Bladder Management and Urinary Tract Infections in Danish Hospitals, Nursing Homes, and Home Care: A National Prevalence Study

1996 ◽  
Vol 17 (4) ◽  
pp. 215-221 ◽  
Author(s):  
Jette Zimakoff ◽  
David J. Stickler ◽  
Birgitte Pontoppidan ◽  
Severin O. Larsen
2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Michael D. Stillman ◽  
Jeanne M. Hoffman ◽  
Jason K. Barber ◽  
Steve R. Williams ◽  
Stephen P. Burns

2020 ◽  
Vol 21 (5) ◽  
pp. 182-188
Author(s):  
Katrien Latour ◽  
Jan De Lepeleire ◽  
Béatrice Jans ◽  
Frank Buntinx ◽  
Boudewijn Catry

Background: Urinary tract infections (UTIs) are one of the most frequently reported infections in older adults and the most common reason for antimicrobial prescribing in nursing homes (NHs). In this vulnerable population, both a good diagnosis and prevention of these infections are crucial as overuse of antibiotics can lead to a variety of negative consequences including the development of multidrug-resistant organisms. Objective: To determine infection prevention and control (IPC) and diagnostic practices for UTIs in Belgian NHs. Methods: Local staff members had to complete an institution-level questionnaire exploring the availability of IPC practices and resources and procedures for UTI surveillance, diagnosis, and urinary catheter and incontinence care. Results: UTIs were the second most common infections in the 87 participating NHs (prevalence: 1.0%). Dipstick tests and urine cultures were routinely performed in 30.2% and 44.6% of the facilities, respectively. In non-catheterised residents, voided or midstream urine sampling was most frequently applied. Protocols/guidelines for urine sampling, urinary catheter care and incontinence care were available in 43.7%, 45.9% and 31.0% of the NHs, respectively. Indwelling catheters were uncommon (2.3% of the residents) and urinary retention (84.9%) and wound management (48.8%) were the most commonly reported indications. Only surveillance was found to significantly impact the UTI prevalence: 2.2% versus 0.8% in NHs with or without surveillance, respectively ( P < 0.001). Discussion: This survey identified key areas for improving the diagnosis and prevention of UTIs, such as education and training regarding the basics of urine collection and catheter care.


2012 ◽  
Vol 30 (7) ◽  
pp. 408-417 ◽  
Author(s):  
M. Kathleen Scanlon ◽  
Geraldine Deluca ◽  
Barbara Bono-Snell

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 382-382
Author(s):  
Paul Falkowski ◽  
Christopher Kelly ◽  
Nancy Kelley

Abstract The purpose of this study was to explore the relationship between nursing home volunteer programming and quality measures and increase the knowledge base of nursing home volunteer programming in various settings. Fifty-two nursing homes were surveyed using electronic surveys and personal interviews. Questions focused on the organization of the nursing home, characteristics of the volunteer program and volunteer activities. Of the 52 facilities surveyed, 19 were not part of a chain, 37 were in urban settings, and 24 were for-profit entities. Volunteers were used in 46 nursing homes with a mean number of volunteers of 51.7 onsite an average of 4.9 days per week. Bivariate analysis revealed statistically significant correlations (p&lt;.05) between organizational and volunteer programming characteristics and six quality measures (pressure sores, urinary tract infections, depression, use of restraints, falls, use of antipsychotic and hypnotic drugs). Statistically significant (p&lt;.05) inverse relationships were found between volunteers providing individualized activities (e.g., feeding assistance, combing hair, doing nails, and letter writing) and the incidence of urinary tract infections and the use of psychotropic drugs. Multiple regression analysis revealed a statistically significant (p&lt;.05) inverse relationship between personal volunteer services such as combing hair and doing nails and the use of hypnotic drugs and antipsychotic drugs. This study indicates a significant correlation between volunteer programming and quality measure scores. A larger study of these relationships is indicated.


2015 ◽  
Vol 2 (suppl_1) ◽  
Author(s):  
Kelly Ground ◽  
Wallace Jones ◽  
Cynthia Drake ◽  
Gregory Gahm ◽  
Sung-Joon Min ◽  
...  

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