Catheter associated UTI (CAUTI)

submit a 3-page APA paper, references (2015 to 2020) that explores the background of the issue (CAUTI). define this issue or disease using the literature. Please see the references below and must use them. It will end with the PICOT question.  The parts of your paper should include:
    Introduction
    Definition
    Epidemiology
    Clinical Presentation
    Complications
    Diagnosis
    Conclusion with PICOT Question
See the attached document of the example of how the paper is to be formatted. Please follow exactly.

PICOT Question: Amongst patient admitted to the hospital with an indwelling urinary catheter (P), does removal of the indwelling catheter within 24 to 48 hours (I), in comparison to leaving it inserted for the duration of the hospital stay (C), will decrease the amount of catheter-associated urinary tract infection (CAUTI) (O), over a 3-month time frame(T)?

Background Question:
How is CAUTI defined and how is it diagnosed in the healthcare setting?
What population is at an increased risk for CAUTI?
What can cause CAUTI?
How can removing indwelling urinary catheters reduce the number of catheter-associated urinary tract infections (CAUTI)?

            The aim of this study is to demonstrate that reducing the length of time an indwelling urinary catheter is in place will reduce CAUTI.  Despite the existence of proven evidence-based guidelines for CAUTI prevention, implementation of the guidelines remains minimal (Carr et al., 2017). Reviewing evidence-based guidelines in the literature is an approach that will be used.  A urinary tract infection (UTI) is an infection involving any part of the urinary system, including urethra, bladder, ureters, and kidney (Parker, et al., 2017).  According to the CDC (2017), hospitalized patients, especially the elderly, are the population vulnerable to acquiring CAUTI and 15-25% of hospitalized patients get a urinary catheter during their hospital stay. CAUTI is associated with a lengthy hospital stay, increased cost, and mortality. In the USA, the introduction of non-payment for preventable hospital-acquired complications such as CAUTI has renewed interest and research into reducing the incidence of CAUTI (Parker, et al., 2017). Implementation of reducing indwelling urinary catheter usage rates, inappropriate urinary catheterization and duration of catheterization in a timely manner should be established in the healthcare facilities. According to Parker et al. (2017), a risk factor for acquiring a CAUTI include extended catheterization and is significantly increased with the length of time that the indwelling urinary catheter remains inserted.

References
CDC. (2015, October 16). Catheter-associated Urinary Tract Infections (CAUTI). Retrieved from https://www.cdc.gov/hai/ca_uti/uti.html
Carr, A. N., Lacambra, W.V., Naessens, J.M., Monteau, R.E, & Park, S. H. (2017). CAUTI Prevention: Streaming Quality Care in a Progressive Care Unit. MEDSURG Nursing, 26(5), 306323.
Parker, V., Giles, M., Graham, L., Suthers, B., Watts, W., OBrien, T., & Searles, A. (2017). Avoiding inappropriate urinary catheter use and catheter-associated urinary tract infection (CAUTI): a pre-post control intervention study. BMC Health Services Research, 17(1). doi: 10.1186/s12913-017-2268-2
Durant, D. J. (2017). Nurse-driven protocols and the prevention of catheter-associated urinary tract infection: A systematic review. American Journal of Infection Control, 45(12), p 1331-1341.

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