Sure, in as much as some outpatient CAUTIs have developed pyelo/bacteremia by the time they hit the ER. But out of every inpatient acquired CAUTI I have ever seen the ONLY septic/bacteremic ones had severe foley trauma, and pathopsy wise these aren’t true UTIs/CAUTIs anyway.

Pe de o parte un academician și preot erudit, @WilhelmDanca și de cealaltă parte (nu opusă) Dan Cautis, inginer și profesor la Georgetown. Că tot ne-am certat noi pe aici pe aici cu știința și religia. Ascultam pe cineva avizat saptamana viitoare. Un repost ar fi mega apreciat!

Cautis are a thing. However most of the things we call cautis aren’t. They are asymptomatic bacteriuria with a catheter. In our hospital it was 2/3 false prior to our intervention. And there is no evidence cautis cause fevers.

🧫 BACTERIOLOGY| Providencia stuartii A Gram-negative opportunistic pathogen commonly associated with healthcare-associated infections, particularly catheter-associated urinary tract infections (CAUTIs) and multidrug-resistant hospital outbreaks.

Ever heard of a device that quietly saves lives every single day in hospitals? Meet the Foley’s catheter — a small tube with a big impact. A Foley catheter isn’t just a tube — it has a tiny inflatable balloon at its tip. Once inside the bladder, the balloon is filled with sterile water, anchoring it in place so it can continuously drain urine without slipping out. Prolonged use increases the chance of catheter-associated urinary tract infections (CAUTIs), making strict sterile technique and early removal vital

Proteus swarming on a blood agar plate Proteus is a member of the order Enterobacterales, comprising Gram-negative, facultatively anaerobic bacilli capable of surviving in diverse and nutrient-limited environments. A defining characteristic of Proteus species is their remarkable motility, mediated by numerous peritrichous flagella. One of the most striking laboratory features of Proteus is the swarming motility, observed as concentric waves of spreading growth across solid agar surfaces, producing the classic “bull’s-eye” or terraced colony pattern on agar plates. Swarming represents a highly organized, multicellular migration phenomenon driven by cyclic biological differentiation: 🌐 Short vegetative (“swimmer”) cells differentiate into elongated, multinucleate, hyper-flagellated swarmer cells 🌐 Swarmer cells migrate collectively across solid surfaces in coordinated groups or “rafts”. 🌐 Migration is followed by dedifferentiation back into short vegetative cells. 🌐 Cellular multiplication occurs during a resting consolidation phase. 🌐 The cycle then repeats, allowing progressive colony expansion. Each migration cycle produces a visible growth terrace, resulting in the characteristic concentric ring appearance. This synchronized population movement represents a form of bacterial social behavior, regulated through environmental sensing and cell-to-cell signaling mechanisms. Surface contact — particularly inhibition of flagellar rotation upon encountering solid media — triggers expression of swarming-associated genes. The swarmer cell state is not merely a locomotion strategy but is closely linked with virulence: 🌐 Increased production of urease, leading to alkaline urine and struvite stone formation 🌐 Enhanced expression of hemolysin, contributing to tissue damage 🌐 Rapid surface colonization, especially of urinary catheters Ability to migrate against urine flow, promoting ascending catheter-associated urinary tract infections (CAUTIs) 🌐 Heavy growth may also produce a characteristic fishy or burnt-chocolate odor in culture. Swarming growth may obscure isolation of other pathogens in polymicrobial specimens. To suppress swarming and enable colony separation, inhibitory media may be used: 🌐 MacConkey agar 🌐 Deoxycholate citrate agar (DCA) — bile salts inhibit swarming 🌐 CLED agar — electrolyte deficiency prevents swarm differentiation #Fortheloveofmicrobiology #clinicalmicrobiology #microrounds #IDpath #ASMClinMicro #STEM #WomeninMicrobiology #ClinMicro #microbiologypakistan #PathBugs

Hospital-Onset UTI: Prevention strategies Non-CAUTIs are common, measurable, and preventable. Summary: By Dr Suresh Kumar,ID consultant, Chennai Non-CAUTIs constitute ≈50% or more of hospitalonset UTIs, yet most programs measure only CAUTI— underestimating true burden. Hospital-onset UTIs are associated with secondary bloodstream infections, increasing clinical severity and mortality risk. Inappropriate urine cultures without documented symptoms contribute to unnecessary antibiotics and downstream harm. Device exposure days remain the strongest modifiable risk factor—daily review and early removal reduce infection risk. The guideline recommends internal surveillance of both CAUTI and non-CAUTI, integrating infection prevention with antimicrobial stewardship.

