Sustained reduction in catheter-associated urinary tract infections using multi-faceted strategies led by champions: A quality improvement initiative.

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2022-07

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Abstract

We reviewed the sustainability of a multifaceted intervention on catheter-associated urinary tract infection (CAUTI) in 3 intensive care units. During the 4-year postintervention period, we observed reductions in urine culture rates (from 80.9 to 47.5 per 1,000 patient days; P < .01), catheter utilization (from 0.68 to 0.58; P < .01), and CAUTI incidence rates (from 1.7 to 0.8 per 1,000 patient days; P = .16).

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10.1017/ice.2021.135

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Reynolds, Staci S, Chris D Sova, Sarah S Lewis, Becky A Smith, Rebekah H Wrenn, Nicholas A Turner and Sonali D Advani (2022). Sustained reduction in catheter-associated urinary tract infections using multi-faceted strategies led by champions: A quality improvement initiative. Infection control and hospital epidemiology, 43(7). pp. 925–929. 10.1017/ice.2021.135 Retrieved from https://hdl.handle.net/10161/26916.

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Scholars@Duke

Reynolds

Staci Reynolds

Clinical Professor in the School of Nursing

Dr. Staci Reynolds joined Duke in January 2016, with a joint position between Duke University School of Nursing and Duke University Hospital (DUH).  At DUSON, Dr. Reynolds teaches in the ABSN Program (neuroscience nursing) and DNP program (healthcare quality improvement methods).  Clinically, she served as a neuroscience Clinical Nurse Specialist (CNS) for the inpatient neuro units at DUH from 2016 - 2019 and for the Infection Prevention and Hospital Epidemiology department from 2019 - 2023. Dr. Reynolds coordinated the Duke Advancement of Nursing, Center of Excellence (DANCE) academic-practice partnership from 2016 - 2023, and was the faculty lead for the post-DNP Quality Implementation Scholars Program from 2019 - 2022.  In January 2023, Dr. Reynolds was appointed the Editor-in-Chief of the Journal of Nursing Care Quality.  Before coming to DUSON, she was a neuro critical care nurse and a neuroscience Clinical Nurse Specialist at Indiana University Health Methodist Hospital.

Dr. Reynolds received a baccalaureate degree in nursing science from Indiana University (IU) in Indianapolis, Indiana.  She earned a Master’s degree as a Clinical Nurse Specialist at IU in 2011, and completed her PhD at IU in May 2016.  Dr. Reynolds’ dissertation focused on implementation of clinical practice guidelines, and her current research interests includes evidence-based practice implementation and quality improvement.

Lewis

Sarah Stamps Lewis

Associate Professor of Medicine
Turner

Nicholas Turner

Assistant Professor of Medicine
Advani

Sonali Advani

Associate Professor of Medicine

Dr. Advani is an Associate Professor of Medicine (Tenure Track) at Duke University School of Medicine. She is primarily a physician investigator in the Duke Center for Antimicrobial Stewardship and Infection Prevention. She is currently a Fellow in Implementation Science at HIGH IRI (HIV, Infectious Disease and Global Health Implementation Research) Institute at Washington University, St Louis.

Dr. Advani has over 10-years' experience in healthcare epidemiology research and operations. Her current research focuses on improving the diagnosis of UTIs in older adults, implementation of diagnostic stewardship interventions, and de-prescribing antibiotics for asymptomatic bacteriuria. She was awarded the K12 Urologic Career Development Award, Pepper Center Career Development Award, and SHEA Research Scholar Award to continue her UTI related research. In addition, she is one of the key investigators for CDC Prevention Epicenter Program and CDC SHEPheRD Contract for the Use of Race, Ethnicity, and Social Determinants of Health Data in NHSN Measures to Promote Health Equity.

Dr. Advani currently serves on the SHEA Program Planning Committee, SHEA Research Committee, SHEA Diagnostic Stewardship Task Force,  SHEA Steering Committee for the LEAP Fellowship, and IDSA Antimicrobial Stewardship Workgroup. She is contributing to the upcoming SHEA CAUTI Compendium, SHEA Nursing Home Infection Prevention Guidance, AUGS Bacteriuria Consensus Guidance, and SHEA HAI Research Agenda.


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