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https://www.readbyqxmd.com/read/27919427/-lose-the-tube-a-choosing-wisely-initiative-to-reduce-catheter-associated-urinary-tract-infections-in-hospitalist-led-inpatient-units
#1
Hyung J Cho, Steve Khalil, Jashvant Poeran, Madhu Mazumdar, Nathaniel Bravo, Fran Wallach, Brian Markoff, Nathan Lee, Andrew S Dunn
We developed a multidisciplinary initiative, "Lose the Tube," focused on a Choosing Wisely recommendation to decrease catheter-associated urinary tract infection (CAUTI) rates and catheter days. Through an electronic health record catheter identification tool, daily interdisciplinary query, and clinician education, our multifaceted intervention reduced mean per-person catheter days from 3.3 to 2.9, decreased CAUTI rates from 2.85 to 0.32 per 1,000 catheter days, and reduced cost by $32,245.
December 2, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27917728/comparing-catheter-associated-urinary-tract-infection-prevention-programs-between-veterans-affairs-nursing-homes-and-non-veterans-affairs-nursing-homes
#2
Lona Mody, M Todd Greene, Sanjay Saint, Jennifer Meddings, Barbara W Trautner, Heidi L Wald, Christopher Crnich, Jane Banaszak-Holl, Sara E McNamara, Beth J King, Robert Hogikyan, Barbara S Edson, Sarah L Krein
OBJECTIVE The impact of healthcare system integration on infection prevention programs is unknown. Using catheter-associated urinary tract infection (CAUTI) prevention as an example, we hypothesize that US Department of Veterans Affairs (VA) nursing homes have a more robust infection prevention infrastructure due to integration and centralization compared with non-VA nursing homes. SETTING VA and non-VA nursing homes participating in the AHRQ Safety Program for Long-Term Care collaborative. METHODS Nursing homes provided baseline information about their infection prevention programs to assess strengths and gaps related to CAUTI prevention via a needs assessment questionnaire...
December 5, 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27914268/anti-adhesive-antimicrobial-peptide-coating-prevents-catheter-associated-infection-in-a-mouse-urinary-infection-model
#3
Kai Yu, Joey C Y Lo, Mei Yan, Xiaoqiang Yang, Donald E Brooks, Robert E W Hancock, Dirk Lange, Jayachandran N Kizhakkedathu
Catheter-associated urinary tract infections (CAUTIs) represent one of the most common hospital acquired infections with significant economic consequences and increased patient morbidity. CAUTIs often start with pathogen adhesion and colonization on the catheter surface followed by biofilm formation. Current strategies to prevent CAUTIs are insufficiently effective and antimicrobial coatings based on antimicrobial peptides (AMPs) hold promise in curbing CAUTIs. Here we report an effective surface tethering strategy to prepare AMP coatings on polyurethane (PU), a common biomedical plastic used for catheter manufacture, by using an anti-adhesive hydrophilic polymer coating...
November 24, 2016: Biomaterials
https://www.readbyqxmd.com/read/27895127/the-pathogenic-potential-of-proteus-mirabilis-is-enhanced-by-other-uropathogens-during-polymicrobial-urinary-tract-infection
#4
Chelsie E Armbruster, Sara N Smith, Alexandra O Johnson, Valerie DeOrnellas, Kathryn A Eaton, Alejandra Yep, Lona Mody, Weisheng Wu, Harry L T Mobley
Urinary catheter use is prevalent in health care settings, and polymicrobial colonization by urease-positive organisms, such as Proteus mirabilis and Providencia stuartii, commonly occurs with long-term catheterization. We previously demonstrated that coinfection with P. mirabilis and P. stuartii increased overall urease activity in vitro and disease severity in a model of urinary tract infection (UTI). In this study, we expanded these findings to a murine model of catheter-associated UTI (CAUTI), delineated the contribution of enhanced urease activity to coinfection pathogenesis, and screened for enhanced urease activity with other common CAUTI pathogens...