Catheter-associated UTIs (CAUTIs) are common, but not inevitable. In this episode of Key into Quality, the Mankato team shares how nurse-driven escalation, daily Foley review, and an evidence-based urinary management order set helped them cut device days and sustain zero reportable CAUTIs. Listen to the full episode: bit.ly/4j7PoMC

F1 #LasVegasGP los @McLarenF1 acaban la P3 en 19° @OscarPiastri y 20° @lsndo, por cautis y los discutimos en #SCUDERIA a las 9.00 PM en los canales de YT y FB de @Fastmagmx junto con lo demás del deporte motor como la F1 Academy.

Sabin Cautis: Abelian Hall categories arxiv.org/abs/2508.04631 arxiv.org/pdf/2508.04631 arxiv.org/html/2508.04631

Big win for patient safety! Cape Coral Hospital is 1 of just 514 U.S. hospitals with ZERO catheter-associated infections (CAUTIs), per CMS/CDC data (2023–24). 👏 Huge thanks to our care teams for this incredible milestone! #LeeHealth #CapeCoralHospital #PatientSafety #SWFL

Comando 2 este Secu din anii 70. Acum e SRI SIE. Ciolos era in USLA in 1989, scolit tot la Baneasa. Pescuit apoi de Basescu, avorton DIE/SIE ... Probabil un "pretin" din aripa SRI a Sistemului are ceva cu el:)) Hint: Alex Cautis stie precis mai multe:)

😷 A Virginia health system significantly reduced 📉 rates of C. difficile and CAUTIs, among other infections, by increasing 📈 its #infectionprevention staff from 11 to 24 over 3 years, according to data presented at #APIC2025. @APIC @CarilionClinic healio.com/news/infectious-d…

If “unnecessary computer time” were tracked like readmissions, falls, DVTs, or CAUTIs, we would cure physician burnout. But instead of reducing clicks, we get another training module about resilience.

La lansarea cartii profesorului Cautis, "Rădăcinile filozofice și teologice ale științei moderne", din seara asta au fost doi membri ai Academiei Române în sală. In plus am facut cunoștință IRL cu @doru_tibrea . Iată si dovada

