| LDR | | 00000nam u2200205 4500 |
| 001 | | 000000435268 |
| 005 | | 20200228090846 |
| 008 | | 200131s2019 ||||||||||||||||| ||eng d |
| 020 | |
▼a 9781085791717 |
| 035 | |
▼a (MiAaPQ)AAI13885726 |
| 040 | |
▼a MiAaPQ
▼c MiAaPQ
▼d 247004 |
| 082 | 0 |
▼a 362.1 |
| 100 | 1 |
▼a Strassle, Paula D. |
| 245 | 10 |
▼a Incidence and Risk Factors for Non-Device Associated Healthcare Associated Infections. |
| 260 | |
▼a [S.l.]:
▼b The University of North Carolina at Chapel Hill.,
▼c 2019. |
| 260 | 1 |
▼a Ann Arbor:
▼b ProQuest Dissertations & Theses,
▼c 2019. |
| 300 | |
▼a 94 p. |
| 500 | |
▼a Source: Dissertations Abstracts International, Volume: 81-04, Section: B. |
| 500 | |
▼a Advisor: Weber, David J. |
| 502 | 1 |
▼a Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2019. |
| 506 | |
▼a This item must not be sold to any third party vendors. |
| 506 | |
▼a This item must not be added to any third party search indexes. |
| 520 | |
▼a 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 |
| 590 | |
▼a School code: 0153. |
| 650 | 4 |
▼a Public health. |
| 650 | 4 |
▼a Physiology. |
| 650 | 4 |
▼a Health sciences. |
| 650 | 4 |
▼a Public health education. |
| 650 | 4 |
▼a Epidemiology. |
| 650 | 4 |
▼a Health care management. |
| 690 | |
▼a 0573 |
| 690 | |
▼a 0566 |
| 690 | |
▼a 0500 |
| 690 | |
▼a 0766 |
| 690 | |
▼a 0769 |
| 690 | |
▼a 0719 |
| 710 | 20 |
▼a The University of North Carolina at Chapel Hill.
▼b Epidemiology. |
| 773 | 0 |
▼t Dissertations Abstracts International
▼g 81-04B. |
| 773 | |
▼t Dissertation Abstract International |
| 790 | |
▼a 0153 |
| 791 | |
▼a Ph.D. |
| 792 | |
▼a 2019 |
| 793 | |
▼a English |
| 856 | 40 |
▼u http://www.riss.kr/pdu/ddodLink.do?id=T15491460
▼n KERIS
▼z 이 자료의 원문은 한국교육학술정보원에서 제공합니다. |
| 980 | |
▼a 202002
▼f 2020 |
| 990 | |
▼a ***1816162 |
| 991 | |
▼a E-BOOK |