Facilitated Implementation of Antibiotic Stewardship in Wisconsin Nursing Homes (IMUNIFI)
UTI - Urinary Tract Infection
About this trial
This is an interventional prevention trial for UTI - Urinary Tract Infection
Eligibility Criteria
Criteria for Nursing Homes (Sample size 20)
Inclusion Criteria:
- Medicare and Medicaid (dually) certified nursing homes
- Long-term care and skilled nursing beds > 50 beds
- The management of the facility agrees to random allocation to control or intervention group
- The facility is able to submit 3 sequential months of data on facility urine culture and antibiotic treatment rates via the study web portal
Exclusion Criteria:
- Assisted living facility wards
- Specialty care (ventilator or strict rehabilitation) wards
Criteria for Nursing Home staff (for interviews and observations, sample size 400)
Inclusion Criteria:
For the interviews and observations, all facility-employed and per diem nursing staff (certified nursing assistants [CNA], licensed practical nurses [LPN] and registered nurses [RN]) who are responsible for the care of >3 residents will be included in the study. For the questionnaires, all nursing home clinical care staff will be invited to participate.
Exclusion Criteria:
For the interviews and observations, nursing home staff responsible for the care of at most 3 residents.
Sites / Locations
- University of Wisconsin-Madison
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Internally-driven implementation
Externally-facilitated implementation