Frequency for Changing Long-Term Indwelling Urethral Catheters.

February 2016 Home Healthcare Now 105 denced-based guidelines. When the IUC is reinserted, microorganisms that inhabit the distal urethra can be directly introduced into the bladder and increase the risk for a UTI. Changing an IUC at routine, fixed intervals (e.g., 28 days or monthly) is not recommended by: • Association for Professionals in Infection Control and Epidemiology [APIC] (2014) • Centers for Disease Control and Prevention (CDC) (Gould et al., 2010) • epic 3 (Loveday et al., 2014) • Infectious Disease Society of America [IDSA] and there is insufficient evidence to make a recommendation on long-term catheters (Hooton et al., 2010) • IHI (2011) • SHEA/APIC (Smith et al., 2008) • Society for Healthcare Epidemiologists of America (Lo et al., 2014) • Society for Urologic Nurses and Associates (2010) This recommendation is not new and has been recommended by the CDC since 1981 (Wong, 1983).