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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-slides.pptx
June 01, 2021 - Collection of Specimens
2
3
Case 1: Clara
Indications for Urine Collection
Residents without urinary … catheter due to urinary retention and inability to void independently
Develops a fever with flank pain … 2
If the urinary catheter has been in too long, the urine specimen is not helpful. … 16
Sputum cultures should only be sent on residents whom you are concerned have a lower respiratory tract … Diagnosis, Prevention, and Treatment of Catheter-Associated Urinary Tract Infection in Adults: 2009 International
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psnet.ahrq.gov/node/46135/psn-pdf
July 11, 2017 - Two-state collaborative study of a multifaceted
intervention to decrease ventilator-associated events … Two-State Collaborative Study of a Multifaceted Intervention to Decrease
Ventilator-Associated Events … (including ventilator-associated pneumonia) over the study period. … https://psnet.ahrq.gov/primer/health-care-associated-infections
https://psnet.ahrq.gov/primer/health-care-associated-infections … psnet.ahrq.gov/issue/cusp-toolkit
https://psnet.ahrq.gov/issue/implementing-national-program-reduce-catheter-associated-urinary-tract-infection-quality
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-indications.pptx
April 01, 2022 - Review of strategies to reduce central line-associated bloodstream infection (CLABSI) and catheter-associated … urinary tract infection (CAUTI) in adult ICUs. … Disrupting the life cycle of the urinary catheter. Clin Infect Dis. 2011 Jun;52(11):1291-3. … Review of strategies to reduce central line-associated bloodstream infection (CLABSI) and catheter-associated … urinary tract infection (CAUTI) in adult ICUs.
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www.ahrq.gov/antibiotic-use/long-term-care/best-practices/index.html
June 01, 2021 - treatment, and management of infections common among long-term care residents, including C. difficile , urinary … and respiratory tract, and skin and soft tissue infections. … Assessment and Management of the Resident With a Suspected Urinary Tract Infection
Assessment and … and Pocket Cards that can be distributed to frontline providers and prescribing clinicians regarding urinary … tract infections, pneumonia, skin and soft tissue infections, and delirium.
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psnet.ahrq.gov/node/47831/psn-pdf
May 08, 2019 - What US hospitals are currently doing to prevent common
device-associated infections: results from a … What US hospitals are currently doing to prevent common device-
associated infections: results from … https://psnet.ahrq.gov/issue/what-us-hospitals-are-currently-doing-prevent-common-device-associated- … infections-results
This study focused on three types of device-associated infections: catheter-associated … urinary tract
infection (CAUTI), central line–associated bloodstream infection (CLABSI), and ventilator-associated
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
January 01, 2016 - Urinary Tract
Infections
169,000 5.7
Central Line-Associated Bloodstream
Infections
9,000 0.3 … Urinary
Tract Infections (CAUTI)
Central Line-Associated
Bloodstream Infections (CLABSI)
Clostridium … Urinary
Tract Infections
$419,140,000 $82,800,000 1,100 200
Central Line-
Associated
Bloodstream … Catheter-Associated Urinary Tract Infections 169,028 5.68
CDI MPSMS Clostridium difficile Infections … Urinary Tract
Infections
169,000 199,000 175,000 30,000 18% 6,000 4%
Central Line-
Associated
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-engagement-ed.pptx
September 01, 2014 - FAQs about Catheter-Associated Urinary Tract Infection. … contract, “National Implementation of Comprehensive Unit-based Safety Program (CUSP) to Reduce Catheter-Associated … Urinary Tract Infection (CAUTI), project number HHSA290201000025I/HHSA29032001T, Task Order #1.”
12
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/health-careassociated-infections_executive.pdf
November 01, 2012 - infections
CAUTI = catheter-associated urinary tract infection; CLABSI = central line–associated bloodstream … CAUTI = catheter-associated urinary tract infection; SOE = strength of evidence. … catheterization
CAUTI = catheter-associated urinary tract infection; CLABSI = central line–associated … Preventing catheter-associated urinary tract infection
in the zero-tolerance era. … Control of the
duration of urinary catheterization: impact on catheter-
associated urinary tract infection
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psnet.ahrq.gov/node/41777/psn-pdf
April 05, 2013 - AHRQ-funded study
found that the "no pay for errors" policy had no measurable effect on rates of catheter–associated … bloodstream infections and catheter–associated urinary tract infections in hospitals in the United … psnet.ahrq.gov/issue/medicare-says-it-wont-cover-hospital-errors
https://psnet.ahrq.gov/primer/health-care-associated-infections
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psnet.ahrq.gov/node/45585/psn-pdf
June 29, 2017 - This observational
study examined Medicare's nonpayment policy for conditions such as health care–associated … For certain conditions, such as catheter-associated urinary tract
infections, hospitals with a larger … psnet.ahrq.gov/issue/medicare-says-it-wont-cover-hospital-errors
https://psnet.ahrq.gov/primer/health-care-associated-infections
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psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2023-analysis-23970-reports
July 08, 2020 - Study
Long-term care healthcare-associated infections in 2023: an analysis of 23,970 … Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. … Pennsylvania Patient Safety Reporting System (PA-PSRS), infection rates increased for skin and soft tissue, urinary … tract, and respiratory tract infections. … Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports.
