CAUTI

Building an antifouling zwitterionic coating on urinary catheters using an enzymatically triggered bottom-up approach - Abstract

Catheter associated urinary tract infections are common during hospitalization due to the formation of bacterial biofilms on the indwelling device.

The impact of hospital-acquired conditions on Medicare program payments - Abstract

RESEARCH OBJECTIVE: Hospital-acquired conditions, or HACs, often result in additional Medicare payments, generated during the initial hospitalization and in subsequent health care encounters.

Pad weighing for reduction of indwelling urinary use and catheter-associated urinary tract infection: A quality improvement project - Abstract

Catheter-associated urinary tract infections pose a significant risk to hospitalized patients.

AUA white paper on catheter-associated urinary tract infections: Definitions and significance in the urologic patient

BERKELEY, CA USA - The AUA white paper on catheter-associated urinary tract infections: Definitions and significance in the urologic patient was approved by the AUA Board of Directors at its October 2014 meeting.

Prevention of health care-associated infections - Abstract

Health care-associated infections cause approximately 75,000 deaths annually, in addition to increasing morbidity and costs.

Factors associated with specific uropathogens in catheter-associated urinary tract infection: Developing a clinical prediction model - Abstract

OBJECTIVES: To identify characteristics associated with particular groups of uropathogens in catheter-associated urinary tract infection (CA-UTI) and to develop clinical prediction rules for identifying these groups.

A tool to assess the signs and symptoms of catheter-associated urinary tract infection: Development and reliability - Abstract

The purpose of this pilot study was to determine the inter-rater reliability of four clinical manifestations of catheter-associated urinary tract infections (CAUTI) among hospitalized adults with short-term indwelling urinary catheters using a tool developed for this purpose: the CAUTI Assessment Profile (CAP).

Implementation of electronic surveillance of catheter use and catheter-associated urinary tract infection at Nurses Improving Care for Healthsystem Elders (NICHE) hospitals - Abstract

BACKGROUND: Manual surveillance of indwelling urinary catheters (IUCs) and catheter-associated urinary tract infections (CAUTIs) is resource intense.

Challenges and proposed improvements for reviewing symptoms and catheter use to identify National Healthcare Safety Network catheter-associated urinary tract infections - Abstract

BACKGROUND: Retrospective medical record review is used to categorize urinary tract infections (UTIs) as symptomatic, catheter-associated, and/or healthcare-associated to generate National Healthcare Safety Network (NHSN) surveillance and claims data.

Implementing quality improvement strategies to reduce healthcare-associated infections: A systematic review - Abstract

BACKGROUND: Comprehensive incidence estimates indicate that 1.7 million healthcare-associated infections (HAIs) and 99,000 HAI-associated deaths occur in US hospitals.

The Interdisciplinary Academy for Coaching and Teamwork (I-ACT): A novel approach for training faculty experts in preventing healthcare-associated infection - Abstract

BACKGROUND: The Interdisciplinary Academy for Coaching and Teamwork (I-ACT) was an advanced course aimed at educating leaders of a quality improvement project on addressing clinical challenges associated with catheter-associated urinary tract infection (CAUTI), overcoming socioadaptive issues among a multidisciplinary team, and effective coaching.

The association between age, sex, and hospital-acquired infection rates: Results from the 2009-2011 National Medicare Patient Safety Monitoring System - Abstract

Objective: To define the relationships between age, sex and hospital-acquired infection (HAI) rates in a national cohort of hospitalized patients.

Utilization of a lock-out valve to decrease the common, costly, and preventable problem of catheter-associated urinary tract infections, "Beyond the Abstract," by Jennifer L. Young, MD

BERKELEY, CA (UroToday.com) - An estimated 1.7 million health care-associated infections occur in United States hospitals annually.[1] Urinary tract infections are the most common.[2]

Engaging health care workers to prevent catheter-associated urinary tract infection and avert patient harm - Abstract

Preventing catheter-associated urinary tract infection (CAUTI) remains a significant challenge for US hospitals.

