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Reducing Inappropriate Antibiotics for Urinary Tract Infections in Long-Term Care: A Replication Study
Denise Cooper1, Marilyn McFarland, Francesca Petrilli
1School of Nursing, University of Michigan-Flint (Drs Cooper and McFarland); Impact Physician Group, Pontiac, Michigan (Dr Petrilli); and Michigan Health Specialists, Flint (Dr Shells).
Background:
Nursing home providers face challenges in urinary tract infection assessment and treatment, often prescribing unnecessary antibiotics for asymptomatic bacteriuria, a practice that can result in adverse drug reactions, drug resistance, and an increase in antibiotic-associated diarrhea.
Purpose:
The purpose of this project was to replicate the Cooper Urinary Tract Infection Program in another facility and measure its effectiveness.
Methods:
Using a pre-post design, this project was implemented at a 120-bed, long-term care and rehabilitation facility located in the Midwest United States.
Interventions:
This project used the multifaceted Cooper Urinary Tract Infection Program that includes the Cooper tool algorithm, didactic education for providers, and change champions.
Results:
The results were significant improvements in nurse knowledge and reduced rates of urinary tract infections, inappropriate antibiotic treatments, and urinalyses.
Conclusions:
These results add to the evidence for implementing the Cooper Urinary Tract Infection Program in long-term care facilities for effective reduction of inappropriate antibiotic usage for urinary tract infection.
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Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
Urinary Tract Infection I: Introduction
Urinary Tract Infection II: Pathophysiology
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Urinary Tract Calculi V: Nursing Management

