执业护士的角色与无症状性泌尿系统疾病的治疗

The Role of the Nurse Practitioner and Asymptomatic Urinary Treatments.

作者信息

Morrison-Pandy Leslie E, Ross Carl A, Ren Dianxu, Garand Linda

机构信息

Department of Health and Community Systems at the University of Pittsburgh School of Nursing in Pittsburgh, PA.

Robert Morris University in Pittsburgh.

出版信息

J Nurse Pract. 2015 Oct;11(9):903-906. doi: 10.1016/j.nurpra.2015.06.008. Epub 2015 Jul 11.

DOI:10.1016/j.nurpra.2015.06.008

PMID:31406491

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6690625/

Abstract

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.

摘要

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。

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本文引用的文献

Antimicrobial stewardship in long term care facilities: what is effective?长期护理机构中的抗菌药物管理：什么是有效的？

Antimicrob Resist Infect Control. 2014 Feb 12;3(1):6. doi: 10.1186/2047-2994-3-6.

Diagnosis and management of urinary tract infection in older adults.老年人下尿路感染的诊断与治疗。

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Urinary Tract Infections in Older Adults Residing in Long-Term Care Facilities.长期护理机构中老年居民的尿路感染

Ann Longterm Care. 2012 Apr;20(4):33-38.

Asymptomatic bacteriuria, antibiotic use, and suspected urinary tract infections in four nursing homes.无症状菌尿症、抗生素使用与四家养老院疑似尿路感染。

BMC Geriatr. 2012 Nov 23;12:73. doi: 10.1186/1471-2318-12-73.

Cranberries for preventing urinary tract infections.蔓越莓预防尿路感染。

Cochrane Database Syst Rev. 2012 Oct 17;10(10):CD001321. doi: 10.1002/14651858.CD001321.pub5.

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Urinary tract infections in long-term care residents.长期护理居民的尿路感染。

Clin Geriatr Med. 2011 May;27(2):229-39. doi: 10.1016/j.cger.2011.01.007. Epub 2011 Apr 1.

Adverse outcomes in nursing home residents with increased episodes of observed bacteriuria.养老院中观察到的菌尿症发作次数增加的居民的不良结局。

Infect Control Hosp Epidemiol. 2011 Jan;32(1):84-6. doi: 10.1086/657664. Epub 2010 Nov 22.

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