Publications by authors named "Jenny Tith"

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A Retrospective Comparison of Guidelines to Assess Hospital-diagnosed Urinary Tract Infection in Nursing Home Residents.

Am J Infect Control 2021 Apr 16. Epub 2021 Apr 16.

Senior Associate Dean for Research and Strategic Initiatives, Interim Chair, Department of Physical Therapy, Martha V. and Wickliffe S. Lyne Professor of Health Administration, College of Health Professions, Virginia Commonwealth University, 900 E. Leigh Street, Box 980233, Richmond, VA 23298. Electronic address:

Background: Inappropriate antibiotic treatments for urinary tract infection (UTI) in nursing home (NH) residents are common and contribute to antibiotic resistance. Published guidelines aim to improve accurate assessment, diagnosis, and treatment of UTIs. This study assessed whether records from hospitalized NH residents diagnosed with UTI, while comparing the Cooper Tool and Stone criteria, supported appropriate treatment.

Methods: A retrospective chart review was conducted using electronic medical record (EMR) data from residents of 3 NHs who were diagnosed with UTI when hospitalized over a 3-year period. The Cooper Tool and Stone criteria were used to assess treatment appropriateness.

Results: Of 79 hospitalized residents treated for UTI, 11 (13.9%) were appropriately treated according to the Cooper Tool and 9 (11.4%) according to Stone. The two criteria agreed in 9 of the cases including 100% of those with catheters. Urinalysis was documented in 72% of residents and 24% had documentation of culture and sensitivity.

Conclusions: Appropriate UTI treatment rates using both tools were low but much higher in those with catheters. Future research is necessary to validate the use of these tools in the hospital setting which have the potential to improve treatment accuracy and reduce unnecessary antibiotics use.
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April 2021