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Implementation of an Evidence-based Suspected Urinary Tract Infection Toolkit to Initiate an Antibiotic Stewardship Program in a Long-term Care Facility : = A Doctor of Nursing Practice Project.

Record Type:	Language materials, manuscript : Monograph/item
Title/Author:	Implementation of an Evidence-based Suspected Urinary Tract Infection Toolkit to Initiate an Antibiotic Stewardship Program in a Long-term Care Facility :/
Reminder of title:	A Doctor of Nursing Practice Project.
Author:	Bynum, Kassidy Blaine.
Description:	1 online resource (90 pages)
Notes:	Source: Dissertation Abstracts International, Volume: 79-09(E), Section: A.
Contained By:	Dissertation Abstracts International79-09A(E).
Subject:	Gerontology. -
Online resource:	click for full text (PQDT)
ISBN:	9780355860023

Implementation of an Evidence-based Suspected Urinary Tract Infection Toolkit to Initiate an Antibiotic Stewardship Program in a Long-term Care Facility : = A Doctor of Nursing Practice Project.
Bynum, Kassidy Blaine.

Implementation of an Evidence-based Suspected Urinary Tract Infection Toolkit to Initiate an Antibiotic Stewardship Program in a Long-term Care Facility :A Doctor of Nursing Practice Project. - 1 online resource (90 pages)

Source: Dissertation Abstracts International, Volume: 79-09(E), Section: A.

Thesis (D.N.P.)--Southeastern Louisiana University, 2018.

Includes bibliographical references

Background: Urinary Tract Infections (UTIs) are one of the most common healthcare-associated infections and the second cause of infection in long-term care facilities. UTIs are also the most common cause of hospitalization for bacterial infections. Consequently, a large number of antibiotics have been used to treat these illnesses with or without symptoms. However, this approach has been shown to cause more harm than good by leading to increased rates of adverse drug effects along with recurrent drug-resistant bacterial infections.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2018

Mode of access: World Wide Web

ISBN: 9780355860023Subjects--Topical Terms:

559846
Gerontology.
Index Terms--Genre/Form:

554714
Electronic books.

Implementation of an Evidence-based Suspected Urinary Tract Infection Toolkit to Initiate an Antibiotic Stewardship Program in a Long-term Care Facility : = A Doctor of Nursing Practice Project.
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245 1 0 $a Implementation of an Evidence-based Suspected Urinary Tract Infection Toolkit to Initiate an Antibiotic Stewardship Program in a Long-term Care Facility : $b A Doctor of Nursing Practice Project.
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500 $a Source: Dissertation Abstracts International, Volume: 79-09(E), Section: A.
500 $a Advisers: Janet Jones; Darrell Price.
502 $a Thesis (D.N.P.)--Southeastern Louisiana University, 2018.
504 $a Includes bibliographical references
520 $a Background: Urinary Tract Infections (UTIs) are one of the most common healthcare-associated infections and the second cause of infection in long-term care facilities. UTIs are also the most common cause of hospitalization for bacterial infections. Consequently, a large number of antibiotics have been used to treat these illnesses with or without symptoms. However, this approach has been shown to cause more harm than good by leading to increased rates of adverse drug effects along with recurrent drug-resistant bacterial infections.
520 $a Purpose: The purpose of this study was to distinguish between a treatable UTI and asymptomatic bacteriuria (ASB), a type of colonized bacteria in the urinary tract that does not require treatment.
520 $a Methods: A Suspected Situation, Background, Assessment, and Recommendations (SBAR) UTI Toolkit produced by the Agency for Healthcare Research and Quality was implemented in a long-term care facility following education on the toolkit with providers, nursing staff, and administration. The goal of the toolkit was to help differentiate between a treatable UTI and ASB. The toolkit was in a checklist format and gave specific criteria of when or when not to treat a suspected UTI. UTI rates were measured for a three-month pre-intervention period and during the three-month intervention period.
520 $a Results: The results of the dependent t-test were statistically significant for total UTIs from the pre-intervention to post-intervention period, t(2) = 6.928, p = 0.02. However, the results of the dependent t-test were not statistically significant for UTIs that met the toolkit criteria, t(2) = 0.378, p = 0.742.
520 $a Discussion: Overall, the total number of UTIs from the pre-intervention to post-intervention period decreased by 56%. Though not statistically significant, the number of UTIs that met the toolkit criteria increased by 25% from the pre-intervention to post-intervention period. This increase in UTIs that met toolkit criteria showed an overall improvement in treating symptomatic infections. Consequently, the project had clinical significance related to total number of UTIs.
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2018
538 $a Mode of access: World Wide Web
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650 4 $a Nursing. $3 563081
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