Urinary Tract Infection: A Case Study

Studies concerning effectiveness are somewhat mixed, but there is some evidence that enough cranberry can reduce occurrence of infection by up

R/s Ms. Rose expressed to Dr. Justice that she doesn’t like being by herself and wants be placed in assisted living. R/s on July 08, Ms. Rose visited the ER for a urinary tract infection and she back today complaining of abdominal pain. R/s Ms. Rose has been advised that she needs to her medication when she is prescribed. R/s a sitter is in the home from 4 pm to 7 pm Monday-Friday.

In the first article, the author’s goal is too reduce urinary tract infections by implementing an evidence-based approach. By doing so it focuses on the importance of the nurses, physicians and staff working together as a team to reduce the urinary tract infections. The nurse driven protocol is what was tested, observing how the nursing staff communicated and how they followed evidence based practice approach. Also, focusing on an academic practice partnership to enhance patient outcomes (Johnson, Gilman, Linter, & Buckner, 2016).

The use of cranberry juice to effectively treat a Urinary Tract Infection (UTI) is not a heavily studied topic, but some people believe that it can be used to treat a UTI.

Which antibacterial agent(s) would be effective in the therapy of Mr BT’s urinary tract infection?

Authors suggested that the accurate diagnosis of a UTI will play a role in the cost-effective medical care and appropriate antimicrobial utilization. The objective of the article is to summarize the top ten, misconceptions of UTI that result in extraneous testing and antimicrobial treatment. This article is well organized, consist of an abstract, introduction, list the myths with mistaken beliefs pertaining to diagnosis, a discussion and conclusion. One reason this article was of an interesting choosing was, due to myth number, “falls and acute altered mental status changes in the elderly patient are usually caused by UTI.” The article suggests that elderly patients with acute mental status changes accompanied by bacteriuria, pyuria without clinical instability or other signs or symptoms of UTI can reasonably be observed for resolution of confusion for 24-48 hours without antibiotics, which searching for other causes. The article describes in detail that elderly patients with acute mental status change and functional decline are nonspecific and are clinical manifestation of several circumstances such as, dehydration, hypoxia, and ploy-pharmacy adverse reaction. In the discussion section, the article also suggests that an increase in education and evidence-based guidelines aimed at physicians, advance practice

Advanced Practice Registered Nurses (APRNs) have the qualifications and education have an increased scope of practice that allows them to to take on many positions due to their clinical expertise. Their preparation allows them to fulfill the responsibilities to their patients and to provide a far more services in practice that other nursing professions. With recent changes in medical reimbursements and the focus on patient-centered preventive care, nurses can take on the role of nurse practitioner, clinical nurse specialist, nurse anesthetist, or nurse midwives, among others and can play a more meaningful role in the future of health care delivery. APRNs expand the delivery of primary care by becoming apt providers that are hastily confronting the need for providing effective preventative care to the general public.

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 simple measure to the reduction of CAUTI’s is using a developed initiative that can be implemented to collecting a urine culture. The urine culture initiative that our organization now follows goes as: when a urine culture gets ordered, and if your patients urinary catheter has been in for more than three days or was placed outside of our organization we are to:

T.M. was admitted to the sub-acute unit for an UTI. UTI is usually cause by an organism called Escherichia coli. Risk factors for UTI in males can be bladder stones, kidney stones, an enlarge prostate, catheter use, or bacterial prostatitis. Some of the symptoms of UTI are burning sensation when urinating, frequent urination, fever, chills, foul smelling urine, urine retention, and lethargy. T.M. has a diagnosis of BPH and repeated history of UTI which increase his risk for UTI. A short-term goal will be that the patient will be display no UTI sign of symptoms. A long-term goal will be that the patient will demonstrate behavioral techniques to prevent future UTI. To accomplish these goals, the patient should be encouraged to void every 2 to

Medicare will not fund for these hospital acquired infections; costing the hospital thousands of dollars. Every single time this happens, the hospital is losing supplies and time with no reward, as well as causing pain to our patients. As you know UTI’s have exponential effects on our patients that can lead to dire consequences like kidney failure if left untreated. Therefore, we should be using the best evidence based practice.

Two groups of catheter patients were tested, one with the criteria-based reminder implemented and one without (Chen et al., 2013). The study showed that the criteria-based reminder group had a 21.8% incidence of UTIs, and the group without the reminder had a 32.8% incidence of UTIs (Chen et al., 2013). The study also showed the reminder method dropped CAUTI rates by

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

http://www.reddremedies.com/Supporting-Urinary-Tract-Health.html , it indicates that Cranberry contains antioxidants called proanthocyanins that prevents E.coli from sticking onto the bladder walls, which will in turn prevent any infection relating to UTIs.

Urinary tract infections (UTIs) are one of the most common diseases treated every day by healthcare practitioners. Elderly patients that are placed in long-term care facilities (LTCFs) are prone to acquiring UTIs. Antibiotic resistance in the elderly is amongst one of the most urgent public health issues in health care. In the long term healthcare setting it is estimated that antibiotic treatment cost approximately $38 million to $ 137 million per year (CDC, 2013). There is a considerable amount of antibiotic that are being prescribed for patients in LTCF with presumed UTIs. The PICO question that will be analyzed will be: in nursing home patients or long term care facilities residents with asymptomatic UTIs, what are the effects of treating with antibiotics as compared to not treating the infection with any antibiotic, can this help reduce the incidence of antibiotic resistance? The purpose of this paper is to summarize and examine