Febrile Urinary Tract Infection

Urinary Tract Infections (UTI) are miserable. Recurrent ones are a whole other level of misery. But, you don't have to just resign yourself to suffering. Many people have managed to stop having a UTI every time they turn around by making changes to their diet and hygiene habits.

According to the Centers for Disease Control and Prevention [CDC] (2017), “Urinary tract infections (UTIs) are the fourth most common type of healthcare-associated infection, with an estimated 93,300 UTIs in acute care hospitals in 2011. UTIs additionally account for more than 12% of infections reported by acute care hospitals. Virtually all healthcare-associated UTIs are caused by instrumentation of the urinary tract” (p. 7-1).

The drainage bag of the bacteriuric patient is a reservoir for organisms that may contaminate the environment and be transmitted to other patients. 5.Outbreaks of infection with resistant gram-negative organisms attributable to bacteriuria in catheterized patients have also been reported.

UTI’s is an all too common problem that causes unnecessary distress to patients and delays their recovery during their hospital stay. All healthcare professionals should adhere to these good practice points that could reduce the risk of UTI’s and assure staff that they are demonstrating best practice in their care.

Nurses are one of the largest portion of health care workers in Canada (Kosier pg. 3). They played a big part in shaping the Canadian health care system and have made a recognized impact on the health of patients, patient’s families, and their communities (Kosier pg. 3). This project is a description of nursing as a Regulated Health Profession which means it is an occupation that requires extensive education and training to gain a body of knowledge and is regulated by the College of Nurses of Ontario (Kosier). Nurse Practitioner is a registered nurse that has additional education and nursing experience (NPCanada.ca). In this paper I will provide information on the roles of the Nurse Practitioner,

| Term for any infection in the urinary tract, including cystitis and pyelonephritis. It can be

We also incorporated Evidence-based practice into our home health agency in many different ways. One example of how evidence-based practice is incorporated into our practice on a daily basis is interventions utilized to prevent catheter-related urinary tract infections (CAUTI). Many of the patients we provide care for have indwelling urinary catheters, complete intermittent catheterization on a scheduled basis or have suprapubic catheters. As healthcare providers, we are aware of the possible negative outcomes of inadequate catheter care. This is why we incorporate interventions to promote proper catheter care in our home health agency utilizing evidence-based practice. Based off of evidence, “ Because the incidence of complications rises

A Urinary Tract Infection (UTI) is a serious problem in the clinical setting. “UTIs are mostly associated with catheterization” (Hooton, 2010, p. 629). The infection can be described as bacteria invading the urinary tract. More so, the bacteria accounts for nosocomial bacteremia since the patient obtains the infection in the hospital (Hooton et al., 2010). A Catheter Associated Urinary Tract Infection (CAUTI) is common because nurses do not find this problem at the top of their to-do list during their shift. It can be easy for the nurse to become accustomed to a slight deviation from the correct method. Any break in the chain of infection has opened the opportunity for microorganisms to reproduce in a susceptible host. Research has proven that when hospitals, long-term care facilities, and other healthcare settings intervene with making positives changes, less of the patients developed a UTI with catheterization. Infection control with catheterized patients can be implemented and resolved with collaboration and education among healthcare staff.

The purpose of this paper is to present an abbreviated critical appraisal of the article titled, Two-Step Process for ED (Emergency Department) UTI (Urinary Tract Infection) Screening in Febrile Young Children: Reducing Catheterization Rates (Lavelle et al., 2016). This abbreviated appraisal addresses the following items: purpose/objective, problem/background, primary independent and dependent variables, literature review, procedures/methods, statistical tests and credibility, results/findings, conclusions,

Further analysis identifies The National Collaborating Centre for Women's and Children's Health (2013), emphasising the importance of avoiding unnecessary treatment in children with a self-limiting viral illness, while The World Health Organisation (2000) recommends the management of fever in children to include the use of paracetamol for children with fever of 39 oC or over. Insufficient data, however support this recommendation.

Health care-associated infection (HAI), are infections an individual may acquire while they are receiving treatment for another condition within a health care facility. Catheter-associated urinary tract infections (CAUTI) remain the most commonly reported hospital-acquired condition, and the rates continue to rise. Approximately 600,000 patients develop CAUTI each year, leading to increased health care cost, longer hospital stays, and increased morbidity and mortality rates. Furthermore, multiple studies have shown that urinary catheters are placed in patients who do not have an appropriate indication for catheter placement. In order to improve the quality of care and patient safety in our hospitals, CAUTI has become one of the CMS quality

The title of the article critiqued is,” The changing boundaries of nursing: a qualitative study of transition to a new nursing care delivery model”. While researching articles this title drew interest to this nurse due to the frequent changes in the field of nursing today. From policies for reimbursement for hospitals, to changing care from theory-based practice (TBP) to evidence-based practices (EBP). The methods used in this study is revealed through the title of the article: “a qualitative study”. The authors’ of this study are all professionals in the field of nursing. Ann Rheaume, PhD, RN a professor at Ecole de science infirmiere, University de Moncton. Sophie Dionne, RN, MScN, clinical resource nurse in a surgery department, CHU Dr-L.-Dumont. Denise Gaudet, RN, MScN, consultant of DMG Initiatives Inc., Dieppe. Monique Allain, RN, BN, nurse manager in the emergency department at CHU Dr.-L.-Dumont. Estelle Belliveau, RN, BN, medical educator, Services Canada, Moncton. Laurraine Boudreau, RN, BN, a nurse manager in oncology center at CHU Dr. Georges-L.-Dumont. Laurianne Brown, RN, BN, Public health nurse at Provincial Public Health services. As one can see, the positions held by the listed authors’, are of importance to this study, by reason of the exposure of the changes seen in the new health care delivery models in all fields of nursing including the above authors’ designated fields of nursing.

Bacterial urinary tract infections represent the most common type of nosocomial infections. Often, the ability of bacteria to both establish and maintain these infections are directly related to biofilm formation on indwelling devices or within the urinary tract itself (30). Enterococci (especially E. faecalis) are one of the main causative agents of urinary tract infection and Catheter-associated urinary tract infections (CAUTIs) besides gram-negative pathogens (31, 32). In these infections Biofilm provides a favorable milieu for microbial survival within the host as the organisms are shielded from the host immune response, as well as antibiotics and antimicrobial agents (33, 34). Several studies conducted to introduce main virulence genes of enterococci that are associated with biofilm formation in these bacteria (11, 13,-17), but virulence mechanism and related genes for biofilm formation are not well understood (35). In this study we investigated biofilm formation of clinical enterococci isolates isolated from Urinary tract infections. These strains were characterized for presence of adhesions and secretory virulence factors. Isolates had diverse presence of virulence from lack to highest amount of virulence genes. Several previous studies investigated relation of virulence genes and biofilm formation, especially presence of esp and gel. Enterococci esp has been implicated as a contributing factor in colonization and persistence of infection within the urinary tract

Urinary tract infections (UTIs) are the second most common type of infection in the body, sending more than eight million people to their health care providers every year in the US alone.

A nursing model is a concept, or an idea, often described as being like building blocks. Newton (1991) describes nursing models as being “a mental picture of nursing”. They originated in the US in the 1960s with an aim of describing what nurses do, and today there are many of them for nurses to follow. They are made up of 4 concepts, which consist of, the patient, their health, their environment and nursing care. The role of models in nursing practice is to give direction or guidance (Akinsanya, Cox, Crouch and Fletcher 1994), or to form a basis for nurses to base their practice. If a team of nurses can agree on a particular model, then the advantages can lead to: