Urinary tract infection diagnosis and response to therapy in long-term care facilities: a prospective, observational study

Penney, Carla (2017) Urinary tract infection diagnosis and response to therapy in long-term care facilities: a prospective, observational study. Masters thesis, Memorial University of Newfoundland.

[img] [English] PDF - Accepted Version
Available under License - The author retains copyright ownership and moral rights in this thesis. Neither the thesis nor substantial extracts from it may be printed or otherwise reproduced without the author's permission.

Download (1MB)

Abstract

Background: Urinary tract infection (UTI) is common, often over-diagnosed, in long-term care (LTC) facilities and a source of inappropriate antibiotic prescription. Objectives: (1) Establish factors associated with a nurse’s decision to send a urine culture (UC), and if those factors were associated with a positive culture result; (2) to determine if antimicrobial therapy is associated with functional improvement. Method(s): 101 LTC residents were prospectively identified and assessed after submission of a urine specimen for culture. Logistic regression was performed to identify variables associated with a positive culture result. Result(s): Change in behaviour, dysuria, and change in character of urine were the three main reasons for UC collection. Male sex and change in mental status were the only significant predictors of culture positivity. Treatment did not lead to significant improvement in ADL score. Conclusion: UCs obtained from LTC residents is often not appropriate and antibiotic treatment of residents from whom urine specimens are obtained does not lead to functional improvement.

Item Type: Thesis (Masters)
URI: http://research.library.mun.ca/id/eprint/12574
Item ID: 12574
Additional Information: Includes bibliographical references (pages 35-36).
Keywords: Long-term care, Urinary tract infection, Asymptomatic bacteriuria, Diagnosis, Antibiotic stewardship
Department(s): Medicine, Faculty of
Date: May 2017
Date Type: Submission
Library of Congress Subject Heading: Urinary tract infections -- Diagnosis; Urinary tract infections -- treatment; Long-term care facilities
Medical Subject Heading: Urinary Tract Infections -- diagnosis; Urinary Tract Infections -- therapy; Long-Term Care

Actions (login required)

View Item View Item

Downloads

Downloads per month over the past year

View more statistics