護理師照護放置留置導尿管的病人，應採取哪些措施以降低導尿管相關泌尿道感染（CAUTI）的風險？（選所有適合的）
A nurse is caring for a client with an indwelling urinary catheter. Which actions should the nurse perform to reduce the risk of catheter-associated urinary tract infection (CAUTI)? (Select all that apply.)
- AKeep the drainage bag below the level of the bladder✓ 正解將引流袋置於低於膀胱的位置
- BClean the perineal area daily with soap and water✓ 正解每日以肥皂和水清潔會陰區域
- CDisconnect the catheter from the drainage bag frequently for testing為進行檢測頻繁斷開導尿管與引流袋的連接
- DSecure the catheter to the client's thigh to prevent traction✓ 正解將導尿管固定於病人大腿上以防止牽扯
- EEmpty the drainage bag when it is completely full待引流袋完全充滿時再排空
預防 CAUTI 的關鍵在於維持封閉式引流系統的完整性及減少逆行性感染。引流袋需低於膀胱以防尿液逆流；會陰部清潔可減少細菌移位；固定導管可減少對尿道口的摩擦與牽引。切勿隨意斷開管路，集尿袋應在 2/3 滿時傾倒，而非全滿。
To reduce the risk of catheter-associated urinary tract infection (CAUTI), the drainage bag must be kept below the bladder level to prevent urine reflux, and the catheter should be secured to the thigh to minimize urethral traction and trauma. Daily cleaning of the perineal area reduces microbial load, while avoiding disconnection of the closed system prevents bacterial introduction.
美國醫院高度依賴護理捆綁式措施（Bundle care），台灣則透過感染控制規範與醫囑依從性進行管理。