Multimodal intervention implemented on orthopedic surgery patients. Abdominal surgery patients served as control. CAUTI incidence, adherence to guidelines and antibiotic use was observed before and after intervention and again 2 years after intervention. Incidence of CAUTI reduced from 10.4 to 3.9 episodes per 100 patients (~ 60 %). Antibiotic therapy after surgery also decreased from 17.9 to 15.5 daily doses (~14 %)