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2- Department of Operating Room, Maragheh University of Medical Sciences, Maragheh, Iran.
3- Department of Operating Room, Behbahan University of Medical Sciences, Behbahan, Iran.
4- Department of Operating Room, Maragheh University of Medical Sciences, Maragheh, Iran. & Student Research Committee, Department of Medical Education, School of Medical Education and Learning Technologies, Shahid Beheshti University of Medical Sciences, Tehran, Iran. ,
Introduction: Catheter-Associated Urinary Tract Infection (CAUTI) is one of the most common healthcare-associated infections and it is an important indicator of patient safety. It is associated with prolonged hospitalization, increased healthcare costs, and higher mortality rates. Women are at greater risk of CAUTI than men due to their specific anatomical and physiological characteristics. Identifying the risk factors in this population is essential for developing effective preventive interventions.
Materials and Methods: This study was conducted as a narrative review aimed to identify, analyze, and synthesize the existing evidence on risk factors for CAUTI among women. A comprehensive search was performed in PubMed, Web of Science, and Scopus databases using “Urinary Tract Infection,” “Catheter-Associated Urinary Tract Infection (CAUTI),” and “Women” keywords from January 2010 to December 2024. The extracted data from eligible studies were analyzed through a narrative synthesis approach and they categorized into major thematic domains. A total of 780 articles were identified that 35 of them met the inclusion criteria for the final analysis.
Results: Analysis of the selected studies revealed that the duration of catheterization, type and size of the catheter, anatomical features, comorbid conditions, and long surgical duration were the main predictors of CAUTI in women. Escherichia coli was identified as the most common pathogen. Moreover, the emergence of extended-spectrum β-lactamase (ESBL)-producing strains was highlighted as a major challenge in infection control.
Conclusion: CAUTI in women results from a multifactorial interaction between physiological and care-related factors. Reducing the duration of catheterization, selecting appropriate catheter types and sizes, adhering to aseptic techniques, and maintaining optimal glycemic control are the most effective preventive strategies. Implementing a multilevel and gender-sensitive approach can significantly reduce the incidence of CAUTI and they improve the quality of patient care among women.
Received: 2025/06/22 | Accepted: 2025/08/10 | Published: 2025/10/2
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