN, CURN. Among its summary statements, the workgroup noted the following:

  • The AUA Best Practice Statement on prophylaxis for prostate biopsy indicates fluoroquinolones or 1st-, 2nd-, or 3rd-generation cephalosporins are the antimicrobials of choice. Single-dose regimens appear to be as effective as those spanning 1- or 3-days.
  • Steam sterilization is the preferred method for reprocessing reusable, heat-stable medical devices, including prostate biopsy needle guides; however, high-level disinfection is an acceptable alternative.

Download the White Paper

Discussion Paper on Patient-Clinician Communication: Basic Principles and Expectations

SUNA is pleased to highlight a resource to promote effective communication between patients and providers. Patient-Clinician Communication: Basic Principles and Expectations, a Discussion Paper developed by the Institute of Medicine’s Roundtable on Value and Science-Driven Health Care, is intended to promote patient-centered clinical encounters by:

  • Stating clearly the anchor concepts in patient-centered care: mutual respect, harmonized goals, supportive environment, appropriate decision partners, the right information, transparency and full disclosure, and continuous learning.
  • Highlighting the minimum expectations for discussion between a clinician and the patient and/or family: the reason for the visit, the nature of the decisions being made, and the preferences of the patient.
  • Emphasizing the importance of the culture and environmental factors to the success in achieving the principles and expectations for the care experience.

The Discussion Paper presents the views of several national authorities on the principles and expectations that might serve as touchstone reference points in weighing the quality and effectiveness of shared decision-making between patients and their health care providers.

Access the Consensus Paper

Learn more about the Institute of Medicine’s Roundtable on Value and Science-Driven Health Care

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