자료유형 | 학위논문 |
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서명/저자사항 | Incidence and Risk Factors for Non-Device Associated Healthcare Associated Infections. |
개인저자 | Strassle, Paula D. |
단체저자명 | The University of North Carolina at Chapel Hill. Epidemiology. |
발행사항 | [S.l.]: The University of North Carolina at Chapel Hill., 2019. |
발행사항 | Ann Arbor: ProQuest Dissertations & Theses, 2019. |
형태사항 | 94 p. |
기본자료 저록 | Dissertations Abstracts International 81-04B. Dissertation Abstract International |
ISBN | 9781085791717 |
학위논문주기 | Thesis (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. |
이용제한사항 | This item must not be sold to any third party vendors.This item must not be added to any third party search indexes. |
요약 | Due 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 |
일반주제명 | Public health. Physiology. Health sciences. Public health education. Epidemiology. Health care management. |
언어 | 영어 |
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