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Inappropriate testing for urinary tract infection in hospitalized patients: an opportunity for improvement.
Infect Control Hosp Epidemiol
Urine cultures are frequently obtained in hospitalized patients. We reviewed documented indications for culture and compared these to professional society guidelines. Lack of documentation and important clinical scenarios (prior to orthopedic procedures and altered mental status without a urinary catheter) are highlighted as areas of use outside of current guidelines.
Urine cultures are frequently obtained in hospitalized patients. We reviewed documented indications for culture and compared these to professional society guidelines. Lack of documentation and important clinical scenarios (prior to orthopedic procedures and altered mental status without a urinary catheter) are highlighted as areas of use outside of current guidelines.
Depression and clostridium difficile infection.
J Psychosoc Nurs Ment Health Serv
Our study is the third investigation in humans showing a relationship between depression and CDI (Dalton, Lye-Maccannell, Henderson, Maccannell, & Louie, 2009; Kazakova et al., 2006; Rogers et al., 2013). Of the investigations to date, the large longitudinal study from a nationally representative sample of older Americans provides the best evidence of this association.
Our study is the third investigation in humans showing a relationship between depression and CDI (Dalton, Lye-Maccannell, Henderson, Maccannell, & Louie, 2009; Kazakova et al., 2006; Rogers et al., 2013). Of the investigations to date, the large longitudinal study from a nationally representative sample of older Americans provides the best evidence of this association.
Reducing unnecessary urinary catheter use and other strategies to prevent catheter-associated urinary tract infection: an integrative review.
BMJ Qual Saf
Catheter-associated urinary tract infections (CAUTI) are costly, common and often preventable by reducing unnecessary urinary catheter (UC) use.
Catheter-associated urinary tract infections (CAUTI) are costly, common and often preventable by reducing unnecessary urinary catheter (UC) use.
Interventions to reduce urinary catheter use: it worked for them, but will it work for us?
BMJ Qual Saf
In most hospitals, four steps are required to remove a urinary catheter: the physician recognises the patient has a catheter in place; the physician realises the catheter is no longer necessary; the order is written to remove the catheter; and the nurse removes the catheter.
In most hospitals, four steps are required to remove a urinary catheter: the physician recognises the patient has a catheter in place; the physician realises the catheter is no longer necessary; the order is written to remove the catheter; and the nurse removes the catheter.
Determining the noninfectious complications of indwelling urethral catheters: a systematic review and meta-analysis.
Ann Intern Med
Although the epidemiology of catheter-associated urinary tract infection is well-described, little is known about noninfectious complications resulting from urethral catheter use.
Although the epidemiology of catheter-associated urinary tract infection is well-described, little is known about noninfectious complications resulting from urethral catheter use.
Estimating hospital costs of catheter-associated urinary tract infection.
J Hosp Med
Healthcare-associated infections are common, costly, and potentially deadly. However, effective prevention strategies are underutilized, particularly for catheter-associated urinary tract infection (CAUTI), one of the most common healthcare-associated infections.
Healthcare-associated infections are common, costly, and potentially deadly. However, effective prevention strategies are underutilized, particularly for catheter-associated urinary tract infection (CAUTI), one of the most common healthcare-associated infections.
Applying mindful evidence-based practice at the bedside: using catheter-associated urinary tract infection as a model.
Infect Control Hosp Epidemiol
We introduce a mindful evidence-based practice model to operationalize mindfulness to improve bedside infection prevention practices. Using catheter-associated urinary tract infection prevention as an example, we illustrate how clinicians can be more mindful about appropriate catheter indications and timely catheter removal.
We introduce a mindful evidence-based practice model to operationalize mindfulness to improve bedside infection prevention practices. Using catheter-associated urinary tract infection prevention as an example, we illustrate how clinicians can be more mindful about appropriate catheter indications and timely catheter removal.
Implementing a national program to reduce catheter-associated urinary tract infection: a quality improvement collaboration of state hospital associations, academic medical centers, professional societies, and governmental agencies.
