The Experts below are selected from a list of 18675 Experts worldwide ranked by ideXlab platform
Carol E Chenoweth - One of the best experts on this subject based on the ideXlab platform.
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Urinary Catheter-Associated Infections.
Infectious disease clinics of North America, 2018Co-Authors: Emily K. Shuman, Carol E ChenowethAbstract:Catheter-associated Urinary tract infection remains one of the most prevalent, yet preventable, health care-associated infections. General prevention strategies include strict adherence to hand hygiene and antimicrobial stewardship. Duration of Urinary Catheterization is the most important modifiable risk factor. Targeted prevention strategies include limiting Urinary catheter use; physician reminder systems, nurse-initiated discontinuation protocols, and automatic stop orders have successfully decreased catheter duration. Alternatives should be considered. If Catheterization is necessary, proper aseptic practices for insertion and maintenance and closed catheter collection systems are essential for prevention. The use of bladder bundles and collaboratives aids in the effective implementation of prevention measures.
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a reminder reduces Urinary Catheterization in hospitalized patients
The Joint Commission Journal on Quality and Patient Safety, 2005Co-Authors: Sanjay Saint, Samuel R Kaufman, Maureen Thompson, Mary A M Rogers, Carol E ChenowethAbstract:Article-at-a-Glance Background Indwelling Urinary catheters are placed in up to 25% of hospitalized patients and are a leading cause of hospital-acquired infection. Duration of Catheterization is the dominant risk factor for hospital-acquired Urinary tract infection. Physicians are often unaware that their patients have a Urinary catheter, and these "forgotten" catheters are frequently unnecessary. Methods A controlled trial, using a pretest-posttest design, was conducted on four hospital wards at an academic medical center. A simple written reminder was designed to aid the hospitalized patient's team in remembering that the patient had a Urinary catheter. Two of the four wards were assigned to the intervention group, and two served as controls. A research nurse monitored the urethral catheter status of each patient daily. Results A total of 5,678 subjects were evaluated. After adjusting for age, sex, and length of stay, the average proportion of time patients were catheterized increased by 15.1% in the control group but decreased by 7.6% in the intervention group in the intention-to-treat analysis (p = .007). There was no significant difference in urethral reCatheterizations between intervention and control groups. The hospital cost savings provided by the intervention offset the necessary costs of this nurse-based intervention. Conclusion In the approximately 90% of U.S. hospitals currently without computerized order-entry systems, a written reminder should be considered as one method for improving the safety of hospitalized patients.
G Rode - One of the best experts on this subject based on the ideXlab platform.
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high prevalence of nosocomial infections in rehabilitation units accounted for by Urinary tract infections in patients with spinal cord injury
Journal of Hospital Infection, 2006Co-Authors: R Girard, M A Mazoyer, M M Plauchu, G RodeAbstract:Summary This study (part of the nationwide French prevalence survey of 2001) was organized to investigate the prevalence and risk factors of nosocomial infections (NIs) and the resistant flora in patients hospitalized in rehabilitation units. Two hundred and eighty-six patients were included from two hospitals in the ‘Hospices Civils de Lyon’ group. Patients were classified into those with and without a spinal cord injury (SCI). Seventyeight (27.3%) patients had an SCI. They were younger and more often characterized by a low Activity of Daily Life score, bladder incontinence and chronic respiratory disease. Urinary Catheterization and mechanical ventilation were more common in these patients. The NI prevalence rate was higher in the SCI group (21.8% vs 4.3%, P!0.00001), particularly for Urinary tract infections (UTIs, 19.2% vs 3.4%, P!0.00001). There was a positive relationship between the number of risk factors and NI acquisition. Multi-variate analysis showed that the only independent risk factor for NI acquisition was indwelling Urinary Catheterization [odds ratio (OR): 11.64, 95% confidence intervals (CI): 2.53‐53.65, PZ0.002]. Marginally significant factors were chronic kidney or liver disease (OR: 5.84, 95%CI: 0.80‐42.68, PZ0.082) and SCI (OR: 2.97, 95%CI: 0.61‐14.60, PZ0.179). The prevalence of antibiotic-resistant micro-organisms was high (nine cases of resistant
Sumire Sorano - One of the best experts on this subject based on the ideXlab platform.
