Matches in SemOpenAlex for { <https://semopenalex.org/work/W2090833741> ?p ?o ?g. }
Showing items 1 to 100 of
100
with 100 items per page.
- W2090833741 endingPage "66" @default.
- W2090833741 startingPage "62" @default.
- W2090833741 abstract "To describe the presentation of suspected urinary tract infections (UTIs) in nursing home (NH) residents with advanced dementia and how they align with minimum criteria to justify antimicrobial initiation.Twelve-month prospective study.Twenty-five NHs.Two hundred sixty-six NH residents with advanced dementia.Charts were abstracted monthly for documentation of suspected UTI episodes to determine whether episodes met minimum criteria to initiate antimicrobial therapy according to consensus guidelines.Seventy-two residents experienced 131 suspected UTI episodes. Presenting symptoms and signs for these episodes are mental status change (44.3%), fever (20.6%), hematuria (6.9%), dysuria (3.8%), costovertebral tenderness (2.3%), urinary frequency (1.5%), rigor (1.5%), urgency (0%), and suprapubic pain (0%). Only 21 (16.0%) episodes met minimal criteria to initiate antimicrobial therapy based on signs and symptoms. Of the 110 episodes that lacked minimum criteria to justify antimicrobial initiation, 82 (74.5%) were treated with antimicrobial therapy. Urinalyses and urine culture results were available for 101 episodes, of which 80 (79.2%) had positive results on both tests. The proportion of episodes with a positive urinalysis and culture was similar for those that met (83.3%) and did not meet (78.3%) minimum criteria (P = .06).The symptoms and signs necessary to meet minimum criteria to support antimicrobial initiation for UTIs are frequently absent in NH residents with advanced dementia. Antimicrobial therapy is prescribed for the majority of suspected UTIs that do not meet these minimum criteria. Urine specimens are frequently positive regardless of symptoms. These observations underscore the need to reconsider the diagnosis and the initiation of treatment for suspected UTIs in advanced dementia." @default.
- W2090833741 created "2016-06-24" @default.
- W2090833741 creator A5084198418 @default.
- W2090833741 creator A5089086037 @default.
- W2090833741 creator A5091476829 @default.
- W2090833741 date "2013-01-01" @default.
- W2090833741 modified "2023-10-14" @default.
- W2090833741 title "Challenges in Assessing Nursing Home Residents with Advanced Dementia for Suspected Urinary Tract Infections" @default.
- W2090833741 cites W1644143258 @default.
- W2090833741 cites W1804982496 @default.
- W2090833741 cites W2021667480 @default.
- W2090833741 cites W2045921880 @default.
- W2090833741 cites W2049366931 @default.
- W2090833741 cites W2054864822 @default.
- W2090833741 cites W2061325983 @default.
- W2090833741 cites W2091185840 @default.
- W2090833741 cites W2099624030 @default.
- W2090833741 cites W2100928630 @default.
- W2090833741 cites W2101115013 @default.
- W2090833741 cites W2113728672 @default.
- W2090833741 cites W2119123819 @default.
- W2090833741 cites W2120088134 @default.
- W2090833741 cites W2127844591 @default.
- W2090833741 cites W2140954159 @default.
- W2090833741 cites W2157359173 @default.
- W2090833741 cites W2160984877 @default.
- W2090833741 cites W2170699755 @default.
- W2090833741 doi "https://doi.org/10.1111/jgs.12070" @default.
- W2090833741 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/3545416" @default.
- W2090833741 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/23311553" @default.
- W2090833741 hasPublicationYear "2013" @default.
- W2090833741 type Work @default.
- W2090833741 sameAs 2090833741 @default.
- W2090833741 citedByCount "137" @default.
- W2090833741 countsByYear W20908337412013 @default.
- W2090833741 countsByYear W20908337412014 @default.
- W2090833741 countsByYear W20908337412015 @default.
- W2090833741 countsByYear W20908337412016 @default.
- W2090833741 countsByYear W20908337412017 @default.
- W2090833741 countsByYear W20908337412018 @default.
- W2090833741 countsByYear W20908337412019 @default.
- W2090833741 countsByYear W20908337412020 @default.
- W2090833741 countsByYear W20908337412021 @default.
- W2090833741 countsByYear W20908337412022 @default.
- W2090833741 countsByYear W20908337412023 @default.
- W2090833741 crossrefType "journal-article" @default.
- W2090833741 hasAuthorship W2090833741A5084198418 @default.
- W2090833741 hasAuthorship W2090833741A5089086037 @default.
- W2090833741 hasAuthorship W2090833741A5091476829 @default.
- W2090833741 hasBestOaLocation W20908337412 @default.
- W2090833741 hasConcept C126322002 @default.
- W2090833741 hasConcept C177713679 @default.
- W2090833741 hasConcept C178790620 @default.
- W2090833741 hasConcept C185592680 @default.
- W2090833741 hasConcept C187212893 @default.
- W2090833741 hasConcept C2776845205 @default.
- W2090833741 hasConcept C2779134260 @default.
- W2090833741 hasConcept C2779225474 @default.
- W2090833741 hasConcept C2779483572 @default.
- W2090833741 hasConcept C2780026642 @default.
- W2090833741 hasConcept C4937899 @default.
- W2090833741 hasConcept C71924100 @default.
- W2090833741 hasConcept C77411442 @default.
- W2090833741 hasConceptScore W2090833741C126322002 @default.
- W2090833741 hasConceptScore W2090833741C177713679 @default.
- W2090833741 hasConceptScore W2090833741C178790620 @default.
- W2090833741 hasConceptScore W2090833741C185592680 @default.
- W2090833741 hasConceptScore W2090833741C187212893 @default.
- W2090833741 hasConceptScore W2090833741C2776845205 @default.
- W2090833741 hasConceptScore W2090833741C2779134260 @default.
- W2090833741 hasConceptScore W2090833741C2779225474 @default.
- W2090833741 hasConceptScore W2090833741C2779483572 @default.
- W2090833741 hasConceptScore W2090833741C2780026642 @default.
- W2090833741 hasConceptScore W2090833741C4937899 @default.
- W2090833741 hasConceptScore W2090833741C71924100 @default.
- W2090833741 hasConceptScore W2090833741C77411442 @default.
- W2090833741 hasIssue "1" @default.
- W2090833741 hasLocation W20908337411 @default.
- W2090833741 hasLocation W20908337412 @default.
- W2090833741 hasLocation W20908337413 @default.
- W2090833741 hasLocation W20908337414 @default.
- W2090833741 hasOpenAccess W2090833741 @default.
- W2090833741 hasPrimaryLocation W20908337411 @default.
- W2090833741 hasRelatedWork W2189924992 @default.
- W2090833741 hasRelatedWork W2349407212 @default.
- W2090833741 hasRelatedWork W2383874799 @default.
- W2090833741 hasRelatedWork W2394092719 @default.
- W2090833741 hasRelatedWork W2539168248 @default.
- W2090833741 hasRelatedWork W2772070920 @default.
- W2090833741 hasRelatedWork W2794691580 @default.
- W2090833741 hasRelatedWork W2903787371 @default.
- W2090833741 hasRelatedWork W2971700887 @default.
- W2090833741 hasRelatedWork W4321791976 @default.
- W2090833741 hasVolume "61" @default.
- W2090833741 isParatext "false" @default.
- W2090833741 isRetracted "false" @default.
- W2090833741 magId "2090833741" @default.
- W2090833741 workType "article" @default.