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Julie Bedford, RN, MSNAnd
Tamara Chan, RN
Getting Lemons from Lemonade:
Urinary Tract Infection Data at BC Children’s Hospital
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• Literature Review – predominantly CAUTI and adult based.
• CDC definition – 3 types of Symptomatic UTIs:• Catheter Associate UTI (CAUTI)
• Hospital Acquired UTI (HAUTI)
• Community Acquired UTI (ComUTI)
• NSQIP-P only provides an overall UTI rate.• We wanted the lemons back from the
NSQIP lemonade!
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1. Determine the type of UTIs occurring in BCCH.
2. Determine pediatric specific variables related to UTI development.
3. Create a comparison database of cases.
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• Reviewed literature further.
• Consulted with Surgeon Champions.
• Developed a variable abstraction form.
• Re-abstracted all UTI occurrences from 2011 and 2012.
• Abstracted all included NSQIP cases starting from January 2012 with additional comparison variables.
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• Utilizing the comparison data base and UTI occurrence data, we completed a case control study.
• Results of this are still being analyzed.• We anticipate being able to do a similar
study for SSIs in future.
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• Our overall goal is: To decrease the post-operative incidence of UTIs
to a occurrence rate of 1% as measured by Pediatric NSQIP samples within 1 year.
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