A Tool to Assess the Signs and Symptoms of Catheter-Associated Urinary Tract Infection: Development and Reliability.
A Tool to Assess the Signs and Symptoms of Catheter-Associated Urinary Tract Infection: Development and Reliability.
复制标题
DOI：
10.1177/1054773814550506
复制
发表时间：
2015-08
影响因子：
1.7
通讯作者：
Pietraszak M
中科院分区：
文献类型：
--
作者：
Blodgett TJ;Gardner SE;Blodgett NP;Peterson LV;Pietraszak M
本初步研究的目的是使用专门开发的工具：导管相关性尿路感染评估特征（CAP），确定短期留置导尿管住院成人中导管相关性尿路感染（CITTI）的四种临床表现的评估者间可靠性。研究参与者包括30名非怀孕的讲英语的成年人，从2家社区医院招募。三名护士使用标准化技术评估每位参与者的发热、耻骨上压痛、胁腹压痛和谵妄。基于广义Kappa统计量和95%置信区间，有证据表明发热具有较强的评分者间可靠性（K = 1.00，0.793 - 1.207），耻骨上压痛（K = 0.39，0.185 - 0.598）和谵妄（K = 0.58，0.379 - 0.792），但不适用于胁腹压痛（K = 0.29，-0.036-0.617）。本研究提供了初步证据，证明APPTI评估特征（CAP）可用于一致地识别住院成人中APPTI的这些临床体征和症状。
The purpose of this pilot study was to determine the inter-rater reliability of four clinical manifestations of catheter-associated urinary tract infections (CAUTI) among hospitalized adults with short-term indwelling urinary catheters using a tool developed for this purpose: the CAUTI Assessment Profile (CAP). Study participants included 30 non-pregnant English-speaking adults, recruited from 2 community hospitals. Three nurses assessed each participant for fever, suprapubic tenderness, flank tenderness, and delirium using standardized techniques. Based on the generalized kappa statistic and 95% confidence intervals, there was evidence of strong inter-rater reliability for fever (K = 1.00, 0.793 – 1.207), suprapubic tenderness (K = 0.39, 0.185 – 0.598), and delirium (K = 0.58, 0.379 – 0.792), but not for flank tenderness (K = 0.29, −0.036 – 0.617). This study provides preliminary evidence that the CAUTI Assessment Profile (CAP) can be used to consistently identify these clinical signs and symptoms of CAUTI in hospitalized adults.
登录
查看更多内容
影响因子：
2.8
作者：
Kayalp, Damla;Dogan, Kubra;Yucel, Dogan
通讯作者：
Yucel, Dogan
影响因子：
4.5
作者：
Cairns, Shona;Reilly, Jacqui;Knight, Paul
通讯作者：
Knight, Paul
影响因子：
4.9
作者：
Hanna, Fadi Al-Qas;Sambirska, Oksana;Fakih, Mohamad G.
通讯作者：
Fakih, Mohamad G.
影响因子：
2.6
作者：
Kennedy, Edward H.;Greene, M. Todd;Saint, Sanjay
通讯作者：
Saint, Sanjay
影响因子：
4.9
作者：
Horan, Teresa C.;Andrus, Mary;Dudeck, Margaret A.
通讯作者：
Dudeck, Margaret A.