Publications - A compendium of scientific papers on CAUTI research

Using evidence-based practice to reduce catheter-associated urinary tract infections - Abstract

Overview: In November 2009, AJN launched a 12-part series, Evidence-Based Practice, Step by Step, authored by nursing leaders from the Arizona State University…
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A multimodal intervention to reduce urinary catheter use and associated infection at a veterans affairs medical center - Abstract

We assessed the impact of a quality improvement intervention to reduce urinary catheter use and associated urinary tract infections (UTIs) at a single…
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A negative urinalysis rules out catheter-associated urinary tract infection in trauma patients in the intensive care unit - Abstract

Background: Urinary tract infection (UTI) in trauma patients is associated with increased mortality. Whether the urinalysis (UA) is an adequate test for a…
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Surveillance of device-associated infection rates and mortality in 3 Greek intensive care units - Abstract

Background: Several studies suggest that device-associated, health care-associated infections (DA-HAIs) affect the quality of care in intensive care units,…
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Including catheter-associated urinary tract infections in the 2008 CMS payment policy: A qualitative analysis - Abstract

The study presented in this article addresses the impact of the 2008 nonpayment policy of the Centers for Medicare and Medicaid Services (CMS) on…
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Changing behavior among nurses to track indwelling urinary catheters in hospitalized patients - Abstract

Catheter-associated urinary tract infections (CAUTIs) are preventable complications of hospitalization. An interdisciplinary team developed a curriculum to…
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Barriers to reducing urinary catheter use: A qualitative assessment of a statewide initiative - Abstract

Importance: Preventing catheter-associated urinary tract infection (CAUTI), a common health care-associated infection, is important for improving the care of…
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Preventing catheter-associated urinary tract infection in the United States: A national comparative study - Abstract

Importance: Despite the national goal to reduce catheter-associated urinary tract infection (CAUTI) by 25% by 2013, limited data exist describing prevention…
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Prevention of recurrent urinary tract infections - Abstract

Urinary tract infections (UTI) are among the most frequent bacterial infections in the community and health care setting. Mostly young and, to some extent,…
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Using a criteria-based reminder to reduce use of indwelling urinary catheters and decrease urinary tract infections - Abstract

Background: Duration of indwelling urinary catheterization is an important risk factor for urinary tract infection. Objectives To determine whether a reminder…
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ahrC and Eep are biofilm infection-associated virulence factors in Enterococcus faecalis - Abstract

Enterococcus faecalis is part of the human intestinal microbiome and a prominent cause of healthcare-associated infections. The pathogenesis of many E.…
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Molecular basis of the activity of SinR, the master regulator of biofilm formation in Bacillus subtilis - Abstract

SinR is the master regulator that determines whether Bacillus subtilis switches from a free-living, planktonic lifestyle to form a biofilm, a community of…
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Factors that affect nosocomial catheter-associated urinary tract infection in intensive care units: 2-year experience at a single center - Abstract

Purpose: This study took a retrospective approach to investigate patients with catheter-associated urinary tract infection (CAUTI) over 2 years at a single…
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Catheter-associated urinary tract infection: Does changing the definition change quality? - Abstract

The Centers for Disease Control and Prevention (CDC) recently narrowed its definition of catheter-associated urinary tract infection (CAUTI) to exclude…
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Exploring factors associated with nurses' adoption of an evidence-based practice to reduce duration of catheterization - Abstract

Hospitalized adult patients are at increased risk for adverse outcomes, particularly when undergoing invasive procedures that include indwelling urinary…
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High proportion of healthcare-associated urinary tract infection in the absence of prior exposure to urinary catheter: A cross-sectional study - Abstract

Background: Exposure to urinary catheters is considered the most important risk factor for healthcare-associated urinary tract infection (UTI) and is…
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Prevention and treatment of urinary catheter-associated infections - Abstract

Catheter-associated urinary tract infections (CA-UTIs) are the most common nosocomial infection worldwide. Prolonged catheterization is the most important risk…
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Long-term urinary catheter users self-care practices and problems - Abstract

