Implement Clinical Guidelines for the Prevention of UTIs in the Long-Term Care Setting<br />Krystyne Davis RN BSN<br />Rob...
PROBLEM<br />Urinary Tract Infections(UTIs) are the major cause of infections in the long- term care facilities.<br />UTIs...
PROBLEM CONTINUED<br />UTIs are the most common reason for use of antibiotics in the long-term care setting. <br /> Accoun...
RISK FACTORS CONTINUED<br />neurogenic bladder<br />benign prostatic hypertrophy<br />diabetes <br />dehydration <br />
Risk Factors<br />incontinence management,<br />judicious use of antimicrobials <br />urinary catheters in men and women<b...
OBJECTIVE<br />Decrease UTIs in the long-term care settings<br />	By 50% <br />
CLINICAL GUIDELINES<br />Improve resident outcomes through decreased morbidity and mortality.<br />Optimize the use of tes...
EBP RESEARCH<br />Good pernial Care<br />Proper hygiene<br />Cranberries Juice<br />Estrogen Creams<br />Herbs<br />
ROGERS DIFFUSION OF CHANGE THEORY<br />Knowledge <br />Persuasion <br />Decision<br /> Implementation and <br />Confirmati...
OUTCOME MEASURE<br />The tool developed to measure the occurrence of UTIs was based on the percentage of UTIs before the i...
SUMMARY<br />Preventing Urinary Tract Infections is important.<br />Provide clinical guidelines based on research<br />Imp...
References<br />REFERENCES<br />Jepson R., Craig J., (2008) Cranberries for preventing urinary tract infections. Cochran D...
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  1. 1. Implement Clinical Guidelines for the Prevention of UTIs in the Long-Term Care Setting<br />Krystyne Davis RN BSN<br />Roberts Wesleyan College<br />
  2. 2. PROBLEM<br />Urinary Tract Infections(UTIs) are the major cause of infections in the long- term care facilities.<br />UTIs are the most common reason for antibiotic therapy.<br /> Urinary tract infections accounts for 25% of admissions to the hospital yearly and can cost facilities an astounding thousands of dollars a year in treatment. <br />UTIs have been linked to falls and mortality.<br />
  3. 3. PROBLEM CONTINUED<br />UTIs are the most common reason for use of antibiotics in the long-term care setting. <br /> Account for 30% of all bacterial infections in the LTC facilities. <br />The most common cause of hospitilazions in adults over 65.<br />The rate of clinical urinary tract infections requiring treatment is 0.1 and 2.4 per 1000 days<br />
  4. 4. RISK FACTORS CONTINUED<br />neurogenic bladder<br />benign prostatic hypertrophy<br />diabetes <br />dehydration <br />
  5. 5. Risk Factors<br />incontinence management,<br />judicious use of antimicrobials <br />urinary catheters in men and women<br />
  6. 6. OBJECTIVE<br />Decrease UTIs in the long-term care settings<br /> By 50% <br />
  7. 7. CLINICAL GUIDELINES<br />Improve resident outcomes through decreased morbidity and mortality.<br />Optimize the use of testing and laboratory services.<br />reduce the inappropriate prescribing of antibiotics for residents with asymptomatic bacteria.<br />Improve outcomes.<br />
  8. 8. EBP RESEARCH<br />Good pernial Care<br />Proper hygiene<br />Cranberries Juice<br />Estrogen Creams<br />Herbs<br />
  9. 9. ROGERS DIFFUSION OF CHANGE THEORY<br />Knowledge <br />Persuasion <br />Decision<br /> Implementation and <br />Confirmation <br />
  10. 10. OUTCOME MEASURE<br />The tool developed to measure the occurrence of UTIs was based on the percentage of UTIs before the implementation of the clinical guide lines and after the implementation of the guideline. <br />
  11. 11. SUMMARY<br />Preventing Urinary Tract Infections is important.<br />Provide clinical guidelines based on research<br />Improve outcomes<br />Saftey<br />
  12. 12. References<br />REFERENCES<br />Jepson R., Craig J., (2008) Cranberries for preventing urinary tract infections. Cochran Database of systematic Reviews vol-1the frail elderly: Issues for diagnosis and <br /> treatment prevention, International Urology and Nephrology 36-3 457-463<br />Kamal H. (2008) Managing Urinary Tract Infections: Guide for Nursing Home <br />Practictioners, Journal News.<br />Lindsay N. (2001) Preventing Infections in non-Hospital setting: Long-Term Care, <br />Emerging Infectious Disease 7-2 treatment prevention, International Urology and <br /> Nephrology 36-3 457-464<br />Lindsay, N., Thomas Y. (2004) Urinary Tract( 20 infections in long-term care facilities  Department of Internal Medicine, Health Sciences Centre, Winnipeg, Ontario,   Canada <br />Orr G., (2003) Diffusion of Innovation by Everett Rogers<br />Richards C. (2003) Urinary Tract Infections in the frail elderly: Issues for diagnosis and <br /> treatment prevention, International Urology and Nephrology 36-3 457-463<br />http://www.google.com/search?hl=en&rlz=1T4ADFA_enUS403US403&q=ahrq+guidelines&aq=5&aqi=g10&aql=&oq=ahrq<br />

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