‼️𝗦𝗼𝗻𝗱𝗮 𝗱𝗲 𝗙𝗼𝗹𝗲𝘆: 𝙪𝙣𝙤 𝙙𝙚 𝙡𝙤𝙨 𝙙𝙞𝙨𝙥𝙤𝙨𝙞𝙩𝙞𝙫𝙤𝙨 𝙢𝙖́𝙨 𝙘𝙤𝙢𝙪𝙣𝙚𝙨… 𝙮 𝙩𝙖𝙢𝙗𝙞𝙚́𝙣 𝙪𝙣𝙤 𝙙𝙚 𝙡𝙤𝙨 𝙢𝙖́𝙨 𝙢𝙖𝙡 𝙪𝙩𝙞𝙡𝙞𝙯𝙖𝙙𝙤𝙨. ¿𝗖𝘂𝗮́𝗻𝗱𝗼 𝘂𝘀𝗮𝗿𝗹𝗮? ¿𝗖𝗼́𝗺𝗼 𝗽𝗿𝗲𝘃𝗲𝗻𝗶𝗿 𝗶𝗻𝗳𝗲𝗰𝗰𝗶𝗼𝗻𝗲𝘀? ¿𝗤𝘂𝗲́ 𝗲𝗿𝗿𝗼𝗿𝗲𝘀 𝗲𝘃𝗶𝘁𝗮𝗿?⁉️ Revisión JAMA Surgery 2025 @JAMA_current @JAMASurgery #Review 👇🏼👇🏼👇🏼👇🏼👇🏼 📑🔗🔑🔓 t.me/ClubCrit ⬇️⬇️⬇️ 📌𝗣𝗿𝗶𝗻𝗰𝗶𝗽𝗮𝗹𝗲𝘀 𝗜𝗻𝗱𝗶𝗰𝗮𝗰𝗶𝗼𝗻𝗲𝘀: ✅ Monitorización estricta de diuresis en UCI ✅ Obstrucción urinaria ✅ Cirugía urológica o ginecológica ✅ Vejiga neurogénica aguda 📌𝗜𝗻𝗱𝗶𝗰𝗮𝗰𝗶𝗼𝗻𝗲𝘀 𝗿𝗲𝗹𝗮𝘁𝗶𝘃𝗮𝘀: ⁉️Fractura pélvica ⁉️Grandes cirugías con hidratación masiva ✳️Heridas perineales extensas ❌ 𝗨𝘀𝗼𝘀 𝗶𝗻𝗰𝗼𝗿𝗿𝗲𝗰𝘁𝗼𝘀 𝗳𝗿𝗲𝗰𝘂𝗲𝗻𝘁𝗲𝘀 !𝗜𝗻𝗻𝗲𝗰𝗲𝘀𝗮𝗿𝗶𝗼𝘀 𝘆 𝗿𝗶𝗲𝘀𝗴𝗼𝘀𝗼𝘀! ❎Por “comodidad” ❎Para incontinencia en pacientes lúcidos ❎Para evitar cambios de ropa ⚠️𝗖𝗼𝗺𝗽𝗹𝗶𝗰𝗮𝗰𝗶𝗼𝗻𝗲𝘀 𝗰𝗼𝗺𝘂𝗻𝗲𝘀: 🦠ITUs nosocomiales (CAUTIs) 📌𝙍𝙚𝙥𝙧𝙚𝙨𝙚𝙣𝙩𝙖𝙣 70–80% 𝙙𝙚 𝙡𝙖𝙨 𝙄𝙏𝙐𝙨 𝙝𝙤𝙨𝙥𝙞𝙩𝙖𝙡𝙖𝙧𝙞𝙖𝙨 📈𝙍𝙞𝙚𝙨𝙜𝙤 sube 5–10% cada día de uso ✅𝘽𝙞𝙤𝙛𝙞𝙡𝙢 = enemigo silencioso 🦠Uretritis y estenosis 🔪Fístulas 🩸Hematuria 🚫Inhibición del reflejo vesical ⁉️¿𝗖𝗼́𝗺𝗼 𝗿𝗲𝗱𝘂𝗰𝗶𝗿 𝗰𝗼𝗺𝗽𝗹𝗶𝗰𝗮𝗰𝗶𝗼𝗻𝗲𝘀? 1️⃣𝘐𝘯𝘥𝘪𝘤𝘢𝘤𝘪𝘰́𝘯 𝘤𝘭𝘢𝘳𝘢 2️⃣𝘛𝘦́𝘤𝘯𝘪𝘤𝘢 𝘦𝘴𝘵𝘦́𝘳𝘪𝘭 3️⃣𝘚𝘪𝘴𝘵𝘦𝘮𝘢 𝘤𝘦𝘳𝘳𝘢𝘥𝘰 4️⃣𝘙𝘦𝘷𝘪𝘴𝘪𝘰́𝘯 𝘥𝘪𝘢𝘳𝘪𝘢 🧤𝗧𝗲́𝗰𝗻𝗶𝗰𝗮 𝗰𝗼𝗿𝗿𝗲𝗰𝘁𝗮 𝗱𝗲 𝗶𝗻𝘀𝗲𝗿𝗰𝗶𝗼́𝗻: 🧼Lavado de manos 🧴Lubricante con lidocaína 🟡Confirmar flujo urinario antes de inflar el balón 🚫Nunca forzar 🏥𝗖𝗼𝗺𝗽𝗿𝗼𝗺𝗶𝘀𝗼 𝗶𝗻𝘀𝘁𝗶𝘁𝘂𝗰𝗶𝗼𝗻𝗮𝗹 ✅Insertar menos ✅Evaluar más ✅Retirar antes ‼️𝙈𝙚𝙣𝙤𝙨 𝙩𝙞𝙚𝙢𝙥𝙤 𝙘𝙤𝙣 𝙡𝙖 𝙨𝙤𝙣𝙙𝙖 = 𝙢𝙚𝙣𝙤𝙨 𝙞𝙣𝙛𝙚𝙘𝙘𝙞𝙤𝙣𝙚𝙨‼️ 📖Resumen ampliado en el blog #ClubCrit 👉 [buff.ly/LvFywBQ] #UCI #Medicina #FOAMed #uroX #cuidadosintensivos #buenasprácticas #Prevención #SeguridadDelPaciente #infecciones #epidemiología #procedimientos #Urología #Foley #MedEd #SeguridadPaciente #Infecciones #FOAMcc #Procedimientos #icu

CAUTIs increase costs and negatively impact outcomes of ICU patients. The need for repeat catheterization and prolonged use of broad-spectrum antibiotics are key factors to the development of CAUTIs. #CAUTI #healthcareassociatedinfection bmcinfectdis.biomedcentral.c…

Nurse-driven catheter exchange workflow improved diagnostic accuracy and reduced CAUTIs at Memorial Sloan Kettering Cancer Center (@MSKCancerCenter).

Extremely proud of Akash, who successfully defended his PhD thesis on #phage based approaches against CAUTIs! It was a pleasure supervising @ig_8mile with @BrendanFGilmore. Many thanks to Brian Jones and @MatthewPWylie for examining, and to @SheilizaCarmali for chairing the viva!