Device use in Nursing Homes: Reducing Risk of Infection

描述（由申请人提供）：Mody博士的主要研究兴趣是长期护理中医院感染的流行病学，并制定有效的感染控制策略，旨在减少这些感染，以减少抗菌药物的使用，抗菌药物耐药性和与抗生素相关的不良事件。医院感染和药物不良事件，特别是与抗生素相关的是常见的可预防的医疗问题，在养老院。Mody博士的目标是制定有针对性和实用的感染控制策略，同时认识到养老院老年人的人员配置、预算和护理问题。留置装置，特别是导尿管和饲管，是常用的，似乎在尿路感染和吸入性肺炎的发展中起着关键作用。Mody博士在职业生涯中的近期研究目标 发展计划是： 1.评估密歇根州东南部养老院中与常用器械（导尿管、饲管和静脉输液管）相关的耐药病原体定植的流行病学。 2.量化归因于器械的感染风险和抗菌剂使用。 3.评估护理人员对现有感染控制指南的知识、态度、意见和实践，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养老院医疗保健工作者教育需求相关的器械感染方面的有效性。 这个职业发展奖将服务于3个目标：首先，这笔赠款将使Mody博士能够在她以前的住院期间进行的项目和奖学金的基础上，重点关注老年人的流行病学和感染预防。其次，它将为她提供一个机会，采取正式的课程，流行病学和卫生服务研究，这将有助于推进她的研究生涯。第三，它将给我一个机会，与密歇根州东南部的一组社区养老院合作。这项合作的主要目标将是设计和进行进一步的成果为基础的研究项目，重点是医院感染的不良事件，并导致有意义的战略，以提高护理质量的老年人在机构设置。

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.