Correlations between quality ratings of skilled nursing facilities and multidrug-resistant urinary tract infections.
Am J Infect Control
; 44(11): 1256-1260, 2016 11 01.
Article
em En
| MEDLINE
| ID: mdl-27810066
ABSTRACT
BACKGROUND:
The purpose of this study was to determine risk factors for the acquisition of urinary tract infections (UTIs) and multidrug-resistant organisms (MDROs) in residents of skilled nursing facilities (SNFs).METHODS:
Using the informational database provided by the Centers for Medicare and Medicaid Services (CMS), a retrospective logistic regression was performed on 1,523 urine cultures from 12 SNFs located in Long Island, New York.RESULTS:
Of the 1,142 positive urine cultures, Escherichia coli was most prevalent. Additionally, 164 (14.4%) of the UTIs were attributed to an MDRO. In multivariate logistic regression, sex and overall quality rating predicted the occurrence of UTIs, whereas identification of MDROs was dependent on the level of nursing care received. The mean predicted probability of UTIs and receipt of contaminated samples was inversely dependent on the facility's rating, where the likelihood increased as overall quality ratings decreased.CONCLUSIONS:
The CMS's quality rating system may provide some insight into the status of infection control practices in SNFs. The results of this study suggest that potential consumers should focus on the overall star ratings and the competency of the nursing staff in these facilities rather than on individual quality measures.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Instituições de Cuidados Especializados de Enfermagem
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Bactérias
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Infecções Bacterianas
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Infecções Urinárias
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Farmacorresistência Bacteriana Múltipla
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article