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Sarah L Krein - One of the best experts on this subject based on the ideXlab platform.

  • knowledge of evidence based urinary Catheter Care practice recommendations among healthCare workers in nursing homes
    Journal of the American Geriatrics Society, 2010
    Co-Authors: Lona Mody, Sanjay Saint, Andrzej T Galecki, Shu Chen, Sarah L Krein
    Abstract:

    OBJECTIVES: To assess the knowledge of recommended urinary Catheter Care practices among nursing home (NH) healthCare workers (HCWs) in southeast Michigan. DESIGN: Self-administered survey. SETTING: Seven NHs in southeast Michigan. PARTICIPANTS: HCWs. MEASUREMENTS: The survey included questions about respondent characteristics and knowledge about indications, Care, and personal hygiene pertaining to urinary Catheters. The association between knowledge measures and occupation (nurses vs aides) was assessed using generalized estimating equations. RESULTS: Three hundred fifty-six of 440 HCWs (81%) responded. More than 90% of HCWs were aware of measures such as cleaning around the Catheter daily, glove use, and hand hygiene with Catheter manipulation. They were less aware of research-proven recommendations of not disconnecting the Catheter from its bag (59% nurses, 30% aides, Po.001), not routinely irrigating the Catheter (48% nurses, 8% aides, Po.001), and hand hygiene after casual contact (60% nurses, 69% aides, P 5.07). HCWs were also unaware of recommendations regarding alcohol-based hand rub (27% nurses and 32% aides with correct responses, P 5.38). HCWs reported informal (e.g., nurse supervisors) and formal (in-services) sources of knowledge about Catheter Care. CONCLUSION: Significant discrepancies remain between research-proven recommendations pertaining to urinary Catheter Care and HCWs’ knowledge. Nurses and aides differ in their knowledge of recommendations against harmful practices, such as disconnecting the Catheter from the bag and routinely irrigating Catheters. Further research should focus on strategies to enhance dissemination of proven infection control practices in NHs. J Am Geriatr Soc 58:1532–1537, 2010.

  • Knowledge of Evidence‐Based Urinary Catheter Care Practice Recommendations Among HealthCare Workers in Nursing Homes
    Journal of the American Geriatrics Society, 2010
    Co-Authors: Lona Mody, Sanjay Saint, Andrzej T Galecki, Shu Chen, Sarah L Krein
    Abstract:

    OBJECTIVES: To assess the knowledge of recommended urinary Catheter Care practices among nursing home (NH) healthCare workers (HCWs) in southeast Michigan. DESIGN: Self-administered survey. SETTING: Seven NHs in southeast Michigan. PARTICIPANTS: HCWs. MEASUREMENTS: The survey included questions about respondent characteristics and knowledge about indications, Care, and personal hygiene pertaining to urinary Catheters. The association between knowledge measures and occupation (nurses vs aides) was assessed using generalized estimating equations. RESULTS: Three hundred fifty-six of 440 HCWs (81%) responded. More than 90% of HCWs were aware of measures such as cleaning around the Catheter daily, glove use, and hand hygiene with Catheter manipulation. They were less aware of research-proven recommendations of not disconnecting the Catheter from its bag (59% nurses, 30% aides, Po.001), not routinely irrigating the Catheter (48% nurses, 8% aides, Po.001), and hand hygiene after casual contact (60% nurses, 69% aides, P 5.07). HCWs were also unaware of recommendations regarding alcohol-based hand rub (27% nurses and 32% aides with correct responses, P 5.38). HCWs reported informal (e.g., nurse supervisors) and formal (in-services) sources of knowledge about Catheter Care. CONCLUSION: Significant discrepancies remain between research-proven recommendations pertaining to urinary Catheter Care and HCWs’ knowledge. Nurses and aides differ in their knowledge of recommendations against harmful practices, such as disconnecting the Catheter from the bag and routinely irrigating Catheters. Further research should focus on strategies to enhance dissemination of proven infection control practices in NHs. J Am Geriatr Soc 58:1532–1537, 2010.

Noviani Nastiti Susantiningdyah - One of the best experts on this subject based on the ideXlab platform.