Aims and Objectives: To characterise a sample of 202 adult community-living long-term indwelling urinary catheter users, to describe self-care practices and…
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Effect of nonpayment for preventable infections in U.S. hospitals - Abstract

Background: In October 2008, the Centers for Medicare and Medicaid Services (CMS) discontinued additional payments for certain hospital-acquired conditions…
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The Isolation and the biofilm formation of uropathogens in the patients with catheter associated urinary tract infections (UTIs) - Abstract

Background: Urinary tract infections are the most commonly acquired bacterial infections and they account for an estimated 25-40% of the nosocomial infections.…
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Evaluation of the treatment of vancomycin-resistant enterococcal urinary tract infections in a large academic medical center - Abstract

Background: Vancomycin-resistant enterococci (VRE) are a common cause of nosocomial urinary tract infections (UTIs) among hospitalized patients. Clinicians…
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Postoperative urinary tract infection and short-term outcomes and costs in head and neck cancer surgery - Abstract

Objectives: Catheter-associated urinary tract infections (UTIs) have been identified as a preventable "never event" by the Centers for Medicare & Medicaid…
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Promoting and sustaining a hospital-wide, multifaceted hand hygiene program resulted in significant reduction in health care-associated infections - Abstract

Background: Hand hygiene is the single most important intervention to combat infections in any health care setting. However, adherence to hand hygiene practice…
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Reduction in catheter-associated urinary tract infections by bundling interventions - Abstract

Objective: Urinary tract infections (UTIs) are the most common type of hospital-acquired infection, and most are associated with indwelling urinary catheters,…
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Infections acquired by adults who receive extracorporeal membrane oxygenation: Risk factors and outcome - Abstract

Objectives: To analyze infectious complications that occur in patients who receive extracorporeal membrane oxygenation (ECMO), associated risk factors, and…
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Device-associated infection rates in adult and pediatric intensive care units of hospitals in Egypt. International Nosocomial Infection Control Consortium (INICC) findings - Abstract

Purpose: To determine the rate of device-associated healthcare-associated infections (DA-HAIs) at a respiratory intensive care unit (RICU) and in the pediatric…
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Multimodal supervision programme to reduce catheter associated urinary tract infections and its analysis to enable focus on labour and cost effective infection control measures in a tertiary care hospital in India - Abstract

Background: Catheter Associated Urinary Tract Infections (CAUTI) contribute 30%-40% of all the nosocomial infections and they are associated with substantially…
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Preventing catheter-associated urinary tract infections in the intensive care unit - Abstract

Urinary tract infection remains one of the most common healthcare-associated infections in the intensive care unit and predominantly occurs in patients with…
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Antimicrobial catheters for reduction of symptomatic urinary tract infection in adults requiring short-term catheterisation in hospital: a multicentre randomised controlled trial - Abstract

Background: Catheter-associated urinary tract infection (CAUTI) is a major preventable cause of harm for patients in hospital. We aimed to establish whether…
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Common complications in the critically ill patient - Abstract

Critically ill patients in intensive care units are subject to many complications associated with therapy. Many of these complications are health…
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Combinatorial small-molecule therapy prevents uropathogenic Escherichia coli catheter-associated urinary tract Infections in mice, "Beyond the Abstract," by Matthew R. Chapman and Thomas M. Hooton, MD

BERKELEY, CA (UroToday.com) - A patient undergoing urinary catheterization has a 3 to 7% risk each day of developing a urinary tract infection (UTI).…
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Application of a nanotechnology antimicrobial spray to prevent lower urinary tract infection: A multicenter urology trial - Abstract

Background: Catheter-associated urinary tract infection (CAUTI) is a common nosocomial device-associated infection. It is now recognized that the high…
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Device-associated infection rates, device use, length of stay, and mortality in intensive care units of 4 Chinese hospitals: International Nosocomial Control Consortium findings - Abstract

Background: Little data exist on the burden of device-associated health care-associated infection (DA-HAI) in China. This study examined the DA-HAI rate and…
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Tamm-Horsfall protein facilitates catheter associated urinary tract infection - Abstract

