Device use in Nursing Homes: Reducing Risk of Infection

疗养院中的设备使用：降低感染风险

• 批准号: 7269887
• 负责人: Lona Mody
• 金额: $ 14.99万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-30 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7269887
• 关键词: Acute; Adherence; Adverse event; Antibiotic Resistance; Antibiotics; Antimicrobial Resistance; Aspiration Pneumonia; Attitude; Budgets; Caring; Catheters; Collaborations; Communities; Development; Devices; Elderly; Epidemiology; Event; Fellowship; Goals; Grant; Guidelines; Health Personnel; Health Professional; Health Services Research; Incidence; Infection; Infection Control; Infection prevention; Intravenous; K-Series Research Career Programs; Knowledge; Lead; Long-Term Care; Measures; Medical; Medical Surveillance; Michigan; Microbial Drug Resistance; Nosocomial Infections; Nursing Homes; Nursing Staff; Outcome; Pharmaceutical Preparations; Play; Prevalence; Prevention Guidelines; Program Development; Quality of Care; Rate; Recommendation; Research; Research Project Grants; Residencies; Retrospective Studies; Risk; Risk Factors; Role; Time; Urinary tract infection; antimicrobial; base; career; design; implantable device; improved; interest; pathogen; prevent; programs; tube feeding; urinary

DESCRIPTION (provided by applicant): Dr. Mody's primary research interest is epidemiology of nosocomial infections in long-term care and developing effective infection control strategies targeted at reducing these infections with a goal to reduce antimicrobial usage, antimicrobial resistance, and adverse events related to antibiotics. Nosocomial infections and adverse drug events particularly related to antibiotics are common preventable medical problems in nursing homes. Dr. Mody's goal is to develop infection control strategies that are targeted and practical while recognizing staffing, budget and care concerns of older adults in nursing homes. Indwelling devices, especially urinary catheters and feeding tubes, are commonly used and appear to play a key role in the development of urinary tract infections and aspiration pneumonias. Dr. Mody's immediate research goals during the Career Development Program are: 1. To assess the epidemiology of colonization with antibiotic-resistant pathogens associated with commonly used devices (urinary catheters, feeding tubes & intravenous lines) in nursing homes in Southeast Michigan. 2. Quantify infection risk and antimicrobial usage attributed to devices. 3. To assess knowledge, attitudes, opinions, and practices of nursing personnel to existing infection control guidelines to prevent device-related infections 4. Assess the efficacy of a targeted infection control program in reducing infections related to devices incorporating educational needs of healthcare workers in nursing homes. This Career Development Award will serve 3 goals: First, this grant will allow Dr. Mody to build on her previous projects conducted during residency and fellowship focusing on the epidemiology and prevention of infection in older adults. Second, it will provide her with an opportunity to take formal coursework in epidemiology and health services research, which will be instrumental to advancing her research career. Third, it will give me a chance to collaborate with a group of community nursing homes in Southeast Michigan. The primary goal of this collaboration will be to design and conduct further outcomes based research projects focusing on nosocomial infections as adverse events and leading to meaningful strategies to improve quality of care of older adults in institutional setting.

描述(申请人提供)：莫迪博士的主要研究兴趣是长期护理中医院感染的流行病学，并开发有效的感染控制策略，旨在减少这些感染，目标是减少抗菌素的使用、抗菌素耐药性和与抗生素相关的不良事件。院内感染和药物不良事件，特别是与抗生素有关的不良事件，是养老院常见的可预防的医疗问题。莫迪博士的目标是制定有针对性和实用性的感染控制策略，同时认识到养老院老年人对人员配备、预算和护理的担忧。留置设备，特别是导尿管和喂养管，是常用的，似乎在尿路感染和吸入性肺炎的发展中发挥关键作用。莫迪博士在职业生涯中的近期研究目标 发展计划包括： 1.评估密歇根州东南部养老院中与常用设备(导尿管、喂养管和静脉导管)相关的耐药病原体定植的流行病学。 2.量化设备的感染风险和抗菌剂使用情况。 3.评估护理人员对现有感染控制指南的知识、态度、意见和做法，以预防器械相关感染 4.评估有针对性的感染控制计划在减少与疗养院医护人员的教育需求相关的设备感染方面的有效性。 这一职业发展奖将服务于三个目标：首先，这笔赠款将使莫迪博士能够在她以前在住院期间进行的专注于老年人感染的流行病学和预防的项目的基础上再接再厉。其次，它将为她提供一个学习流行病学和卫生服务研究的正式课程的机会，这将有助于她的研究事业的发展。第三，这将让我有机会与密歇根州东南部的一群社区疗养院合作。这一合作的主要目标将是设计和实施基于进一步成果的研究项目，重点关注作为不良事件的医院感染，并导致有意义的战略，以提高机构环境中老年人的护理质量。

项目成果

Pandemic Influenza Planning in Nursing Homes: Are We Prepared?

• DOI: 10.1111/j.1532-5415.2007.01299.x
• 发表时间: 2007-09
• 期刊: Journal of the American Geriatrics Society
• 影响因子: 6.3
• 作者: L. Mody;S. Cinti

Infection rate and colonization with antibiotic-resistant organisms in skilled nursing facility residents with indwelling devices.

• DOI: 10.1007/s10096-011-1504-7
• 发表时间: 2012-08
• 期刊: EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES
• 影响因子: 4.5
• 作者: Wang, L.;Lansing, B.;Symons, K.;Flannery, E. L.;Fisch, J.;Cherian, K.;McNamara, S. E.;Mody, L.
• 通讯作者: Mody, L.

Incidence of antibiotic-resistant infection in long-term residents of skilled nursing facilities.

• DOI: 10.1016/j.ajic.2007.10.016
• 发表时间: 2008-09
• 期刊: American journal of infection control
• 影响因子: 4.9
• 作者: Rogers MA;Mody L;Chenoweth C;Kaufman SR;Saint S
• 通讯作者: Saint S

Optimizing antimicrobial use in nursing homes: no longer optional.

优化疗养院抗菌药物的使用：不再是可选的。

• DOI: 10.1111/j.1532-5415.2007.01253.x
• 发表时间: 2007
• 期刊: Journal of the American Geriatrics Society
• 影响因子: 6.3
• 作者: Mody,Lona

Health care worker opinions on use of isolation precautions in long-term care facilities.

• DOI: 10.1016/j.ajic.2011.03.019
• 发表时间: 2012-04
• 期刊: AMERICAN JOURNAL OF INFECTION CONTROL
• 影响因子: 4.9
• 作者: Furuno, Jon P.;Krein, Sarah;Lansing, Bonnie;Mody, Lona
• 通讯作者: Mody, Lona