Morrison-Pandy Leslie E, Ross Carl A, Ren Dianxu, Garand Linda
Department of Health and Community Systems at the University of Pittsburgh School of Nursing in Pittsburgh, PA.
Robert Morris University in Pittsburgh.
J Nurse Pract. 2015 Oct;11(9):903-906. doi: 10.1016/j.nurpra.2015.06.008. Epub 2015 Jul 11.
Asymptomatic urinary tract infections (aUTIs) are common among older adults in long-term care facilities (LTCFs) and studies have shown that they are inappropriately treated with antibiotics. We retrospectively characterized treatment strategies among 89 cases of aUTIs before and after a long-term facility hired a full-time nurse practitioner (NP). We found that residents with aUTIs were prescribed significantly more supportive treatment strategies after hiring an NP. However, there was no significant drop in the rate of inappropriate antibiotic treatments for aUTIs after hiring an NP.
无症状性尿路感染（aUTIs）在长期护理机构（LTCFs）的老年人中很常见，研究表明，这些感染使用抗生素治疗并不恰当。我们回顾性分析了一家长期护理机构雇佣全职执业护士（NP）前后89例无症状性尿路感染的治疗策略。我们发现，雇佣执业护士后，无症状性尿路感染患者接受的支持性治疗策略显著增多。然而，雇佣执业护士后，无症状性尿路感染不恰当使用抗生素治疗的比例并没有显著下降。
