干旱区生态环境知识资源中心(Arid): Urinary catheter policies in home healthcare agencies and hospital transfers due to urinary tract infection

Arid

DOI	10.1016/j.ajic.2021.11.027
	Urinary catheter policies in home healthcare agencies and hospital transfers due to urinary tract infection
	Harrison, Jordan M.; Dick, Andrew W.; Madigan, Elizabeth A.; Furuya, E. Yoko; Chastain, Ashley M.; Shang, Jingjing
通讯作者	Harrison, JM
来源期刊	AMERICAN JOURNAL OF INFECTION CONTROL
ISSN	0196-6553
EISSN	1527-3296
出版年	2022
卷号	50 期号:7 页码:743-748
英文摘要	Background: Urinary tract infections (UTIs) are a frequent cause of hospital transfer for home healthcare (HHC) patients, particularly among patients with urinary catheters. Methods: We conducted a cross-sectional, nationally representative HHC agency-level survey (2018-2019) and combined it with patient-level data from the Outcome and Assessment Information Set (OASIS) and Medicare inpatient data (2016-2018) to evaluate the association between HHC agencies' urinary catheter policies and hospital transfers due to UTI. Our sample included 28,205 patients with urinary catheters who received HHC from 473 Medicare-certified agencies between 2016-2018. Our survey assessed whether agencies had written policies in place for (1) replacement of indwelling catheters at fixed intervals, and (2) emptying the drainage bag. We used adjusted logistic regression to estimate the association of these policies with probability of hospital transfer due to UTI during a 60-day HHC episode. Results: Probability of hospital transfer due to UTI during a HHC episode ranged from 5.62% among agencies with neither urinary catheter policy to 4.43% among agencies with both policies. Relative to agencies with neither policy, having both policies was associated with 21% lower probability of hospital transfer due to UTI (P < .05). Conclusion: Our findings suggest implementation of policies in HHC to promote best practices for care of patients with urinary catheters may be an effective strategy to prevent hospital transfers due to UTI. (c) 2021 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
英文关键词	Post acute care Home health Hospitalizations Infection prevention and control Older adults
类型	Article
语种	英语
开放获取类型	Green Accepted
收录类别	SCI-E
WOS记录号	WOS:000817723000006
WOS关键词	REGISTERED NURSES ; RISK ; PREVENTION
WOS类目	Public, Environmental & Occupational Health ; Infectious Diseases
WOS研究方向	Public, Environmental & Occupational Health ; Infectious Diseases
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/391810
推荐引用方式 GB/T 7714	Harrison, Jordan M.,Dick, Andrew W.,Madigan, Elizabeth A.,et al. Urinary catheter policies in home healthcare agencies and hospital transfers due to urinary tract infection[J],2022,50(7):743-748.
APA	Harrison, Jordan M.,Dick, Andrew W.,Madigan, Elizabeth A.,Furuya, E. Yoko,Chastain, Ashley M.,&Shang, Jingjing.(2022).Urinary catheter policies in home healthcare agencies and hospital transfers due to urinary tract infection.AMERICAN JOURNAL OF INFECTION CONTROL,50(7),743-748.
MLA	Harrison, Jordan M.,et al."Urinary catheter policies in home healthcare agencies and hospital transfers due to urinary tract infection".AMERICAN JOURNAL OF INFECTION CONTROL 50.7(2022):743-748.