Evidence map›Paper›PMID 28459908›Full record

SynthesisJournal of hospital medicine2017

Systematic Review of Interventions to Reduce Urinary Tract Infection in Nursing Home Residents.

Jennifer Meddings, Sanjay Saint, Sarah L Krein, Elissa Gaies, Heidi Reichert, Andrew Hickner, Sara McNamara, Jason D Mann, Lona Mody

Open access · bronzeAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of hospital medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
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  13. Be-SNAP: the Belgian Sepsis National Action Plan.Frontiers in public health · 2025
    Article
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  20. A Comparison of Nosocomial Infection Density in Intensive Care Units on Relocating to a New Hospital.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Jennifer MeddingsDepartment of Internal Medicine, Division of General Medicine, University of Michigan Medical School, Ann Arbor, MI; Department of Pediatrics and Communicable Diseases, Division of General Pediatrics, University of Michigan Medical School, Ann Arbor, MI; VA Ann Arbor Healthcare System, Ann Arbor, MI.
Sanjay SaintDepartment of Internal Medicine, Division of General Medicine, University of Michigan Medical School, Ann Arbor, MI; VA Ann Arbor Healthcare System, Ann Arbor, MI.
Sarah L KreinDepartment of Internal Medicine, Division of General Medicine, University of Michigan Medical School, Ann Arbor, MI; VA Ann Arbor Healthcare System, Ann Arbor, MI.
Elissa GaiesSt. Joseph Mercy Ann Arbor, Ann Arbor, MI.
Heidi ReichertDepartment of Internal Medicine, Division of General Medicine, University of Michigan Medical School, Ann Arbor, MI.
Andrew HicknerDepartment of Internal Medicine, Division of General Medicine, University of Michigan Medical School, Ann Arbor, MI; 5 Cushing/Whitney Medical Library, Yale University, New Haven, CT.
Sara McNamaraDepartment of Internal Medicine, Division of Geriatric and Palliative Medicine, University of Michigan Medical School, Ann Arbor, MI.
Jason D MannDepartment of Internal Medicine, Division of General Medicine, University of Michigan Medical School, Ann Arbor, MI.
Lona ModyDepartment of Internal Medicine, Division of General Medicine, University of Michigan Medical School, Ann Arbor, MI; VA Ann Arbor Healthcare System, Ann Arbor, MI; Department of Internal Medicine, Division of Geriatric and Palliative Medicine, University of Michigan Medical School, Ann Arbor, MI.
University of Michigan–Ann Arbor · USVA Ann Arbor Healthcare System · USTrinity Health Ann Arbor Hospital · USWhitney Museum of American Art · US

Funding

Models of hospital-acquired conditions and readmission: defining at-risk patientsR01HS018334 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MCMAHON, LAURENCE F · 2010 to 2019
$3.7M
Pathway from Functional Disability to Antimicrobial Resistance in Nursing HomesR01AG041780 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MODY, LONA · 2013 to 2017
$1.8M
Targeted Infection Prevention (TIP) Program in Nursing HomesR01AG032298 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MODY, LONA · 2009 to 2013
$1.7M
Preventing Infections and Antimicrobial Resistance in the Aging Population: Translational Research and Training ProgramK24AG050685 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Lona Mody · 2015 to 2026
$1.4M
Targeting Hospital-Acquired Complications: Impact on the Care of Complex PatientsK08HS019767 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MEDDINGS, JENNIFER ANN · 2010 to 2014
$758k
AHRQ HHS HHSA290201000025IAHRQ HHS K08 HS019767AHRQ HHS R01 HS018334HSRD VA RCS 11-222NCRR NIH HHS L30 RR026198NIA NIH HHS K24 AG050685NIA NIH HHS R01 AG032298NIA NIH HHS R01 AG041780
6 · The paper itself

Abstract

backgroundUrinary tract infections (UTIs) in nursing homes are common, costly, and morbid. PURPOSE: Systematic literature review of strategies to reduce UTIs in nursing home residents. DATA SOURCES: Ovid MEDLINE, Cochrane Library, CINAHL, Web of Science and Embase through June 22, 2015. STUDY SELECTION: Interventional studies with a comparison group reporting at least 1 outcome for: catheter-associated UTI (CAUTI), UTIs not identified as catheter-associated, bacteriuria, or urinary catheter use. DATA EXTRACTION: Two authors abstracted study design, participant and intervention details, outcomes, and quality measures. DATA SYNTHESIS: Of 5794 records retrieved, 20 records describing 19 interventions were included: 8 randomized controlled trials, 10 pre-post nonrandomized interventions, and 1 nonrandomized intervention with concurrent controls. Quality (range, 8-25; median, 15) and outcome definitions varied greatly. Thirteen studies employed strategies to reduce catheter use or improve catheter care; 9 studies employed general infection prevention strategies (eg, improving hand hygiene, surveillance, contact precautions, reducing antibiotics). The 19 studies reported 12 UTI outcomes, 9 CAUTI outcomes, 4 bacteriuria outcomes, and 5 catheter use outcomes. Five studies showed CAUTI reduction (1 significantly); 9 studies showed UTI reduction (none significantly); 2 studies showed bacteriuria reduction (none significantly). Four studies showed reduced catheter use (1 significantly). LIMITATIONS: Studies were often underpowered to assess statistical significance; none were pooled given variety of interventions and outcomes.

conclusionsSeveral practices, often implemented in bundles, such as improving hand hygiene, reducing and improving catheter use, managing incontinence without catheters, and enhanced barrier precautions, appear to reduce UTI or CAUTI in nursing home residents. Journal of Hospital Medicine 2017;12:356-368.

Indexed as

Homes for the AgedNursing HomesAnti-Bacterial AgentsCatheter-Related InfectionsCatheters, IndwellingHumansInfection ControlRandomized Controlled Trials as TopicUrinary CatheterizationUrinary Tract InfectionsAnti-Bacterial Agents

Identifiers

PMID28459908
PMCPMC5557395
OpenAlexW2610279828

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.