The'No catheter No catheter associated urinary tract infection' programme

This case study outlines how a Nurse Consultant at Newcastle upon Tyne Hospitals NHS Foundation Trust led on the development and implementation of a programme of work to improve catheter care and reduce urinary tract infection rates. The programme has led to improved outcomes, experiences and use of resources by addressing unwarranted variation in practice.
Source: Current Awareness Service for Health (CASH) - Category: Consumer Health News Source Type: news

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We're living in an era in which the credibility of scientific evidence is sometimes challenged —think climate change1—and important research findings don't always impact practice and policy. Regarding the latter point, it remains common to hear nurses who work in long-term care presume the presence of a urinary tract infection when a resident's urine has an offensive odor (despite guideli nes to the contrary)2, and to use antipsychotics for residents with dementia (despite Food and Drug Administration black-box warnings to the contrary).
Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Tags: Editorial Source Type: research
Publication date: Available online 23 August 2019Source: Journal of Hospital InfectionAuthor(s): Oyebola Fasugba, Brett G. Mitchell, Elizabeth McInnes, Jane Koerner, Allen C. Cheng, Heilok Cheng, Sandy MiddletonSummaryBackgroundNon-antibiotic interventions for urinary tract infection (UTI) prevention have been investigated as a strategy to reduce antibiotic prescribing for UTI and subsequent antibiotic resistance. Increased hydration is widely advocated for preventing UTI; however, evidence for its effectiveness is unknown.AimTo systematically review the published literature on the effectiveness of increased fluid intake a...
Source: Journal of Hospital Infection - Category: Infectious Diseases Source Type: research
ConclusionsThe purpose of this case series is to highlight the highly drug resistant profile of this organism and the fulminant infection it can cause, which if spreads in our hospitals due to breaches in infection control practices, can pose risk as a deadly and untreatable nosocomial infection.
Source: IDCases - Category: Infectious Diseases Source Type: research
DiscussionThe use of a funnel urine-collection system and silver-impregnated wipe did not reduce urine-culture contamination in adult midstream clean-catch urine cultures in the emergency department.
Source: Journal of Emergency Nursing - Category: Nursing Source Type: research
A substantial proportion of microbiological screening in diagnostic laboratories is due to suspected urinary tract infections (UTIs), yet approximately two thirds of urine samples typically yield negative cult...
Source: BMC Medical Informatics and Decision Making - Category: Information Technology Authors: Tags: Research article Source Type: research
This article is protected by copyright. All rights reserved. PMID: 31441039 [PubMed - as supplied by publisher]
Source: Clinical Genetics - Category: Genetics & Stem Cells Authors: Tags: Clin Genet Source Type: research
In this edition of Mythbusters we critically examine the premise that, because women with history of vesicoureteric reflux (VUR) are at higher risk of urinary tract infection (UTI) and other morbidity during pregnancy, persistent VUR in older girls should be considered an indication for surgical correction. The literature is very limited in that there are essentially no methodologically robust comparisons of pregnancy outcomes among women whose childhood VUR was or was not surgically repaired. Most of the case series and cohorts find relatively high incidence of UTI and pyelonephritis among pregnant women with a history of...
Source: Journal of Pediatric Urology - Category: Urology & Nephrology Authors: Tags: Editorial Source Type: research
Over 2.6 million ED visits across the United States result in a primary diagnosis of urinary tract infection.1 While much attention has been paid to reducing blood culture contamination rates in the emergency department,2-9 a substantial gap remains in projects aimed at reducing contamination in clean-catch urine specimens obtained in the ED setting. Obtaining an adequate urine culture is clinically important to the care of several vulnerable patient groups, including patients with diabetes or compromised immune responses, those with high risk for subsequent urosepsis, previous antibiotic resistant infections, multiple ant...
Source: Journal of Emergency Nursing: JEN - Category: Nursing Authors: Tags: Editorial Source Type: research
A midstream clean-catch urine sample is recommended to obtain a urine culture in symptomatic adults with suspected urinary tract infection. The aim of this randomized controlled trial was to determine whether a novel funnel urine-collection system combined with a silver-colloidal cleaning wipe would decrease mixed flora contamination in midstream clean-catch urine cultures from ambulatory adults in the emergency department.
Source: Journal of Emergency Nursing: JEN - Category: Nursing Authors: Tags: Research Source Type: research
CONCLUSION: Low-dose rituximab has good efficacy and safety in the treatment of hematologic abnormalities in patients with connective tissue disease.
. PMID: 31426902 [PubMed - as supplied by publisher]
Source: International Journal of Clinical Pharmacology and Therapeutics - Category: Drugs & Pharmacology Tags: Int J Clin Pharmacol Ther Source Type: research
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