CASE 01
pending
Pilot institute 01
Division to be confirmed · Tertiary hospital
CAUTI rate · per 1,000 catheter-days
BEFOREAFTER
—
—
CASES / YR
—
WARD-MONTHS
—
PERIOD
pending
The console
Who has a catheter today, and how long it has been in.
The device census, the alerts derived from it, and the ward’s rate trend. Everything below is a sample ward built for this page — the real screen sits behind an institute login, and no patient record leaves it.
INSTITUTE SCOPE SAMPLE WARD
MRN-10432
CATHETER DAY 31reviewed today
MRN-10388
CATHETER DAY 9review due
MRN-10405
CATHETER DAY 4reviewed today
MRN-10399
CATHETER DAY 16no indication recorded
CAUTI RATE / 1,000 CATHETER-DAYS
ALERT STREAM · SAMPLE WARD
Surgical ICU · MRN-10432 is on catheter day 31, past day 14
today ago
The Manifesto
Three things had to be true before a national CAUTI rate could mean anything. This is the case Prof. Md. Akram Hossain made for the platform, and what Dr Sourav Nath, epidemiologist and developer, built it to answer.
01
An infection with no denominator.
Most urinary tract infections acquired in hospital are associated with an indwelling catheter, and the risk rises with every day the device stays in. Counting the infections is the easy half. Without catheter-days underneath them, a ward with four cases and a ward with forty read the same on paper — and no institute can tell whether it is doing well or badly. Bangladesh has had no shared denominator to compare against. That is the gap this platform was built to close.
CHAPTER 01 / CAUTIWATCH FIELD NOTES
02
One definition, applied the same way in every ward.
Every event goes through the case report form the CDC/NHSN protocol describes: the catheter in place more than two days, the infection window around the first positive test, the SUTI 1a, 1b and 2 symptom sets that turn on the patient’s age, and the colony count that depends on how the specimen was taken. The form computes what the criteria say and shows the values behind each one. The Auditor decides. The person who entered the case cannot be the person who confirms it.
CHAPTER 02 / CAUTIWATCH FIELD NOTES
03
National figures, without national exposure.
An institute sees its own patients. BIPCF sees divisions, districts, institute types and rates — never a name, never a hospital number. That boundary lives in the query layer and is held by tests, not by a screen that hides a column. A ward-month is submitted and locked once it is ready; reopening one takes a reason, and the month is marked revised so a changed figure is never read as the original.
CHAPTER 03 / CAUTIWATCH FIELD NOTES
What it actually does
Built like a ward register, not a spreadsheet.
day 7 · day 14
Device census
Every catheter in place today, longest-standing first, with its day number and its ward. Day 7 is flagged, day 14 harder. Today’s necessity review is one tap from the same row.
3 criteria sets
The criteria, computed
The two-day device gate, the infection window, SUTI 1a / 1b / 2 by age, and the colony count that follows the collection method. Every determination shows the values it was made from.
7 kinds
Alerts, derived not stored
Prolonged catheters, missing indications, overdue reviews, drafts that already meet the criteria, and two confirmed cases in one ward inside a fortnight. Record the removal and the alert is gone on the next screen.
locked = reported
Submit and lock, by ward-month
Catheter-days and the CAUTI count are computed from the records; patient-days are entered by the ward. Locking is what turns a working figure into a reported one — and reopening takes a reason.
0 identifiers
De-identified national rollup
Division, district, urban or rural, institute type, month range. Nationwide screens are built from queries that cannot select a patient identifier, and a test fails the build if one appears.
every write
An audit trail with the role on it
Every write to an episode, a case or a ward-month is recorded with the hat the person was wearing at the time — the same individual may legitimately act for their institute and for BIPCF.
The arithmetic
What does your catheter use add up to?
The same three sums the platform runs on a real ward-month: catheter-days, the utilisation ratio, and the cases a given rate implies. Drag the sliders to see the shape of your own denominator.
Beds under surveillance120
Avg catheter days / patient4
CAUTI per 1,000 catheter-days2.4
WORKED EXAMPLE · 85% OCCUPANCY · 4.5-DAY AVERAGE STAY · 22% OF ADMISSIONS CATHETERISED · RATE AS SET ABOVE. THESE ARE ASSUMPTIONS, NOT FINDINGS: ONCE A WARD RECORDS ITS OWN EPISODES AND PATIENT-DAYS, EVERY FIGURE HERE IS COMPUTED FROM THEM INSTEAD.
0
Catheter-days a year — the denominator under every rate
0
CAUTI cases a year at the rate set on the left
0
Utilisation ratio — catheter-days ÷ patient-days
How a case travels
Four steps, and two people on every confirmed case.
01
Log
The ward records each catheter episode — insertion, indication, removal. Catheter-days are computed from the dates, never typed in.
02
Assess
A suspected event is entered on the case report form. The criteria are applied as it is filled, with the values behind each one shown.
03
Confirm
The case joins the Auditor’s queue. Only an Auditor records the final determination, and never on a case they entered themselves.
04
Submit
The ward-month is submitted and locked. From that moment it counts towards the district, division and national figures.
From the pilot
What the wards say, once they have said it.
Three places held for the pilot institutes. They stay empty until real people have used the platform for a full reporting cycle and agreed to be quoted — an invented endorsement is not something a surveillance programme can afford.
“Reserved for an Institutional Admin from the pilot cohort, on running an institute’s team and monthly submissions.”
Awaiting pilot
Institutional Admin · Pilot institute
quote pending
“Reserved for an infection prevention Auditor, on reviewing case report forms against the NHSN criteria.”
Awaiting pilot
Auditor · Pilot institute
quote pending
“Reserved for a BIPCF national reviewer, on reading division and district figures without patient identifiers.”
Awaiting pilot
BIPCF national reviewer · Bangladesh Infection Prevention & Control Foundation
quote pending
Outcome Stories
Before and after, in catheter-days.
Three slots held for the pilot cohort. Each will carry that institute’s own submitted ward-months — CAUTI per 1,000 catheter-days, before and after — and nothing until then. Figures appear here only once an institute has locked them and agreed to publish.
CASE 02
pending
Pilot institute 02
Division to be confirmed · District hospital
CAUTI rate · per 1,000 catheter-days
BEFOREAFTER
—
—
CASES / YR
—
WARD-MONTHS
—
PERIOD
pending
CASE 03
pending
Pilot institute 03
Division to be confirmed · Medical college hospital
CAUTI rate · per 1,000 catheter-days
BEFOREAFTER
—
—
CASES / YR
—
WARD-MONTHS
—
PERIOD
pending
DRAG · 3 PILOT SLOTS
Taking part
Three ways in, one set of definitions.
An institute signs up, a BIPCF National Admin approves it, and the institute gets its ID and its own console. Nationwide access is a role BIPCF assigns, never something an institute can grant itself.
One hospital
Participating institute
By BIPCF approval
- Public signup: institute name, division, district, urban or rural, type
- Institute ID issued by BIPCF on approval
- Patient catheter log, device census and case report forms
- Ward statistics, printable report, CSV export
- Your own patients stay inside your own console
ONBOARDING NOW
Now onboarding
Pilot cohort
Open
- Everything a participating institute has
- Guided setup of wards, team roles and the first reporting month
- Direct line to the team while the criteria engine is bedded in
- Your feedback shapes what ships next
- Bangla interface decision informed by what your wards need
Foundation roles
BIPCF national console
Appointed by BIPCF
- De-identified nationwide dashboard: division, district, urban/rural, type
- Institute approval queue and facility master
- Trend and drill-down across submitted ward-months
- Nationwide CSV export
- Audit trail, with the acting role on every entry