護理師在照護留置導尿管的病人時，應採取哪些措施以預防感染？（選所有適合的）
Which of the following actions should the nurse take when caring for a client with an indwelling urinary catheter to prevent infection? (Select all that apply.)
- AKeep the drainage bag below the level of the bladder✓ 正解保持引流袋低於膀胱水平
- BIrrigate the catheter with sterile saline daily每日以無菌生理食鹽水沖洗導尿管
- CCleanse the meatus with soap and water daily✓ 正解每日以肥皂和水清潔尿道口
- DEmpty the drainage bag before it is full✓ 正解在引流袋未裝滿前即排空
- ESecure the catheter to the client's thigh✓ 正解將導尿管固定於病人大腿上
預防導尿管相關尿路感染（CAUTI）的關鍵在於維持封閉系統與預防逆流。引流袋應低於膀胱以防尿液逆流；尿道口需每日以肥皂水清潔；引流袋滿三分之二即應清空；將管路固定於大腿可減少拉扯。日常例行沖洗導尿管會增加感染風險，除非有醫囑阻塞時才操作。
Preventing catheter-associated urinary tract infection (CAUTI) requires maintaining a closed system and preventing reflux. The drainage bag must remain below bladder level, the meatus is cleansed daily with soap and water, the bag is emptied before it becomes full, and the catheter is secured to the thigh to reduce traction. Routine irrigation of the catheter is avoided because it increases infection risk and is performed only with a specific provider order for obstruction.
美國醫學中心極度強調 CAUTI Bundle（組合式照護）；台灣各醫院則視感染管制政策落實程度而定。