  • PERAWATAN KATETER URINE INDWELLING DENGAN CHLORHEXIDINE GLUCONATE 2% DALAM MENCEGAH INFEKSI SALURAN KEMIH DI RUANG RAWAT INAP RSUD TAMAN HUSADA BONTANG
    2019
    Co-Authors: Noviani Nastiti Susantiningdyah, Ninuk Dian Kurniawati, Sriyono Sriyono
    Abstract:

    Introduction :  Urinary tract infections that occur in hospitals are mostly caused by the installation of indwelling urinary Catheter. Indwelling urinary Catheter Care is one way to prevent the occurrence of Catheter-associated urinary tract infections. This study aimed to determine the effect of indwelling urinary Catheter Care by using clorhexidine gluconate 2% on the incidence of urinary tract infections  at inpatient rooms of RSUD Taman Husada Bontang. Methods : The research employed a quasyexperiment posttest only design. Technique of sampling used non-probability sampling: consequtive  sampling. The independent variabel was indwelling urinary Catheter Care. The dependent variabel was urinary tract infections. Data were collected by using colony count and types of bacteria on the  fourth day. Data were analyzed by using Mann Whitney te st with level of significance α< 0,05. Results : The results showed that there was no difference in urinary tract infections between patients in treatment group who received indwelling urinary Catheter Care by using chlorhexidine gluconate 2% and patients in control group who received standard Catheter Care (p=0.138). Conclusion : Agent of perineal Care does not influence the incidence of Catheter associated urinary tract infections.  Further studies should involve larger respondents and consider the characteristics of respondents such as using antibiotic, diabetes mellitus and urine production to obtain more accurate results.

  • Indwelling Urine Catheters Care with Chlorhexidine Gluconate 2% in Preventing Urinary Tract Infections in Inpatient Room RSUD Taman Husada Bontang
    2015
    Co-Authors: Noviani Nastiti Susantiningdyah, Ninuk Dian Kurniawati, Sriyono
    Abstract:

    Introduction Urinary tract infections that occur in hospitals are mostly caused by the installation of  indwelling urinary Catheter.  Indwelling urinary Catheter Care  is one way to prevent the occurrence of Catheter-associated urinary tract infections. This study aimed to determine the effect of  indwelling urinary  Catheter Care by using clorhexidine gluconate 2% on the incidence of urinary tract infections at inpatient rooms of RSUD Taman Husada  Bontang. Methods The research employed a quasy-experiment  posttest only design. Technique of sampling used  non-probability sampling consequtive  sampling. The independent variabel was  indwelling urinary Catheter Care. The dependent variabel was urinary tract infections. Data were collected by using colony count and types of bacteria on the fourth day. Data were analyzed by using Mann Whitney test with level of significance α

  • PENGARUH PERAWATAN KATETER URINE INDWELLINGMENGGUNAKAN CHLORHEXIDINE GLUCONATE 2%TERHADAP INFEKSI SALURAN KEMIHDI RUANG RAWAT INAP RSUD TAMAN HUSADA BONTANG
    2015
    Co-Authors: Noviani Nastiti Susantiningdyah
    Abstract:

    Urinary tract infections that occur in hospitals are mostly caused by the installation of indwelling urinary Catheter. Indwelling urinary Catheter Care is one way to prevent the occurrence of Catheter-associated urinary tract infections. This study aimed to determine the effect of indwelling urinary Catheter Care by using clorhexidine gluconate 2% on the incidence of urinary tract infections at inpatient rooms of RSUD Taman Husada Bontang. The research employed a quasy-experiment posttest only design. Technique of sampling used non-probability sampling: consequtive sampling. The independent variabel was indwelling urinary Catheter Care. The dependent variabel was urinary tract infections. Data were collected by using colony count and types of bacteria on the fourth day. Data were analyzed by using Mann Whitney test with level of significance α < 0,05. The results showed that there was no difference in urinary tract infections between patients in treatment group who received indwelling urinary Catheter Care by using chlorhexidine gluconate 2% and patients in control group who received standard Catheter Care (p = 0.138). Agent of perineal Care does not influence the incidence of Catheter associated urinary tract infections. Further studies should involve larger respondents and consider the characteristics of respondents such as using antibiotic, diabetes mellitus and urine production to obtain more accurate results.

Lona Mody - One of the best experts on this subject based on the ideXlab platform.

