Article Review: Catheter-Associated Urinary Tract Infections and Urinary Catheter Use
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Read the article "Systematic Review and Meta-Analysis: Reminder Systems to Reduce Catheter-Associated Urinary Tract Infections and Urinary Catheter Use in Hospitalized Patients."
Jennifer Meddings, Mary A. M. Rogers, Michelle Macy, and Sanjay Saint3.
Department of Internal Medicine and Departments of Emergency Medicine and Pediatrics, University of Michigan, and 3Ann Arbor VA Medical
Center, Ann Arbor, Michigan
CID 2010:51 (1 September)
Page 550 - 560
1. Was there a clear articulation of a problem that the attached article is addressing? Explain
2. Was the search strategy used in the article adequately described?
3. Was there justification for inclusion and exclusion criteria (i.e., studies to be included and excluded)?
4. Was the validity (or the quality) of individual studies assessed? Explain
5. Was there a description of the levels of evidence for studies included in the review? Explain
6. Is there a clear description of how the individual studies were analyzed and synthesized? Were the findings consistent across studies? Was it reasonable to combine studies? Explain
7. Were the conclusions consistent with the data? Explain
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Solution Summary
The expert examines catheter-associated urinary tract infections and urinary catheter uses.
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1. Was there a clear articulation of a problem that the attached article is addressing? Explain
The medical journal article titled Systematic Review and Meta Analysis: Reminder Systems to Reduce Catheter Associated Urinary Tract Infections and Urinary Catheter Use in Hospitalized Patients clearly articulated the problem it was meant to address. In perfect accordance with the traditional scientific method, investigators developed a hypothesis in response to a trend. Specifically, the incidence of catheter associated urinary tract infection (CAUTI, henceforth), an avoidable adverse effect affect of catheterization, was high in hospitalized patients. Any incidental infection like CAUTI is undesired mainly because they 1] expose patients with already compromised immune systems to further immune stress and 2] treatment of incidental infections require time and resources that could be utilized more effectively.
To address this problem, investigators sought to confirm that simple catheter reminder or stop orders could significantly lower the indecent of CAUTI; not only is this hypothesis mentioned in the abstract and introduction, it is a persistent theme throughout the paper.
2. Was the search strategy used in the article adequately described?
The search strategy was described in the Methods section of the paper. Investigators conducted a literature review of published studies that addressed methods of intervention to decrease the incidence of CAUTI. From ...
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