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Incidence and Risk Factors for Non-Device Associated Healthcare Associated Infections

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서명/저자사항Incidence and Risk Factors for Non-Device Associated Healthcare Associated Infections.
개인저자Strassle, Paula D.
단체저자명The University of North Carolina at Chapel Hill. Epidemiology.
발행사항[S.l.]: The University of North Carolina at Chapel Hill., 2019.
발행사항Ann Arbor: ProQuest Dissertations & Theses, 2019.
형태사항94 p.
기본자료 저록Dissertations Abstracts International 81-04B.
Dissertation Abstract International
ISBN9781085791717
학위논문주기Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2019.
일반주기 Source: Dissertations Abstracts International, Volume: 81-04, Section: B.
Advisor: Weber, David J.
이용제한사항This item must not be sold to any third party vendors.This item must not be added to any third party search indexes.
요약Due to current targeted surveillance programs of healthcare associated infections (HAIs), there is a paucity of research on non-device associated urinary tract infections (ND-UTIs), non-device associated pneumonia (ND-pneumonia), and non-device associated bloodstream infections (ND-BSIs). However, limited data that do exist suggest that the proportion of all HAIs that were non-device associated have increased over the last decade. Thus, the purpose of this study was to update current estimates of ND-HAI rates and their frequency relative to device associated infections, assess temporal trends, and identify potential risk factors for ND-HAIs among adult patients hospitalized at the University of North Carolina (UNC) Hospitals between 2013 - 2017. Between 2013 and 2017, the rates of ND-UTIs and ND-pneumonia remained relatively stable, and the rate of ND-BSIs increased. Additionally, ND-UTIs and ND-pneumonia cases represent the majority of infections, with almost 3 in 4 UTIs and pneumonia cases being non-device associated in 2017. One in three BSIs are non-device associated at UNC Hospitals. Females, older adults, peptic ulcer disease, paralysis, immunosuppression, opioid use, TPN, and trauma patients all had a higher risk of ND-UTI. Urinary retention, suprapubic catheters and nephrostomy tubes may also increase patient risk of ND-UTI, although estimates were imprecise. Risk factors for ND-pneumonia included male sex, older age, ICU admission, and chronic bronchitis/emphysema, congestive heart failure, paralysis, and immunosuppression. Finally, risk factors for ND-BSIs included male sex, peptic ulcer disease, paralysis, general anesthesia, opioids, and peripheral venous catheters
일반주제명Public health.
Physiology.
Health sciences.
Public health education.
Epidemiology.
Health care management.
언어영어
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