ArticleJournal of the American Geriatrics Society2017
How Often Do Clinically Diagnosed Catheter-Associated Urinary Tract Infections in Nursing Homes Meet Standardized Criteria?
Article in Journal of the American Geriatrics Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.
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Who cites it
43 citing papers in PubMed, 72 citations in OpenAlex.
- L-fucose-dependent biofilm formation byBiofilm · 2026Article
- Optimized Urine Metagenomic Methods Reveal Longitudinal Microbial Community Dynamics and Predictors of Transition from Asymptomatic Colonization to CAUTI.bioRxiv : the preprint server for biology · 2026Article
- L-Fucose-Dependent Biofilm Formation bybioRxiv : the preprint server for biology · 2026Article
- Selective sugar transport supports Proteus mirabilis fitness in the urinary tract.PLoS pathogens · 2026Article
- Molecular structure and nickel-binding capacity of Proteus mirabilis UreE.Acta crystallographica. Section D, Structural biology · 2026Article
- A One Health Perspective onMicroorganisms · 2026Review
- Review
- CAUTIon - not all UTIs are the same.Nature reviews. Urology · 2025Review
- [Interrupting the spread of germs : The art of emptying urinary drainage bags].Urologie (Heidelberg, Germany) · 2025Article
- Harnessing microbial-derived metabolites in the urinary tract to prevent infection induced catheter encrustation.Nature communications · 2025Article
- The anti-inflammatory drugs diclofenac and ketorolac inhibit urease activity and biofilm formation by uropathogenic Proteus mirabilis.Folia microbiologica · 2025Article
- Metabolic interplay betweenmBio · 2024Article
- Characterization and genomic analysis phage PmP19, a novel Proteus mirabilis phage with a broad host range.Archives of virology · 2024Article
- Function and contribution of two putativeInfection and immunity · 2024Article
- Article
- The Role of Metabolomics and Microbiology in Urinary Tract Infection.International journal of molecular sciences · 2024Review
- Organ agar serves as physiologically relevant alternative forInfection and immunity · 2023Article
- The molybdate-binding protein ModA is required forFrontiers in microbiology · 2023Article
- Antimicrobial Resistance and Virulence Factors ofPathogens (Basel, Switzerland) · 2022Article
- Preferential catabolism of l- vs d-serine by Proteus mirabilis contributes to pathogenesis and catheter-associated urinary tract infection.Molecular microbiology · 2022Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
objectivesTo determine the relationship between clinically diagnosed catheter-associated urinary tract infection (CAUTI) and standardized criteria and to assess microorganism-level differences in symptom burden in a cohort of catheterized nursing home (NH) residents.
designPost hoc analysis of a prospective longitudinal study.
settingTwelve NHs in southeast Michigan.
participantsNH residents with indwelling urinary catheters (n = 233; 90% white, 52% male, mean age 73.7). MEASUREMENTS: Clinical and demographic data, including CAUTI epidemiology and symptoms, were obtained at study enrollment, 14 days, and monthly thereafter for up to 1 year.
resultsOne hundred twenty participants with an indwelling catheter (51%) were prescribed systemic antibiotics for 182 clinically diagnosed CAUTIs. Common signs and symptoms were acute change in mental status (28%), fever (21%), and leukocytosis (13%). Forty percent of clinically diagnosed CAUTIs met Loeb's minimum criteria, 32% met National Health Safety Network (NHSN) criteria, and 50% met Loeb's minimum or NHSN criteria. CAUTIs involving Staphylococcus aureus and Enterococcus spp. were least likely to meet criteria. CAUTIs involving Klebsiella pneumoniae were most likely to meet Loeb's minimum criteria (odds ratio (OR) = 9.7, 95% confidence interval (CI) = 2.3-40.3), possibly because of an association with acute change in mental status (OR = 5.9, 95% CI = 1.8-19.4).
conclusionFifty percent of clinically diagnosed CAUTIs met standardized criteria, which represents an improvement in antibiotic prescribing practices. At the microorganism level, exploratory data indicate that symptom burden may differ between microorganisms. Exploration of CAUTI signs and symptoms associated with specific microorganisms may yield beneficial information to refine existing tools to guide appropriate antibiotic treatment.
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