導尿管相關泌尿道感染(catheter-associated urinary tract infections) 是相當常見的醫療照護 相關感染，且多為抗藥性細菌引起，導致醫療照護及病人安全的問題，同時增加醫療支出。 導尿管的留置時間是造成導尿管相關泌尿道感染的主要危險因子，也是預防導尿管相關泌尿 道感染措施中最能反應改善之因子。經由實證措施，及多面向的介入，以組合照護的模式， 來預防導尿管相關泌尿道感染，已經證實是有效的方式。避免不必要的導尿管置入，盡早移 除導尿管，跨團隊進行組合式照護，進行教育訓練及回饋，減少導尿管相關泌尿道感染，確 保病人安全及醫療品質。

Catheter-associated urinary tract infections (CAUTIs) are common healthcare-associated infections, and are mostly caused by drug-resistant bacteria, resulting in medical care and patient safety issues, while increasing medical expenses. The retention time of the catheter is a major risk factor for CAUTIs and is a key factor in preventing CAUTIs. Through evidence-based prevention measures, and multidisciplinary intervention, the use of care bundle to prevent CAUTIs has been proved to be an efficient way. Avoid unnecessary catheters, remove catheters as soon as possible, and care bundle, to reduce CAUTIs, ensure patient safety and medical quality. (J Intern Med Taiwan 2017; 28: 12-17)