November 28, 2016: Infection and Immunity
https://www.readbyqxmd.com/read/27881213/impact-and-limitations-of-the-2015-national-health-and-safety-network-case-definition-on-catheter-associated-urinary-tract-infection-rates
#5
Ana Cecilia Bardossy, Rachna Jayaprakash, Anjali C Alangaden, Patricia Starr, Odaliz Abreu-Lanfranco, Katherine Reyes, Marcus J Zervos, George J Alangaden
Application of the new 2015 NHSN definition of catheter-associated urinary tract infection (CAUTI) in intensive care units reduced CAUTI rates by ~50%, primarily due to exclusion of candiduria. This significant reduction in CAUTI rates resulting from the changes in the definition must be considered when evaluating effectiveness of CAUTI prevention programs. Infect Control Hosp Epidemiol 2016;1-3.
November 24, 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27875382/incorporation-of-leadership-rounds-in-cauti-prevention-efforts
#6
Suzanne Purvis, Gregory D Kennedy, Mary Jo Knobloch, Amy Marver, John Marx, Susan Rees, Nasia Safdar, Daniel Shirley
Leadership engagement is an important aspect of integrating best practices at the bedside. The catheter-associated urinary tract infection (CAUTI) prevention workgroup at our academic medical center implemented leadership rounding in partnership with clinical staff to increase participation in CAUTI prevention initiatives on inpatient units. There was an associated decrease in urinary catheter utilization and CAUTI rates. Implementation of leadership rounds should be considered as a part of comprehensive CAUTI prevention efforts in health care settings...
November 21, 2016: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27858954/how-often-do-clinically-diagnosed-catheter-associated-urinary-tract-infections-in-nursing-homes-meet-standardized-criteria
#7
Chelsie E Armbruster, Katherine Prenovost, Harry L T Mobley, Lona Mody
OBJECTIVES: To determine the relationship between clinically diagnosed catheter-associated urinary tract infection (CAUTI) and standardized criteria and to assess microorganism-level differences in symptom burden in a cohort of catheterized nursing home (NH) residents. DESIGN: Post hoc analysis of a prospective longitudinal study. SETTING: Twelve NHs in southeast Michigan. PARTICIPANTS: NH residents with indwelling urinary catheters (n = 233; 90% white, 52% male, mean age 73...
November 14, 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27852357/a-multifaceted-approach-to-reduction-of-catheter-associated-urinary-tract-infections-in-the-intensive-care-unit-with-an-emphasis-on-stewardship-of-culturing
#8
Katherine M Mullin, Christopher S Kovacs, Cynthia Fatica, Colette Einloth, Elizabeth A Neuner, Jorge A Guzman, Eric Kaiser, Venu Menon, Leticia Castillo, Marc J Popovich, Edward M Manno, Steven M Gordon, Thomas G Fraser
BACKGROUND Catheter-associated urinary tract infections (CAUTIs) are among the most common hospital-acquired infections (HAIs). Reducing CAUTI rates has become a major focus of attention due to increasing public health concerns and reimbursement implications. OBJECTIVE To implement and describe a multifaceted intervention to decrease CAUTIs in our ICUs with an emphasis on indications for obtaining a urine culture. METHODS A project team composed of all critical care disciplines was assembled to address an institutional goal of decreasing CAUTIs...
November 17, 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27850780/1143-reducing-cauti-risk-in-a-pediatric-cardiac-icu-through-implementation-of-a-daily-safety-checklist
#9
Melissa Busovsky-McNeal, Sujata Chakravarti, Michelle Ramirez, Yasir Al-Qaqaa, Diane Reformina, Caitlin Aberle
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27824737/povidone-iodine-0-05-chlorhexidine-gluconate-or-water-for-periurethral-cleaning-before-indwelling-urinary-catheterization-in-a-pediatric-intensive-care-a-randomized-controlled-trial
#10
Duygu Sönmez Düzkaya, Gülzade Uysal, Gülçin Bozkurt, Tülay Yakut, Agop Çitak
PURPOSE: The aim of this study was to evaluate the efficacy of periurethral cleaning with 10% povidone-iodine, 0.05% chlorhexidine gluconate, or sterile water in preventing catheter-associated urinary tract infections (CAUTIs) prior to indwelling urinary catheter insertion in a pediatric intensive care unit. A secondary aim was to identify pathogens resulting in CAUTIs in this group. DESIGN: Randomized controlled trial. SUBJECTS AND SETTING: One hundred twenty-two patients cared for in a pediatric intensive care unit of a university hospital between September 2012 and December 2013 participated in the study...