Background: Urinary catheters are associated, commonly with bacteriuria and frequently with urinary tract infection. Tamm-Horsfall Protein (THP) is urine's…
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Bacteriophages are synergistic with bacterial interference for the prevention of Pseudomonas aeruginosa biofilm formation on urinary catheters - Abstract

Aims: We hypothesized that pretreating urinary catheters with benign Escherichia coli HU2117 plus an antipseudomonal bacteriophage (Phi E2005-A) would prevent…
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Device-associated infection rates, device utilization, and antimicrobial resistance in long-term acute care hospitals reporting to the national healthcare safety network, 2010 - Abstract

Objective: To evaluate national data on healthcare-associated infections (HAIs), device utilization, and antimicrobial resistance in long-term acute care…
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Chief nursing officers' perspectives on Medicare's hospital-acquired conditions non-payment policy: Implications for policy design and implementation - Abstract

Background: Preventable adverse events from hospital care are a common patient safety problem, often resulting in medical complications and additional costs.…
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Microbial biofilm formation and catheter-associated bacteriuria in patients with suprapubic catheterisation - Abstract

Purpose: Catheter-associated bacteriuria (CAB) with transurethral catheters is almost inevitable. Suprapubic catheters (SPCs) are widely considered to decrease…
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Early development of bacterial community diversity in emergently placed urinary catheters - Abstract

Background: Approximately 25% of hospitalized patients have a urinary catheter, and catheter associated urinary tract infection is the most common nosocomial…
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Antibiotic prophylaxis in catheter-associated urinary infections - Abstract

This study aimed to assess the usefulness of antibiotic prophylaxis with Levofloxacin (LVFX) in short and mediumterm catheterisations. This study was developed…
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Risk factors for healthcare-associated urinary tract infection and their applications in surveillance using hospital administrative data: A systematic review - Abstract

Background: Healthcare-associated urinary tract infections (HCA UTI) account for a large proportion of hospital infections, with recently launched surveillance…
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Effect of nonpayment for hospital-acquired, catheter-associated urinary tract infection: A statewide analysis - Abstract

Background: Most (59% to 86%) hospital-acquired urinary tract infections (UTIs) are catheter-associated urinary tract infections (CAUTIs). As of 2008, claims…
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Impact of a multidimensional infection control strategy on catheter-associated urinary tract infection rates in the adult intensive care units of 15 developing countries:

Findings of the International Nosocomial Infection Control Consortium (INICC) - Abstract Purpose: We aimed to evaluate the impact of a multidimensional…
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Combinatorial small-molecule therapy prevents uropathogenic Escherichia coli catheter-associated urinary tract Infections in mice

Catheter-associated urinary tract infections (CAUTIs) constitute the majority of nosocomial urinary tract infections (UTIs) and pose significant clinical…
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Does nonpayment for hospital-acquired catheter-associated urinary tract infections lead to overtesting and increased antimicrobial prescribing? - Abstract

Background: On 1 October 2008, in an effort to stimulate efforts to prevent catheter-associated urinary tract infection (CAUTI), the Centers for Medicare &…
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Catheter-associated urinary tract infection - Abstract

Purpose of Review: Catheter-associated urinary tract infection (CAUTI) is the commonest nosocomial infection worldwide. Here we review the recent advances in…
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Findings of the International Nosocomial Infection Control Consortium (INICC), Part I:

Effectiveness of a multidimensional infection control approach on catheter-associated urinary tract infection rates in pediatric intensive care units of 6…
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Active training and surveillance: 2 good friends to reduce urinary catheterization rate - Abstract

Background: Because catheter-associated urinary tract infections (CAUTI) represent the most frequent health care-associated infection (HAI), we implemented an…
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Reducing catheter-associated urinary tract infections in home care: a performance improvement project - Abstract

The Performance Improvement Department of one home healthcare agency (HHA) identified an increase in the rate of catheter-associated urinary tract infections…
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Virulence factors in Proteus bacteria from biofilm communities of catheter-associated urinary tract infections - Abstract

More than 40% of nosocomial infections are those of the urinary tract, most of these occurring in catheterized patients. Bacterial colonization of the urinary…
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New strategies to prevent catheter-associated urinary tract infections - Abstract

