Issues in the Diagnosis and Management of Urinary Tract Infections in the Older Adult

Nicolle, Lindsay E.

doi:10.1007/s13670-013-0046-5

Cited by 6 publications

(3 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Unfortunately, the complexity of the diagnosis of urinary tract infections, the increasing bacterial resistance to antimicrobials and the inappropriate use of antibiotics continues to be described in long-term care facilities [30]. This determines application of a diagnostic algorithm designed for medical staff to use, which emphasizes close monitoring and early intervention [35].…”

Section: Discussionmentioning

confidence: 99%

Study of the Incidence of Some Chronic Diseases Among patients with Long-term Physical Disabilities

Todorova

2021

Open Access Maced J Med Sci

View full text Add to dashboard Cite

Background: People living in old age with disabilities acquired in early adulthood or because of a congenital anomaly represent a growing population with unique medical needs. This study aims to investigate the incidences of chronic diseases and the prevalence of chronic polymorbidity among adults with physical disabilities, who are accommodated in the largest social home on the Balkan Peninsula. Methods: In this descriptive survey, 179 people with physical disabilities were studied during 2017- 2018. A structured questionnaire was used to obtain information on socio-demographic characteristics, personal lifestyle and self-reported diagnosis of the presence of chronic diseases. In addition to the above, second research was conducted on the available medical documentation for the health status of each person, which helped to verify the information about the incidence and prevalence of chronic diseases among adults with physical disabilities. Results: Most of the adults with physical disabilities have at least more than two chronic conditions (69.27 %). Arterial hypertension is the commonest chronic illness among them (47. 48 %). The study reported a raised incidence of chronic diseases of the digestive system and chronic diseases of the urinary system, as well as increasing prevalence of diabetes mellitus type II, chronic diseases of the pulmonary system and degenerative joints diseases correlated with the age of persons. Conclusion: The study showed an increased frequency of chronic diseases among adults with physical disabilities and a significant number of persons who have multiple chronic conditions, which determines the need for frequent and long-term health care.

show abstract

Section: Discussionmentioning

confidence: 99%

Study of the Incidence of Some Chronic Diseases Among patients with Long-term Physical Disabilities

Todorova

2021

Open Access Maced J Med Sci

View full text Add to dashboard Cite

show abstract

“…How staff perceive and respond to risk has been identified as a significant barrier to reducing overprescribing in aged-care [ 6 , 13 ]. Perceptions of healthcare-related risks in aged-care settings are often influenced by resident vulnerabilities (multiple comorbidities, compromised immune systems, cognitive decline), systemic challenges (access to prescribers and diagnostic testing) and pressure from residents (and their family members) [ 31 , 47 ].…”

Section: Introductionmentioning

confidence: 99%

How do aged-care staff feel about antimicrobial stewardship? A systematic review of staff attitudes in long-term residential aged-care

Singh

Degeling

Fernandez

et al. 2022

Antimicrob Resist Infect Control

View full text Add to dashboard Cite

Background Antimicrobial resistance (AMR) is a problem in residential aged care facilities (RACF). There is a gap in our understanding of how psychosocial barriers such as risk perceptions shape staff attitudes towards antimicrobial stewardship (AMS). We sought to ascertain the attitudinal domains that have been identified to be of importance to AMS in RACF and comment on how they have been measured empirically. Our aim was to consolidate what is known regarding staff attitudes and perceptions in order to inform future stewardship. Method We searched PsycINFO, PsycARTICLES, CINAHL Plus, MEDLINE, PubMed, Web of Science, Cochrane, and Scopus databases for primary studies of healthcare workers attitudes to AMS in RACF (1990-February 2021). Results 14 Studies were included in the review, within which 10 domains were identified: attitudes towards antimicrobial prescribing; guidelines; educational interventions; self-confidence regarding clinical assessment and prescribing; awareness of AMR as a problem and stewardship as a priority; self-efficacy; perception of role; perception of risk; team culture and resident/family members expectations. 46 measures were developed across the 14 studies to measure the 10 domains. The variability in the attitudinal domains and how these domains were measured was large. Only 13% included psychometric data regarding reliability and/or internal consistency. Conclusions Attitudes are generally defined as having three evaluative bases: cognitive, behavioural, and affective. Findings from the current review suggest that the measures commonly used to capture healthcare staff attitudes to AMS do not sufficiently capture affect; particularly with respect to staff’s risk perceptions, perceptions of their role, and family members’ expectations. Given that affective processes have been postulated to influence medical decision making, these findings highlight the importance of understanding how staff, especially nurses feel about implementing AMS strategies and other peoples’ (e.g. residents and their families) perceptions of stewardship. It is expected that a more nuanced understanding of RACF nurses affective experiences when applying AMS, and their perceptions of the risks entailed, will help in reducing barriers to overprescribing antibiotics.

show abstract

“…Nursing homes’ location might be one of the important influencing factors that could influence infecting organisms. Moreover, non-diagnostic criteria used for UTIs in elderly population can compromise the validity of conclusions [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Nursing Effect Analysis of Urinary Tract Infections in Urology Surgery Patients: a Systematic Review and Meta-analysis

Shan¹,

Hasnain

Liu

2022

Indian J Surg

View full text Add to dashboard Cite

This meta-analysis aims to identify urinary tract infections (UTIs) in patients with different levels of age groups. For both diagnosis and treatment of UTIs, antibiotics have been widely used in nursing home settings. We also aimed to evaluate the duration of catheterization in UTI patients to reduce catheter-associated complications. We conducted a systematic review that was performed following the “Preferred Reporting Items for Systematic Reviews and Meta-Analyses” (PRISMA) guidelines and recommendations from Cochrane Collaboration. We performed a comprehensive search for published literature in PubMed, ScienceDirect, Taylor & Francis Online, Springer, and Wiley Online databases from 2010 to June 25, 2021. We performed two meta-analysis: the first meta-analysis (meta-analysis I) was performed on data obtained from included studies that compared patients with UTIs (experimental group) and without UTIs (control group); the second meta-analysis (meta-analysis II) was performed to assess the appropriate use of a catheter in UTI patients. All statistical analyses were conducted using the Review Manager 5.4 tool. A total of 15 research articles were included in this systematic review and meta-analysis. Of these, results showed the identification of critical patients with UTIs and without UTIs from nursing resident homes (risk ratio [RR] = 0.80 95% confidence interval CI = 0.69–0.93 p < 0.0001). Risk ratio results with random effects (RE) were obtained as RR = 0.69 95% CI = 0.26–1.83, p = 0.45, along with heterogeneity I 2 (96%) values. No appropriate prescription of antibiotics in UTIs is practiced among nursing home residents. In addition, pooled results between two groups (short-duration vs. long-duration catheterization) showed RR 0.66 95% CI 0.46–0.93 p = 0.02, I 2 = 56, that reduced complications associated with CAUTIs. This systematic review and meta-analysis suggested an appropriate use of agents and catheter insertion for a short duration at nursing homes.

show abstract

Issues in the Diagnosis and Management of Urinary Tract Infections in the Older Adult

Cited by 6 publications

References 27 publications

Study of the Incidence of Some Chronic Diseases Among patients with Long-term Physical Disabilities

Study of the Incidence of Some Chronic Diseases Among patients with Long-term Physical Disabilities

How do aged-care staff feel about antimicrobial stewardship? A systematic review of staff attitudes in long-term residential aged-care

Nursing Effect Analysis of Urinary Tract Infections in Urology Surgery Patients: a Systematic Review and Meta-analysis

Contact Info

Product

Resources

About