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Quality (range, 8\u201025; 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).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LIMITATIONS<\/jats:title>\n                    <jats:p>Studies were often underpowered to assess statistical significance; none were pooled given variety of interventions and outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Several 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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.12788\/jhm.2724","type":"journal-article","created":{"date-parts":[[2017,5,3]],"date-time":"2017-05-03T10:08:58Z","timestamp":1493806138000},"page":"356-368","source":"Crossref","is-referenced-by-count":56,"title":["Systematic Review of Interventions to Reduce Urinary Tract Infection in Nursing Home Residents"],"prefix":"10.1002","volume":"12","author":[{"given":"Jennifer","family":"Meddings","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Division of General Medicine University of Michigan Medical School Ann Arbor Michigan"},{"name":"Department of Pediatrics and Communicable Diseases Division of General Pediatrics University of Michigan Medical School Ann Arbor Michigan"},{"name":"VA Ann Arbor Healthcare System Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay","family":"Saint","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Division of General Medicine University of Michigan Medical School Ann Arbor Michigan"},{"name":"VA Ann Arbor Healthcare System Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah L.","family":"Krein","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Division of General Medicine University of Michigan Medical School Ann Arbor Michigan"},{"name":"VA Ann Arbor Healthcare System Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elissa","family":"Gaies","sequence":"additional","affiliation":[{"name":"St. Joseph Mercy Ann Arbor Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heidi","family":"Reichert","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Division of General Medicine University of Michigan Medical School Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Hickner","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Division of General Medicine University of Michigan Medical School Ann Arbor Michigan"},{"name":"Cushing\/Whitney Medical Library Yale University New Haven Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"McNamara","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Division of Geriatric and Palliative Medicine University of Michigan Medical School Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason D.","family":"Mann","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Division of General Medicine University of Michigan Medical School Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lona","family":"Mody","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Division of General Medicine University of Michigan Medical School Ann Arbor Michigan"},{"name":"VA Ann Arbor Healthcare System Ann Arbor Michigan"},{"name":"Department of Internal Medicine Division of Geriatric and Palliative Medicine University of Michigan Medical School Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,5]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"BeresfordL.Post\u2010acute patient care: new frontier for hospitalists.The Hospitalist. 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