Infect Control Hosp Epidemiol
Catheter-associated urinary tract infection (CAUTI) represents a significant proportion of healthcare-associated infections (HAIs). The US Department of Health and Human Services issued a plan to reduce HAIs with a target 25% reduction of CAUTI by 2013.
Catheter-associated urinary tract infection (CAUTI) represents a significant proportion of healthcare-associated infections (HAIs). The US Department of Health and Human Services issued a plan to reduce HAIs with a target 25% reduction of CAUTI by 2013.
The risk of bloodstream infection associated with peripherally inserted central catheters compared with central venous catheters in adults: a systematic review and meta-analysis.
Infect Control Hosp Epidemiol
Peripherally inserted central catheters (PICCs) are associated with central line-associated bloodstream infection (CLABSI). The magnitude of this risk relative to central venous catheters (CVCs) is unknown. The objective of this study was to compare risk of CLABSI between PICCs and CVCs.
Peripherally inserted central catheters (PICCs) are associated with central line-associated bloodstream infection (CLABSI). The magnitude of this risk relative to central venous catheters (CVCs) is unknown. The objective of this study was to compare risk of CLABSI between PICCs and CVCs.
Monetary costs of dementia in the United States.
N Engl J Med
Hurd et al. (April 4 issue)1 use data from a subgroup of participants in the Health and Retirement Study (HRS) (the Aging, Demographics, and Memory Study subsample) to estimate the annual Medicare cost per person with dementia at $2,752 (in 2010 dollars).
Hurd et al. (April 4 issue)1 use data from a subgroup of participants in the Health and Retirement Study (HRS) (the Aging, Demographics, and Memory Study subsample) to estimate the annual Medicare cost per person with dementia at $2,752 (in 2010 dollars).
Is the Use of Antimicrobial Devices to Prevent Infection Correlated across Different Healthcare-Associated Infections? Results from a National Survey.
Infect Control Hosp Epidemiol
Antimicrobial devices are often used to prevent nosocomial infection despite mixed evidence. Using a national survey, we found that a hospital’s use of an antimicrobial device to prevent one type of infection was associated with a higher likelihood that a similar device would be used to prevent a different infection.
Antimicrobial devices are often used to prevent nosocomial infection despite mixed evidence. Using a national survey, we found that a hospital’s use of an antimicrobial device to prevent one type of infection was associated with a higher likelihood that a similar device would be used to prevent a different infection.
Barriers to reducing urinary catheter use: a qualitative assessment of a statewide initiative.
JAMA Intern Med
Preventing catheter-associated urinary tract infection (CAUTI), a common health care–associated infection, is important for improving the care of hospitalized patients and in meeting the goals for reduction of health care–associated infections set by the US Department of Health and Human Services.
Preventing catheter-associated urinary tract infection (CAUTI), a common health care–associated infection, is important for improving the care of hospitalized patients and in meeting the goals for reduction of health care–associated infections set by the US Department of Health and Human Services.
Preventing catheter-associated urinary tract infection in the United States: a national comparative study.
JAMA Intern Med
Despite the national goal to reduce catheter-associated urinary tract infection (CAUTI) by 25% by 2013, limited data exist describing prevention practices for CAUTI in US hospitals and none associate national practice use to CAUTI-specific standardized infection ratios (SIRs).
Despite the national goal to reduce catheter-associated urinary tract infection (CAUTI) by 25% by 2013, limited data exist describing prevention practices for CAUTI in US hospitals and none associate national practice use to CAUTI-specific standardized infection ratios (SIRs).
Dementia and out-of-pocket spending on health care services. Alzheimers Dement.
Alzheimers Dement
High levels of out-of-pocket (OOP) spending for health care may lead patients to forego needed services and medications as well as hamper their ability to pay for other essential goods. Because it leads to disability and the loss of independence, dementia may put patients and their families at risk for high OOP spending, especially for long-term care services.
High levels of out-of-pocket (OOP) spending for health care may lead patients to forego needed services and medications as well as hamper their ability to pay for other essential goods. Because it leads to disability and the loss of independence, dementia may put patients and their families at risk for high OOP spending, especially for long-term care services.