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psnet.ahrq.gov/node/50689/psn-pdf
November 20, 2019 - hospital-
based program using a multimodal, evidence-based intervention targeted at reducing healthcare-
associated … PubMed citations
Central-line Associated Blood Stream Infection (CLABSI)
Over the three-year study … Catheter-Associated Urinary Tract Infection (CAUTI)
Baseline CAUTI rates at participating hospitals … Unadjusted urinary catheter use decreased from 21.46 to 19.83 catheter-
days per 100 patient-days. … https://psnet.ahrq.gov/primer/health-care-associated-infections
https://www.ncbi.nlm.nih.gov/pubmed?
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psnet.ahrq.gov/node/47412/psn-pdf
October 31, 2018 - fifth-discipline-art-practice-learning-organization-revised-updated-edition
https://psnet.ahrq.gov/issue/viewing-prevention-catheter-associated-urinary-tract-infection-system-using-systems
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
Preventing Device-Associated … Urologic surgery or other surgery on contiguous structures of the genitourinary tract are appropriate … Maintenance includes keeping a closed urinary drainage system, an unobstructed urinary flow (no kinks … , urinary bag placement below bladder, and regular emptying of the urinary bag), a securement device … Urinary catheter maintenance elements to reduce complication risk
The indwelling UC may be associated
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-facilitator-guide.docx
June 01, 2021 - She recently was treated for a suspected urinary tract infection with a 5-day course of nitrofurantoin … Slide 9
Urinary Antigen Tests
SAY:
Two different urinary antigen tests, which both have relatively … The second test is the Legionella urinary antigen test. … For residents at risk for pneumonia caused by community-associated organisms such as S. pneumoniae or … Azithromycin has been associated with prolonged QTc intervals and should be avoided in patients with
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www.ahrq.gov/topics/antimicrobial-stewardship.html
With Antibiotics : This toolkit improves antibiotic use for four infections common in nursing homes: urinary … tract infections, lower respiratory infections, skin and soft tissue infections, and gastrointestinal … Research Studies
Effectiveness of an Antimicrobial Stewardship Approach for Urinary Catheter-Associated … multifaceted intervention targeting health care professionals who diagnose and treat patients with urinary
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www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-slides.html
December 01, 2017 - source
Slide 4
Patients with Urinary Catheters…
Catheter associated bacteriuria often misdiagnosed … tract: <4% of patients with bacteriuria
Slide 5
Infectious Complications + Catheter
Image: … with $20 billion direct healthcare cost per year
Antibiotic resistance is associated with about $1 … Urinary catheter use is associated with isolation of MDROs
This is seen at acute care hospital, LTACH … Urinary Tract Infection (CAUTI), project number HHSA290201000025I/HHSA29032001T, Task Order #1.”
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www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-rationale.html
September 01, 2013 - Safety and Adverse Events
The Burden of Health Care-Associated Infections
Health care-associated … patients with HAIs incur large costs, with average direct medical costs of approximately $500-$1,000 per urinary … tract infection and $10,000-$20,000 per surgical site infection, central line-associated bloodstream … Current evidence and expert opinion suggests that 65-70 percent of catheter-related bloodstream and urinary … tract infections may be preventable. 11
Rationale for Universal Decolonization in Intensive Care Units
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www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-rationale.html
September 01, 2013 - Safety and Adverse Events
The Burden of Health Care-Associated Infections
Health care-associated … patients with HAIs incur large costs, with average direct medical costs of approximately $500-$1,000 per urinary … tract infection and $10,000-$20,000 per surgical site infection, central line-associated bloodstream … Current evidence and expert opinion suggests that 65-70 percent of catheter-related bloodstream and urinary … tract infections may be preventable. 11
Rationale for Universal Decolonization in Intensive Care Units
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hcup-us.ahrq.gov/toolssoftware/ccs10/CCSCategoryNames(FullLabels).pdf
January 19, 2017 - tract infections
160 Calculus of urinary tract
161 Other diseases of kidney and ureters
162 Other … 108 Indwelling catheter
109 Procedures on the urethra
110 Other diagnostic procedures of urinary tract … 111 Other non-OR therapeutic procedures of urinary tract
112 Other OR therapeutic procedures of urinary … 195 Diagnostic ultrasound of urinary tract
196 Diagnostic ultrasound of abdomen or retroperitoneum
197 … tract [110]
10.10 Other non-OR therapeutic procedures of urinary tract [111]
10.11 Other OR therapeutic