Nursing home practitioner survey of diagnostic criteria for urinary tract infections
Nursing home practitioner survey of diagnostic criteria for urinary tract infections
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DOI：
10.1111/j.1532-5415.2005.00470.x
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发表时间：
2005-11-01
影响因子：
6.3
通讯作者：
Quagliarello, VJ
中科院分区：
文献类型：
--
作者：
Juthani-Mehta, M;Drickamer, MA;Quagliarello, VJ
确定护理之家从业人员用于诊断和治疗护理之家居民尿路感染（UTIs）的临床和实验室标准。为了确定从业者对最常用的共识标准的了解（即，McGeer标准）的UTI。自我管理的调查。三个纽黑文地区的疗养院。医生（n=25），医生助理（PA，n=3），主任/助理主任护理（n=8），护士长（n=37），和感染控制从业人员（n=3）。开放式和封闭式的问题。19名医生，3名PA，和41名护士完成了63 76（83%）的调查。在未插管的居民中，怀疑UTI的五个最常见的触发因素是精神状态变化（57/63，90%）、发热（48/63，76%）、排尿方式变化（44/63，70%）、排尿困难（41/63，65%）和尿液特征变化（37/63，59%）。当被要求确定他们在评估UTI中的第一个诊断步骤时，48%（30/63）的人说尿试纸分析，40%（25/63）的人说尿分析和尿培养。22名医生和私人助理中有14名（64%）和40名护士中有40名（100%）知道未插管患者的McGeer标准（P
To identify clinical and laboratory criteria used by nursing home practitioners for diagnosis and treatment of urinary tract infections (UTIs) in nursing home residents. To determine practitioner knowledge of the most commonly used consensus criteria (i.e., McGeer criteria) for UTIs.Self-administered survey.Three New Haven-area nursing homes.Physicians (n=25), physician assistants (PAs, n=3), directors/assistant directors of nursing (n=8), charge nurses (n=37), and infection control practitioners (n=3).Open- and closed-ended questions.Nineteen physicians, three PAs, and 41 nurses completed 63 of 76 (83%) surveys. The five most commonly reported triggers for suspecting UTI in noncatheterized residents were change in mental status (57/63, 90%), fever (48/63, 76%), change in voiding pattern (44/63, 70%), dysuria (41/63, 65%), and change in character of urine (37/63, 59%). Asked to identify their first diagnostic step in the evaluation of UTIs, 48% (30/63) said urinary dipstick analysis, and 40% (25/63) said urinalysis and urine culture. Fourteen of 22 (64%) physicians and PAs versus 40 of 40 (100%) nurses were aware of the McGeer criteria for noncatheterized patients (P