Catheter-associated urinary tract infection (CAUTI) is the most common health-care-associated infection worldwide. Although not all cases of bacteriuria result…
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Biofilm formation of Klebsiella pneumoniae on urethral catheters requires either type 1 or type 3 fimbriae - Abstract

Urinary catheters are standard medical devices utilized in both hospital and nursing home settings, but are associated with a high frequency of…
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Managements of urinary catheterization and urinary tract infection in cancer patients - Abstract

Urinary tract infections(UTIs) are the most frequently seen bacterial infections. Recently, cancer has become a very common disease, having the highest…
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Prevalence of inappropriate urinary catheterization: A preventable risk factor - Abstract

Healthcare-associated infection is an issue with major socio-economic implications worldwide. Urinary Tract Infection is a Healthcare-Associated infection with…
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The metal ion-dependent adhesion site motif of the Enterococcus faecalis EbpA pilin mediates pilus function in catheter-associated urinary tract infection - Abstract

Though the bacterial opportunist Enterococcus faecalis causes a myriad of hospital-acquired infections (HAIs), including catheter-associated urinary tract…
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BJUI Mini Reviews - An indwelling urinary catheter for the 21st century

The indwelling urinary catheter is the most common cause of infections in hospitals and other healthcare facilities.[1] As long ago as 1958, Paul Beeson [2]…
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Surveys of catheter-associated urinary tract infection in a university hospital intensive care unit in China - Abstract

In developed nations, urinary tract is the most common infection site among healthcare-associated infection (HCAI).
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A comparison of 3 metrics to identify health care-associated infections - Abstract

BACKGROUND: The best approach to measurement of health care-associated infection rates is controversial.
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The 39th Annual Educational Conference & International Meeting of the Association of Professionals in Infection Control and Epidemiology (APIC)

The 39th Annual Educational Conference & International Meeting of the Association of Professionals in Infection Control and Epidemiology (APIC) was held held…
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National incidence and outcomes of postoperative urinary retention in the Surgical Care Improvement Project - Abstract

BACKGROUND: The national incidence of postoperative urinary retention (POUR), its risk factors, and associated outcomes are not well understood. METHODS: We…
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Designing a protocol to reduce catheter-associated urinary tract infections among hospitalized patients - Abstract

Hospital-acquired urinary tract infections comprise 40% of hospital-acquired infections with over 80% of these hospital-acquired urinary tract infections…
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Ins and outs of suprapubic catheters--a clinician's experience - Abstract

In today's evolving health care field, outpatient procedures are becoming more commonplace. Many patients with suprapubic catheters are now being seen in…
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Perceived impact of the Medicare policy to adjust payment for health care-associated infections - Abstract

Background: In 2008, the Centers for Medicare and Medicaid Services (CMS) ceased additional payment for hospitalizations resulting in complications deemed…
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A review of strategies to decrease the duration of indwelling urethral catheters and potentially reduce the incidence of catheter-associated urinary tract infections - Abstract

The use of indwelling urinary catheters in hospitalized patients presents an increased risk of the development of complications, including catheter-associated…
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Preventing infection in elders with long-term indwelling urinary catheters - Abstract

To explore selected factors related to the prevention of catheter-associated urinary tract infections (UTIs) in older adults.
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Urinary tract colonization and infection in critically ill patients - Abstract

Urinary tract infections (UTIs) account for 20-50% of all hospital-acquired infections occurring in the intensive care unit (ICU). In some reports UTI was…
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Novel approaches to the diagnosis, prevention, and treatment of medical device-associated infections - Abstract

The pathogenesis of device-associated infections is related to biofilm bacteria that exhibit distinct characteristics with respect to growth rate, structural…
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Alterations in bacterial spectrum and increasing resistance rates in isolated microorganisms from device-associated infections in an intensive care unit of a teaching hospital in Istanbul (2004-2010) - Abstract

The aim of the present study was to determine the rate of device-associated infection (DAI) and the change in profiles and antimicrobial resistance patterns of…
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Evidence-based protocol on the urinary catheter cares in intensive care units - Abstract