November 7, 2016: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/27816141/urinary-tract-infections
#11
REVIEW
Carol E Chenoweth, Sanjay Saint
Catheter-associated urinary tract infection (CAUTI) remains one of the most prevalent, yet preventable, health care-associated infections and predominantly occurs in patients with indwelling urinary catheters. Targeted strategies for prevention of CAUTI include limiting urinary catheter use; physician reminder systems, nurse-initiated discontinuation protocols, and automatic stop orders have successfully decreased catheter duration. Alternatives to indwelling catheters should be considered in appropriate patients...
December 2016: Infectious Disease Clinics of North America
https://www.readbyqxmd.com/read/27805758/exploring-relationships-of-catheter-associated-urinary-tract-infection-and-blockage-in-people-with-long-term-indwelling-urinary-catheters
#12
Mary H Wilde, James M McMahon, Hugh F Crean, Judith Brasch
AIMS: The aims were to describe and explore relationships among catheter problems in long-term indwelling urinary catheter users, including excess health care utilization for treating catheter problems. BACKGROUND: Long-term urinary catheter users experience repeated problems with catheter-related urinary tract infection (CAUTI) and blockage of the device, yet little has been reported of the patterns and relationships among relevant catheter variables. DESIGN: Secondary data analysis was conducted from a sample in a randomized clinical trial, using data from the entire sample of 202 persons over 12 months' participation...
November 2, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27795399/antibody-based-therapy-for-enterococcal-catheter-associated-urinary-tract-infections
#13
Ana L Flores-Mireles, Jennifer N Walker, Aaron Potretzke, Henry L Schreiber, Jerome S Pinkner, Tyler M Bauman, Alyssa M Park, Alana Desai, Scott J Hultgren, Michael G Caparon
: Gram-positive bacteria in the genus Enterococcus are a frequent cause of catheter-associated urinary tract infection (CAUTI), a disease whose treatment is increasingly challenged by multiantibiotic-resistant strains. We have recently shown that E. faecalis uses the Ebp pilus, a heteropolymeric surface fiber, to bind the host protein fibrinogen as a critical step in CAUTI pathogenesis. Fibrinogen is deposited on catheters due to catheter-induced inflammation and is recognized by the N-terminal domain of EbpA (EbpA(NTD)), the Ebp pilus's adhesin...
October 25, 2016: MBio
https://www.readbyqxmd.com/read/27753672/the-effects-of-bundles-on-catheter-associated-urinary-tract-infections-in-the-pediatric-intensive-care-unit
#14
Duygu Sönmez Düzkaya, Gülçin Bozkurt, Gülzade Uysal, Tülay Yakut
BACKGROUND: There are few studies in the literature from developing countries regarding the rates of catheter-associated urinary tract infection (CAUTI), which is frequently encountered in pediatric intensive care units (PICUs). AIM: The aim of this study is to evaluate the 2-year rates of CAUTI in a PICU where a CAUTI Prevention Bundle was implemented. DESIGN: This was an interventional prospective study. METHODS: The study was conducted with 390 patients in the PICU of Istanbul Faculty of Medicine, Turkey, from July 2013 to July 2015...
November 2016: Clinical Nurse Specialist CNS
https://www.readbyqxmd.com/read/27745032/preventing-cautis
#15
Lucy Ward
What was the nature of the CPD activity, practice-related feedback and/or event and/or experience in your practice? The article discussed the symptoms of catheter-associated urinary tract infections (CAUTIs), the risks associated with catheter use and how to manage catheters safely.