  • Impact of health Care worker policy awareness on hand hygiene and urinary Catheter Care in nursing homes: Results of a self-reported survey
    American Journal of Infection Control, 2013
    Co-Authors: Ana Montoya, Andrzej T Galecki, Shu Chen, Sara Mcnamara, Bonnie Lansing, Lona Mody
    Abstract:

    Utilizing a self-administered questionnaire in 440 health Care workers (81% response rate), we evaluated the impact of health Care workers policy awareness on hand hygiene and urinary Catheter Care in nursing homes. We show that health Care workers aware of their nursing home policies are more likely to report wearing gloves and practicing hand hygiene as per evidence-based recommendations during urinary Catheter Care compared with those who are unaware of their facility policies.

  • knowledge of evidence based urinary Catheter Care practice recommendations among healthCare workers in nursing homes
    Journal of the American Geriatrics Society, 2010
    Co-Authors: Lona Mody, Sanjay Saint, Andrzej T Galecki, Shu Chen, Sarah L Krein
    Abstract:

    OBJECTIVES: To assess the knowledge of recommended urinary Catheter Care practices among nursing home (NH) healthCare workers (HCWs) in southeast Michigan. DESIGN: Self-administered survey. SETTING: Seven NHs in southeast Michigan. PARTICIPANTS: HCWs. MEASUREMENTS: The survey included questions about respondent characteristics and knowledge about indications, Care, and personal hygiene pertaining to urinary Catheters. The association between knowledge measures and occupation (nurses vs aides) was assessed using generalized estimating equations. RESULTS: Three hundred fifty-six of 440 HCWs (81%) responded. More than 90% of HCWs were aware of measures such as cleaning around the Catheter daily, glove use, and hand hygiene with Catheter manipulation. They were less aware of research-proven recommendations of not disconnecting the Catheter from its bag (59% nurses, 30% aides, Po.001), not routinely irrigating the Catheter (48% nurses, 8% aides, Po.001), and hand hygiene after casual contact (60% nurses, 69% aides, P 5.07). HCWs were also unaware of recommendations regarding alcohol-based hand rub (27% nurses and 32% aides with correct responses, P 5.38). HCWs reported informal (e.g., nurse supervisors) and formal (in-services) sources of knowledge about Catheter Care. CONCLUSION: Significant discrepancies remain between research-proven recommendations pertaining to urinary Catheter Care and HCWs’ knowledge. Nurses and aides differ in their knowledge of recommendations against harmful practices, such as disconnecting the Catheter from the bag and routinely irrigating Catheters. Further research should focus on strategies to enhance dissemination of proven infection control practices in NHs. J Am Geriatr Soc 58:1532–1537, 2010.

  • Knowledge of Evidence‐Based Urinary Catheter Care Practice Recommendations Among HealthCare Workers in Nursing Homes
    Journal of the American Geriatrics Society, 2010
    Co-Authors: Lona Mody, Sanjay Saint, Andrzej T Galecki, Shu Chen, Sarah L Krein
    Abstract:

    OBJECTIVES: To assess the knowledge of recommended urinary Catheter Care practices among nursing home (NH) healthCare workers (HCWs) in southeast Michigan. DESIGN: Self-administered survey. SETTING: Seven NHs in southeast Michigan. PARTICIPANTS: HCWs. MEASUREMENTS: The survey included questions about respondent characteristics and knowledge about indications, Care, and personal hygiene pertaining to urinary Catheters. The association between knowledge measures and occupation (nurses vs aides) was assessed using generalized estimating equations. RESULTS: Three hundred fifty-six of 440 HCWs (81%) responded. More than 90% of HCWs were aware of measures such as cleaning around the Catheter daily, glove use, and hand hygiene with Catheter manipulation. They were less aware of research-proven recommendations of not disconnecting the Catheter from its bag (59% nurses, 30% aides, Po.001), not routinely irrigating the Catheter (48% nurses, 8% aides, Po.001), and hand hygiene after casual contact (60% nurses, 69% aides, P 5.07). HCWs were also unaware of recommendations regarding alcohol-based hand rub (27% nurses and 32% aides with correct responses, P 5.38). HCWs reported informal (e.g., nurse supervisors) and formal (in-services) sources of knowledge about Catheter Care. CONCLUSION: Significant discrepancies remain between research-proven recommendations pertaining to urinary Catheter Care and HCWs’ knowledge. Nurses and aides differ in their knowledge of recommendations against harmful practices, such as disconnecting the Catheter from the bag and routinely irrigating Catheters. Further research should focus on strategies to enhance dissemination of proven infection control practices in NHs. J Am Geriatr Soc 58:1532–1537, 2010.

Christian Ruef - One of the best experts on this subject based on the ideXlab platform.

