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Characterizing infection prevention programs and urinary tract infection prevention practices in nursing homes: A
Karen M Jones1, Sarah L Krein2,3, Julia Mantey1
1Division of Geriatric and Palliative Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan.
Infection Control and Hospital Epidemiology
|August 17, 2023
Summary
Nursing homes face challenges with infection preventionists (IPs) due to turnover and limited training. Most facilities track urinary tract infection (UTI) rates and use prevention practices, but communication during resident transfers needs improvement.
Area of Science:
- Healthcare quality and safety
- Infection prevention and control
- Geriatric care
Background:
- US nursing homes (NHs) require infection prevention and control (IPC) programs for safe resident care.
- Catheter-associated urinary tract infections (CAUTIs) and urinary tract infections (UTIs) are common in NHs.
- Effective IPC programs are crucial for preventing CAUTIs and UTIs.
Purpose of the Study:
- To assess IPC resources and practices for CAUTI and UTI prevention in NHs.
- To identify challenges and opportunities in NH IPC programs.
- To evaluate communication strategies during resident transfers.
Main Methods:
- Mixed-methods study combining quantitative surveys and qualitative interviews.
- Surveys assessed NH IPC resources, practices, and transfer communication (n=51).
- Interviews explored IPC programs, CAUTI/UTI prevention, and transfers (n=13 from 7 NHs).
Main Results:
- Infection preventionists (IPs) often had limited experience, additional roles, or no specific training (36.7%).
- Most NHs tracked CAUTI/UTI rates and used practices like hydration (85.7%) and catheter discontinuation (65.3%).
- Communication about infections during resident transfers was suboptimal despite using transfer sheets (84%).
Conclusions:
- NHs face IP challenges including IP turnover, limited education, and multiple roles.
- Awareness of CAUTI/UTI rates and use of prevention practices are generally high.
- Improving communication between NHs and hospitals is key to enhancing resident care and safety.
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