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an update on purple urine bag syndrome
International Journal of General Medicine, 2012Co-Authors: Yoshiro Hadano, Shimon Takada, Toshiya Inoue, Taro Shimizu, Sumire SoranoAbstract:Purple urine bag syndrome is characterized by the Urinary drainage bag turning purple in patients on prolonged Urinary Catheterization, especially those in the bedridden state. It is associated with bacterial Urinary tract infections caused by indigo-producing and indirubin-producing bacteria, usually affects women, and is associated with alkaline urine, constipation, and a high bacterial load in the urine. Almost all patients with purple urine bag syndrome are catheterized due to significant disability, and the Urinary pH is 7.0 or more. In general, intensive treatment with antibiotics is not recommended. Purple urine bag syndrome per se almost always appears to be asymptomatic and harmless. However, caution is needed, because some cases have been reported to show progression to severe disease states, so further research into the morbidity and mortality of this infection is warranted.
Leopold Ndemnge Aminde - One of the best experts on this subject based on the ideXlab platform.
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purple urine bag syndrome in an 80 year old female cameroonian
Nigerian Medical Journal, 2017Co-Authors: Valirie Ndip Agbor, Tsi Njim, Helen Bessem Oben, Leopold Ndemnge AmindeAbstract:Purple urine bag syndrome is a rare clinical entity commonly seen in elderly females with a long-term Urinary Catheterization. It presents as purple discoloration of the patient's plastic urine bag and tubing. We report the first case of this rare entity from Central Africa. We present the case of an 80-year-old female with purple urine associated with signs of Urinary tract infection. Her symptoms resolved after 3 days of intravenous antibiotic treatment and diet modification. Purple urine bag syndrome remains rare, especially in African literature. Awareness of this benign syndrome is necessary for clinicians so as to adequately manage up to and including the associated anxiety.
R Girard - One of the best experts on this subject based on the ideXlab platform.
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high prevalence of nosocomial infections in rehabilitation units accounted for by Urinary tract infections in patients with spinal cord injury
Journal of Hospital Infection, 2006Co-Authors: R Girard, M A Mazoyer, M M Plauchu, G RodeAbstract:Summary This study (part of the nationwide French prevalence survey of 2001) was organized to investigate the prevalence and risk factors of nosocomial infections (NIs) and the resistant flora in patients hospitalized in rehabilitation units. Two hundred and eighty-six patients were included from two hospitals in the ‘Hospices Civils de Lyon’ group. Patients were classified into those with and without a spinal cord injury (SCI). Seventyeight (27.3%) patients had an SCI. They were younger and more often characterized by a low Activity of Daily Life score, bladder incontinence and chronic respiratory disease. Urinary Catheterization and mechanical ventilation were more common in these patients. The NI prevalence rate was higher in the SCI group (21.8% vs 4.3%, P!0.00001), particularly for Urinary tract infections (UTIs, 19.2% vs 3.4%, P!0.00001). There was a positive relationship between the number of risk factors and NI acquisition. Multi-variate analysis showed that the only independent risk factor for NI acquisition was indwelling Urinary Catheterization [odds ratio (OR): 11.64, 95% confidence intervals (CI): 2.53‐53.65, PZ0.002]. Marginally significant factors were chronic kidney or liver disease (OR: 5.84, 95%CI: 0.80‐42.68, PZ0.082) and SCI (OR: 2.97, 95%CI: 0.61‐14.60, PZ0.179). The prevalence of antibiotic-resistant micro-organisms was high (nine cases of resistant
