About Catheter-Associated Urinary Tract Infection” (2013). Center for Disease and Control Retrieved from http://www.cdc.gov/hai/pdfs/uti/ca-uti_tagged.pdf
Write a paper (1,500-2,000 words) in which you analyze and appraise each of the (15) articles identified , Pay particular attention to evidence that supports the
problem, issue, or deficit, and your proposed solution.
Hint: The Topic 2 readings provide appraisal questions that will assist you to efficiently and effectively analyze each article.
“About Catheter-Associated Urinary Tract Infection” (2013). Center for Disease and Control
Retrieved from http://www.cdc.gov/hai/pdfs/uti/ca-uti_tagged.pdf
Summary of Article:
The author breaks down aspects of catheter-associated urinary tract infections. The authors specifically examine silver oxide-coated catheters.
Research Elements: Design, Methods, Population, Strengths, Limitations:
The authors provide an evidence-based synopsis of preventative approaches for both urinary and central line-related infections. The purpose is to contemplate the
evidences supporting particular prophylactic techniques.
Outcome(s): Research Results:
These results reveal that numerous variables affected the occurrence of CAUTI’s and that the silver impregnated catheter seemed to have helped to prevent CAUTI’s
amongst women not getting antibiotics.
Foxman, B. (2002). Epidemiology of Urinary Tract Infections: Incidence, Morbidity, and Economic Costs. The American Journal of Medicine 113(1): 5-13.
Summary of Article:
The author breaks down aspects of CAUTI’s including its prevention, pathogenesis and epidemiology. This is performed through a qualitative research process by
examining research from previous sources.
Research Elements: Design, Methods, Population, Strengths, Limitations:
Both qualitative and quantitative methods were operated to understand all areas including epidemiology, pathogenesis, and prevention. They wanted to determine that
inability to stratify patients by main risk influences, particularly catheter duration, sex, and antibiotic exposure, makes analysis of several tests incomprehensible.
Outcome(s): Research Results:
Further research of pioneering catheter system design, targeted antimicrobial prophylaxis, and bacterial-host epithelial cell relations, seem like the most probable
methods to managing UTI’s yet to come.
Goetz, A.M., and S. Kedzuf (1999) Feedback to Nursing Staff as an Intervention to ReduceCatheter-associated Urinary Tract Infections American Journal of Infection
Control 27(5): 402-404
Summary of Article:
Researchers Goetz and Kedzuf (1999) decided to try a new form of intervention in order to reduce rates of catheter-causing urinary tract infection. The authors
provided nurses with detailed feedback about the rates at the hospital to see if it would improve the outcome.
Research Elements: Design, Methods, Population, Strengths, Limitations:
Nursing staff associates were given quarterly reports with CAUTI occurrences shown by graphs on each unit. Within the 18 months following this intervention, the
average UTI frequency diminished to 17.4/1000 catheter-patient-days (95% CI, 14.6-20.6, P = .002)
Outcome(s): Research Results:
The authors concluded that feedback of each unit to each unit of nosocomial CAUTI rates to nursing staff is an extremely beneficial approach of decreasing infection
occurrences and cutting expenses related to nosocomial UTI’s.
Jain, P., J.P. Parada, and A. David (2005) Overuse of the Indwelling Urinary Tract Catheter inHospitalized Medical Patients Arch Med. 155(13): 1425-1429.
Summary of Article:
Researcher Jain examines intervention to reduce catheter-causing infections—specifically the overemployment of indwelling urinary tract catheters of hospital patients.
Research Elements: Design, Methods, Population, Strengths, Limitations:
As stated by the researcher, the method was the following: “This prospective study involved 202 patients admitted to either the medical intensive care unit (n=135) or
the medical floors (n=67) of a tertiary care university hospital who were catheterized during the hospital admission. An independent observer assessed the indication
of initial catheterization by chart review and interview with the patient and the nurse. “
Outcome(s): Research Results:
The IUTCs are considerably over utilized in l patients and vigilant notice to this facet of patient care might decrease catheter-related difficulties through primary
prevention.
Johnson, J.R., Roberts P.L, and R.J. Olsen (2009).Prevention of Catheter-Associated Urinary Tract Infection with a Silver Oxide-Coated Urinary Catheter: Clinical and
Microbiologic Correlates. The Journal of Infectious Diseases 162(5): 1145-1150.
Summary of Article:
Johnson examines a general overview of how to prevent catheter-related bacteria including urinary tract infection. Specific attention was provided for the silver
oxide-coated urinary catheter.
Research Elements: Design, Methods, Population, Strengths, Limitations:
Johnson utilized a study that observed patients from similar demographics. The participants provided their consent to be observed. The author was able to determine
possible causes as well as implications of the outcomes of patients that were at risk for UTI’s.
Outcome(s): Research Results:
Johnson concluded that additional research of advanced catheter system design is necessary to improve catheter insertion and bacteria resistance.
Karchmer, T.B., and E.T. Giannetta (2000). A Randomized Crossover Study of Silver-Coated Urinary Catheters in Hospitalized Patients Arch Intern Med. 160(21): 3294-
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