  • impact of a prevention strategy targeting hand hygiene and Catheter Care on the incidence of Catheter related bloodstream infections
    Critical Care Medicine, 2009
    Co-Authors: Walter Zingg, Alexander Imhof, Marco Maggiorini, R Stocker, Emanuela Keller, Christian Ruef
    Abstract:

    Objectives: To study the impact of a teaching intervention on the rate of central venous Catheter-related bloodstream infections (CRBSI) in intensive Care patients. Design: Prospective before/after interventional cohort study on medical and surgical intensive Care units. Setting: University hospital with five adult intensive Care units. Patients: All patients with a central venous Catheter on the five ICUs from September to December 2003 (baseline period) and from March to July 2004 (intervention period). Interventions: Educational program with teaching of hand hygiene, standards of Catheter Care, and preparation of intravenous drugs. Measurements and Main Results: The primary outcome variable was the rate of CRBSIs per 1000 Catheter days during a baseline period of 4 months and an intervention period of 5 months. The secondary outcome variable was compliance with hand hygiene. Of the patients, 499 patients with 6200 Catheter days in the baseline period and 500 patients with 7279 Catheter days were monitored in the intervention period. The incidence density of CRBSI decreased from 3.9 per 1000 Catheter days in the preintervention phase to 1.0 per 1000 Catheter days in the intervention phase (p<0.001). The risk for CRBSI was significantly higher in the baseline period in both univariate and multivariate analysis. Other independent risk factors were hospitalization in the medical ICU and male gender. Time to CRBSI was significantly longer in the intervention period (median 9 days vs. 6.5 days, respectively; p 0.02). Compliance with hand hygiene improved slightly from 59% in the baseline period to 65% in the intervention period, but the rate of correct performance of the practice increased from 22.5% to 42.6% (p 0.003). Conclusions: Evidence-based Catheter-Care procedures, guided by healthCare workers’ perceptions and including bedside teaching, reduce significantly the CRBSI rate and demonstrate that improving Catheter Care has a major impact on its prevention.

  • Impact of a prevention strategy targeting hand hygiene and Catheter Care on the incidence of Catheter-related bloodstream infections
    Critical Care Medicine, 2009
    Co-Authors: Walter Zingg, Alexander Imhof, Marco Maggiorini, R Stocker, Emanuela Keller, Christian Ruef
    Abstract:

    Objectives: To study the impact of a teaching intervention on the rate of central venous Catheter-related bloodstream infections (CRBSI) in intensive Care patients. Design: Prospective before/after interventional cohort study on medical and surgical intensive Care units. Setting: University hospital with five adult intensive Care units. Patients: All patients with a central venous Catheter on the five ICUs from September to December 2003 (baseline period) and from March to July 2004 (intervention period). Interventions: Educational program with teaching of hand hygiene, standards of Catheter Care, and preparation of intravenous drugs. Measurements and Main Results: The primary outcome variable was the rate of CRBSIs per 1000 Catheter days during a baseline period of 4 months and an intervention period of 5 months. The secondary outcome variable was compliance with hand hygiene. Of the patients, 499 patients with 6200 Catheter days in the baseline period and 500 patients with 7279 Catheter days were monitored in the intervention period. The incidence density of CRBSI decreased from 3.9 per 1000 Catheter days in the preintervention phase to 1.0 per 1000 Catheter days in the intervention phase (p

J F Bion - One of the best experts on this subject based on the ideXlab platform.

  • central venous Catheter related bloodstream infections improving post insertion Catheter Care
    Journal of Hospital Infection, 2009
    Co-Authors: I M Shapey, M A Foster, Tony Whitehouse, P Jumaa, J F Bion
    Abstract:

    Summary Patients with central venous Catheters (CVCs) are at increased risk of bloodstream infections and sepsis-related death. CVC-related bloodstream infections (CRBSIs) are costly and account for a significant proportion of hospital-acquired infections. The aim of this audit was to assess current practice and staff knowledge of CVC post-insertion Care and therefore identify aspects of CVC Care with potential for improvement. We conducted a prospective audit over 28 consecutive days at a university teaching hospital investigating current practice of CVC post-insertion Care in wards with high CVC usage. A multiple choice questionnaire on best practice of CVC insertion and Care was distributed among clinical staff. Rates of breaches in Catheter Care and CRBSIs were calculated and statistical significance assumed when P P