September 14, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27712603/viewing-prevention-of-catheter-associated-urinary-tract-infection-as-a-system-using-systems-engineering-and-human-factors-engineering-in-a-quality-improvement-project-in-an-academic-medical-center
#16
Chanhaeng Rhee, M Eleanor Phelps, Bruce Meyer, W Gary Reed
BACKGROUND: Urinary tract infections (UTIs) are the most commonly reported health care-associated infection (HAI) in the United States. Among UTIs acquired in the hospital, approximately 75% are associated with urinary catheters, with an estimated 15%-25% of all hospitalized patients receiving urinary catheters during their hospitalization. Despite ambitious national goals to reduce these infections, catheter-associated urinary tract infection (CAUTI) has not decreased in the United States...
2016: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/27699436/an-innovative-educational-approach-to-reducing-catheter-associated-urinary-tract-infections-a-case-study
#17
Therese Justus, Donamarie N Wilfong, Laura Daniel
Best practices for urinary catheter insertion and care are well documented in the literature. However, the development of educational methods to address best practice standards has been relatively stagnant. A novel educational approach to teach practicing providers proper catheter insertion and care was developed under a blended learning model with online videos and hands-on simulations. The education was custom created for each participant role. This education also highlighted the providers' own hospitals' catheter-associated urinary tract infections (CAUTI) rates, the negative patient outcomes that have occurred as a result of CAUTIs, and the financial burdens caused by CAUTIs...
October 1, 2016: Journal of Continuing Education in Nursing
https://www.readbyqxmd.com/read/27699248/bladder-catheterization-increases-susceptibility-to-infection-that-can-be-prevented-by-prophylactic-antibiotic-treatment
#18
Matthieu Rousseau, H M Sharon Goh, Sarah Holec, Matthew L Albert, Rohan B H Williams, Molly A Ingersoll, Kimberly A Kline
Catheter-associated urinary tract infections (CAUTI) are the most common hospital-associated infections. Here, we report that bladder catheterization initiated a persistent sterile inflammatory reaction within minutes of catheter implantation. Catheterization resulted in increased expression of genes associated with defense responses and cellular migration, with ensuing rapid and sustained innate immune cell infiltration into the bladder. Catheterization also resulted in hypersensitivity to Enterococcus faecalis and uropathogenic Escherichia coli (UPEC) infection, in which colonization was achieved using an inoculum 100-fold lower than the ID90 for infection of an undamaged urothelium with the same uropathogens...
September 22, 2016: JCI Insight
https://www.readbyqxmd.com/read/27697892/biomineralization-strongly-modulates-the-formation-of-proteus-mirabilis-and-pseudomonas-aeruginosa-dual-species-biofilms
#19
Xiaobao Li, Nanxi Lu, Hannah R Brady, Aaron I Packman
Proteus mirabilis and Pseudomonas aeruginosa are common pathogens that often form biofilms together in catheter-associated urinary tract infections (CAUTI). However, the interactions between these two species in biofilms are largely unknown. P. mirabilis induces ureolytic biomineralization that substantially modifies key biofilm properties including morphology, persistence, and recalcitrance to antimicrobial therapy. These processes are well known to complicate CAUTI, but the consequences for colonization and persistence of P...
October 2, 2016: FEMS Microbiology Ecology
https://www.readbyqxmd.com/read/27692786/rates-of-catheter-associated-urinary-tract-infection-in-tertiary-care-hospitals-in-3-arabian-gulf-countries-a-6-year-surveillance-study
#20
Wafa Al Nasser, Aiman El-Saed, Amina Al-Jardani, Abdulhakeem Althaqafi, Huda Alansari, Jameela Alsalman, Zaina Al Maskari, Ayman El Gammal, Seif S Al-Abri, Hanan H Balkhy
BACKGROUND: The true burden of catheter-associated urinary tract infections (CAUTIs) remains largely unknown because of a lack of national and regional surveillance reports in Gulf Cooperation Council (GCC) countries. The purpose of this study was to estimate location-specific CAUTI rates in the GCC region and to compare them with published reports from the U.S. National Healthcare Safety Network (NHSN) and the International Nosocomial Infection Control Consortium (INICC). METHODS: CAUTI rates and urinary catheter utilization between 2008 and 2013 were calculated using NHSN methodology pooled from 6 hospitals in 3 GCC countries: Saudi Arabia, Oman, and Bahrain...
December 1, 2016: American Journal of Infection Control
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