Racial and ethnic disparities in healthcare-associated infections in the United States, 2009-2011 - Abstract

Background: Little is known about racial and ethnic disparities in the occurrence of healthcare-associated infections (HAIs) in hospitalized patients.

Objective: To determine whether racial/ethnic disparities exist in the rate of occurrence of HAIs captured in the Medicare Patient Safety Monitoring System (MPSMS).

Methods: Chart-abstracted MPSMS data from randomly selected all-payer hospital discharges of adult patients (18 years old or above) between January 1, 2009, and December 31, 2011, for 3 common medical conditions: acute cardiovascular disease (composed of acute myocardial infarction and heart failure), pneumonia, and major surgery for 6 HAI measures (hospital-acquired antibiotic-associated Clostridium difficile, central line-associated bloodstream infections, postoperative pneumonia, catheter-associated urinary tract infections, hospital-acquired methicillin-resistant Staphylococcus aureus, and ventilator-associated pneumonia).

Results: The study sample included 79,019 patients who had valid racial/ethnic information divided into 6 racial/ethnic groups-white non-Hispanic (n = 62,533), black non-Hispanic (n = 9,693), Hispanic (n = 4,681), Asian (n = 1,225), Native Hawaiian/Pacific Islander (n = 94), and other (n = 793)-who were at risk for at least 1 HAI. The occurrence rate for HAIs was 1.1% for non-Hispanic white patients, 1.3% for non-Hispanic black patients, 1.5% for Hispanic patients, 1.8% for Asian patients, 1.7% for Native Hawaiian/Pacific Islander patients, and 0.70% for other patients. Compared with white patients, the age/gender/comorbidity-adjusted odds ratios of occurrence of HAIs were 1.1 (95% confidence interval [CI], 0.99-1.23), 1.3 (95% CI, 1.15-1.53), 1.4 (95% CI, 1.07-1.75), and 0.7 (95% CI, 0.40-1.12) for black, Hispanic, Asian, and a combined group of Native Hawaiian/Pacific Islander and other patients, respectively.

Conclusions: Among patients hospitalized with acute cardiovascular disease, pneumonia, and major surgery, Asian and Hispanic patients had significantly higher rates of HAIs than white non-Hispanic patients.

Written by:
Bakullari A, Metersky ML, Wang Y, Eldridge N, Eckenrode S, Pandolfi MM, Jaser L, Galusha D, Moy E.   Are you the author?
Qualidigm, Wethersfield, Connecticut.

Reference: Infect Control Hosp Epidemiol. 2014 Oct;35 Suppl 3:S10-6.
doi: 10.1086/677827


PubMed Abstract
PMID: 25222888

Regional variation in urinary catheter use and catheter-associated urinary tract infection: Results from a national collaborative - Abstract

Objective: To examine regional variation in the use and appropriateness of indwelling urinary catheters and catheter-associated urinary tract infection (CAUTI).

Health care-associated infections among critically ill children in the US, 2007-2012 - Abstract

BACKGROUND: Health care-associated infections (HAIs) are harmful and costly and can result in substantial morbidity for hospitalized children; however, little is known about national trends in HAIs in neonatal and pediatric populations.

International Nosocomial Infection Control Consortiu (INICC) report, data summary of 43 countries for 2007-2012. Device-associated module - Abstract

We report the results of an International Nosocomial Infection Control Consortium (INICC) surveillance study from January 2007-December 2012 in 503 intensive care units (ICUs) in Latin America, Asia, Africa, and Europe.

Interaction between atypical microorganisms and E. coli in catheter-associated urinary tract biofilms - Abstract

Most biofilms involved in catheter-associated urinary tract infections (CAUTIs) are polymicrobial, with disease causing (eg Escherichia coli) and atypical microorganisms (eg Delftia tsuruhatensis) frequently inhabiting the same catheter.

Efficacy and cost-benefit analysis of a global environmental cleaning algorithm on hospital-acquired infection rates - Abstract

OBJECTIVE: This study evaluates clinical outcomes and cost-benefit analysis before and after implementation of a global environmental cleaning algorithm on all hospital-acquired infection (HAI) rates.

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