Urinary Tract Infections (UTIs) account for 24.92% of ICU nosocomial infections investigated. They are associated with increased morbidity and mortality,…
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Device-associated infection rates and extra length of stay in an intensive care unit of a university hospital in Wroclaw, Poland: International Nosocomial Infection Control Consortium's (INICC) findings - Abstract

PURPOSE: The aim of this study was to determine device-associated health care-associated infections (DA-HAI) rates, microbiologic profile, bacterial…
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Feasibility of audit and feedback to reduce postoperative urinary catheter duration - Abstract

BACKGROUND: Indwelling urinary catheter duration is an important risk factor for catheter-associated urinary tract infections (CAUTIs). OBJECTIVE: To audit…
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Reporting catheter-associated urinary tract infections: denominator matters - Abstract

OBJECTIVE: To evaluate two different methods of measuring catheter-associated urinary tract infection (CAUTI) rates in the setting of a quality improvement…
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Clinical significance of postvoid residual volume in older ambulatory women - Abstract

OBJECTIVES: To examine the prevalence, natural history, and clinical significance of high postvoid residual (PVR) volume in ambulatory older women. DESIGN:…
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Reducing catheter-associated urinary tract infection in the critical care unit - Abstract

Changes in reimbursement policies have focused attention on the use of indwelling catheters in the critical care unit as well as their role in…
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Accuracy of a urinary catheter surveillance protocol - Abstract

BACKGROUND: Many hospitals are increasing surveillance for catheter-associated urinary tract infections, which requires documentation of urinary catheter…
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Preventing Catheter-Associated Urinary Tract Infections in Acute Care: The Bundle Approach - Abstract

Catheter-associated urinary tract infections account for 40% of all nosocomial infections. A multidisciplinary team implemented evidence-based guidelines and a…
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Characterization of bacterial biofilms formed on urinary catheters - Abstract

BACKGROUND: The formation of bacterial biofilms on urinary catheters is a leading cause of urinary tract infections in intensive care units.…
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Adoption of policies to prevent catheter-associated urinary tract infections in United States intensive care units - Abstract

BACKGROUND: Little is known about whether recommended strategies to prevent catheter-associated urinary tract infection (CAUTI) are being implemented in…
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Indwelling urinary catheter management and catheter-associated urinary tract infection prevention practices in Nurses Improving Care for Healthsystem Elders hospitals - Abstract

BACKGROUND: Indwelling urinary catheters (IUCs) are commonly used in hospitalized patients, especially elders. Catheter-associated urinary tract infections…
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Reduction of catheter-associated urinary tract infections among patients in a neurological intensive care unit: a single institution's success - Abstract

Object To date, there has been a shortage of evidence-based quality improvement initiatives that have shown positive outcomes in the neurosurgical patient…
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Factors associated with catheter-associated urinary tract infections and the effects of other concomitant nosocomial infections in intensive care units - Abstract

Background: Catheter-associated urinary tract infections (CAUTIs) are the most common nosocomial infections in intensive care units (ICUs). The objectives of…
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Antagonistic effect of bacteriocin against urinary catheter associated Pseudomonas aeruginosa biofilm - Abstract

CONTEXT: Pseudomonas aeruginosa is a gram negative opportunistic bacteria causes several infections commonly colonize these devices and developing biofilms.…
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An indwelling urinary catheter for the 21st century - Abstract

What's known on the subject? and What does the study add? A vast literature has been published on the prevalence, morbidity and microbiology of…
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Nurse-directed interventions to reduce catheter-associated urinary tract infections - Abstract

BACKGROUND: Catheter-associated urinary tract infections (CAUTIs) are common, morbid, and costly. Nearly 25% of hospitalized patients are catheterized yearly,…
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An in vitro urinary tract catheter system to investigate biofilm development in catheter-associated urinary tract infections - Abstract

Biofilm development in urinary tract catheters is an often underestimated problem. However, this form of infection leads to high mortality rates and causes…
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Primary and secondary prevention of urinary tract infections - Abstract

Urinary tract infections (UTI) are among the most frequent bacterial infections in the community and health care setting. Mostly young and, to some extent,…
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Guidelines to prevent catheter-associated urinary tract infection: 1980 to 2010 - Abstract

