Quality statement 6: Antibiotic prophylaxis to prevent catheter‑related urinary tract infection

Quality statement

Healthcare professionals do not prescribe antibiotic prophylaxis to adults with long‑term indwelling catheters to prevent urinary tract infection unless there is a history of recurrent or severe urinary tract infection.

Rationale

Evidence shows that antibiotic prophylaxis is not effective in preventing symptomatic urinary tract infection in adults with long‑term indwelling catheters unless there is a history of recurrent or severe urinary tract infection.

Quality measures

Structure

Evidence of local arrangements to ensure healthcare professionals do not prescribe antibiotic prophylaxis to adults with long‑term indwelling catheters to prevent symptomatic urinary tract infection unless there is a history of recurrent or severe urinary tract infection.

Data source: Local data collection.

Process

Proportion of adults with long‑term indwelling catheters and no current symptomatic urinary tract infection and no history of recurrent or severe urinary tract infections who are being treated with antibiotic prophylaxis to prevent symptomatic urinary tract infection.

Numerator – the number in the denominator who are being treated with antibiotic prophylaxis to prevent symptomatic urinary tract infection.

Denominator – the number of adults with long‑term indwelling catheters and no current symptomatic urinary tract infection and no history of recurrent or severe urinary tract infection.

Data source: Local data collection.

What the quality statement means for service providers, healthcare professionals and commissioners

Service providers (such as hospitals, community services, care homes and GPs)ensure that processes are in place and training is kept up to date so that healthcare professionals do not prescribe antibiotic prophylaxis to adults with long‑term indwelling catheters to prevent symptomatic urinary tract infection.

Healthcare professionals ensure that adults with long‑term indwelling catheters are not prescribed antibiotic prophylaxis to prevent symptomatic urinary tract infection unless there is a history of recurrent or severe urinary tract infection.

Commissioners (such as clinical commissioning groups, local authorities and NHS England area teams) ensure that providers are aware that adults with long‑term indwelling catheters should not be prescribed antibiotic prophylaxis to prevent symptomatic urinary tract infection. This could be included in local service specifications.

What the quality statement means for patients, service users and carers

Adults with long‑term indwelling catheters are not prescribed antibiotics to prevent urinary tract infection unless they have a history of recurrent or severe urinary tract infection.

Source guidance