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The University of Southampton
StOP UTI: Strategies in older people’s care settings to prevent infection

Background

Rates of emergency hospital admissions due to UTI are reported to have increased markedly in England since 2001 (Bardsley et al, 2013) and one third of admissions to hospital from care homes are due to UTI (Genao and Buhr, 2012). UTI prevention is therefore an important driver for reducing admission rates. Older people, particularly those in care homes, are the most vulnerable to UTI, yet guidance on effective prevention strategies is limited and mostly not directed at this setting.

A systematic review (Lee et al, 2019) examined evidence for the impact of different components of infection prevention programmes on practice and infection outcomes. Education, monitoring, and feedback were identified as essential components in strategies for affecting behavioural changes in healthcare workers at long-term care facilities. However, little is known about the practicality of implementing these approaches in UK care homes.

This study investigates how interventions to prevent and recognise UTI might work for older people in care home settings in the UK.

We are specifically interested in uncovering how and why interventions to prevent and recognise UTI may impact and on whom, to guide infection prevention policy and practice.

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