OBJECTIVES: We set out to review and compare guidelines to prevent catheter-associated urinary tract infection (CAUTI), examine the association between recent…
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International Nosocomial Infection Control Consortium (INICC) report, data summary of 36 countries, for 2004-2009 - Abstract

The results of a surveillance study conducted by the International Nosocomial Infection Control Consortium (INICC) from January 2004 through December 2009 in…
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Trends in catheter-associated urinary tract infections in adult intensive care units-United States, 1990-2007 - Abstract

Background: Over the past 2 decades, multiple interventions have been developed to prevent catheter-associated urinary tract infections (CAUTIs). The CAUTI…
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Healthcare-associated infection in Irish long-term care facilities: Results from the First National Prevalence Study - Abstract

BACKGROUND: Prevalence of healthcare-associated infection (HCAI) and antimicrobial use in Irish long-term care facilities (LTCFs) has never been studied. AIM:…
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Evaluation of healthcare-associated infection surveillance in Pennsylvania hospitals - Abstract

Objective: In Pennsylvania, reporting of healthcare-associated infections (HAIs) was mandated in 2007, and hospitals were encouraged to implement qualified…
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Acute treatment options for spinal cord injury - Abstract

OPINION STATEMENT: Most treatment options for acute traumatic spinal cord injury (SCI) are directed at minimizing progression of the initial injury and…
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Prevention of catheter-associated urinary tract infections in patients with hip fractures through education of nurses to specific catheter protocols - Abstract

The majority of patients who experience hip fractures are elderly, and complications in these patients increase length of hospital stays, medical costs, and…
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Introducing the patient safety professional: Why, what, who, how, and where? - Abstract

BACKGROUND: Hospital-acquired complications, such as nosocomial infection, falls, and venous thromboembolism, are well known to be frequent and morbid.…
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Using MedPAR Data as a Measure of Urinary Tract Infection Rates: Implications for the Medicare Inpatient DRG Payment System

Jerry Stringham, BS, MBA, president of Medical Technology and Nancy Young, BA, director of information management Introduction Healthcare regulators and payers…
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Estimating the proportion of healthcare-associated infections that are reasonably preventable and the related mortality and costs - Abstract

To estimate the proportion of healthcare-associated infections (HAIs) in US hospitals that are "reasonably preventable," along with their related mortality and…
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Fluorescence in situ hybridization rapidly detects three different pathogenic bacteria in urinary tract infection samples - Abstract

The detection of pathogenic bacteria in urine is an important criterion for diagnosing urinary tract infections (UTIs). By using fluorescence in situ…
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Early severe inflammatory responses to uropathogenic E. coli predispose to chronic and recurrent urinary tract infection - Abstract

Chronic infections are an increasing problem due to the aging population and the increase in antibiotic resistant organisms. Therefore, understanding the…
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Incidence of perioperative urinary tract infection after single-dose antibiotic therapy for midurethal slings - Abstract

A recent Best Practice Statement published by the American Urological Association (AUA) recommends that antibiotic therapy in patients undergoing midurethral…
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Clinical and microbiological characteristics of Klebsiella pneumoniae isolates causing community-acquired urinary tract infections - Abstract

Klebsiella pneumoniae is the second most common species causing urinary tract infections (UTI). However, the host factors and virulence genes of K. pneumoniae…
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Risk factors for urinary tract infections during the first year after kidney transplantation - Abstract

Urinary tract infections (UTI) have been reported to occur with frequencies ranging from 30% to 60% in kidney transplant recipients during the first year…
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Washout policies in long-term indwelling urinary catheterisation in adults - Abstract

People requiring long-term bladder draining with an indwelling catheter can experience catheter blockage. Regimens involving different solutions can be used to…
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Beyond the Abstract - Eliminating catheter-associated urinary tract infections: Part I. Avoid catheter use, by Brenda Helms RN, BSN, MBA/HCM

This article is the first in a two-part series focusing on catheter-associated urinary tract infections. There is a convergence of factors necessitating zero…
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Issues for people living with long-term urinary catheters in the community - Abstract

People with a long-term urinary catheter living in the community often experience catheter-related issues, however, the frequency and extent of these issues…
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