Five-year antimicrobial resistance patterns of urinary escherichia coli at an Australian tertiary hospital: Time series analyses of prevalence data

Journal article


Fasugba, Oyebola, Mitchell, Brett G., Mnatzaganian, George, Das, Anindita, Collignon, Peter and Gardner, Anne. (2016). Five-year antimicrobial resistance patterns of urinary escherichia coli at an Australian tertiary hospital: Time series analyses of prevalence data. PLoS ONE. 11(10), pp. 1 - 14. https://doi.org/10.1371/journal.pone.0164306
AuthorsFasugba, Oyebola, Mitchell, Brett G., Mnatzaganian, George, Das, Anindita, Collignon, Peter and Gardner, Anne
Abstract

This study describes the antimicrobial resistance temporal trends and seasonal variation of Escherichia coli (E. coli) urinary tract infections (UTIs) over five years, from 2009 to 2013, and compares prevalence of resistance in hospital- and community-acquired E. coli UTI. A cross sectional study of E. coli UTIs from patients attending a tertiary referral hospital in Canberra, Australia was undertaken. Time series analysis was performed to illustrate resistance trends. Only the first positive E. coli UTI per patient per year was included in the analysis. A total of 15,022 positive cultures from 8724 patients were identified. Results are based on 5333 first E. coli UTIs, from 4732 patients, of which 84.2% were community-acquired. Five-year hospital and community resistance rates were highest for ampicillin (41.9%) and trimethoprim (20.7%). Resistance was lowest for meropenem (0.0%), nitrofurantoin (2.7%), piperacillin-tazobactam (2.9%) and ciprofloxacin (6.5%). Resistance to amoxycillin-clavulanate, cefazolin, gentamicin and piperacillin-tazobactam were significantly higher in hospital- compared to community-acquired UTIs (9.3% versus 6.2%; 15.4% versus 9.7%; 5.2% versus 3.7% and 5.2% versus 2.5%, respectively). Trend analysis showed significant increases in resistance over five years for amoxycillin-clavulanate, trimethoprim, ciprofloxacin, nitrofurantoin, trimethoprim-sulphamethoxazole, cefazolin, ceftriaxone and gentamicin (P < 0.05, for all) with seasonal pattern observed for trimethoprim resistance (augmented Dickey-Fuller statistic = 4.136; P = 0.006). An association between ciprofloxacin resistance, cefazolin resistance and ceftriaxone resistance with older age was noted. Given the relatively high resistance rates for ampicillin and trimethoprim, these antimicrobials should be reconsidered for empirical treatment of UTIs in this patient population. Our findings have important implications for UTI treatment based on setting of acquisition.

Year2016
JournalPLoS ONE
Journal citation11 (10), pp. 1 - 14
PublisherPublic Library of Science
ISSN1932-6203
Digital Object Identifier (DOI)https://doi.org/10.1371/journal.pone.0164306
Open accessOpen access
Page range1 - 14
Research GroupSchool of Nursing, Midwifery and Paramedicine
Publisher's version
Additional information

© 2016 Fasugba et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Place of publicationUnited States of America
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Smyth, Wendy, McArdle, Joleen and Gardner, Anne. (2016). Central venous catheter exit site dressings: Balancing patients' needs, nurses' experiences and the research evidence. Wound Practice & Research. 24(1), pp. 41 - 46.
Length of stay and mortality associated with healthcare-associated urinary tract infections: A multi-state model
Mitchell, Brett G., Ferguson, J. K., Anderson, Malcolm, Sear, J. and Barnett, A.. (2016). Length of stay and mortality associated with healthcare-associated urinary tract infections: A multi-state model. Journal of Hospital Infection. https://doi.org/10.1016/j.jhin.2016.01.012
A survey of the breast care nurse role in the provision of information and supportive care to Australian women diagnosed with breast cancer
Ahern, Tracey Ann, Gardner, A. and Courtney, M.. (2015). A survey of the breast care nurse role in the provision of information and supportive care to Australian women diagnosed with breast cancer. Nursing Open. 2(2), pp. 62-71. https://doi.org/10.1002/nop2.18
The contribution of pressure gradients to advancing understanding of deep tissue injury to sacral regions
Gardner, Anne and Dunk, Ann Marie. (2015). The contribution of pressure gradients to advancing understanding of deep tissue injury to sacral regions. Wound Practice & Research. 23(3), pp. 116 - 122.
Preventing healthcare-associated infections: the role of surveillance
Mitchell, Brett, Mitchell, Brett, Mitchell, Brett, Mitchell, Brett and Russo, Philip L.. (2015). Preventing healthcare-associated infections: the role of surveillance. Nursing Standard: promoting excellence in nursing care. 29(23), pp. 52 - 58. https://doi.org/10.7748/ns.29.23.52.e9609
Evaluating environment cleanliness using two approaches : A multi-centred Australian study
Mitchell, Brett, Wilson, Fiona and Wells, Anne. (2015). Evaluating environment cleanliness using two approaches : A multi-centred Australian study. Healthcare Infection. 20(4), pp. 95 - 100. https://doi.org/10.1071/HI15009
Ciprofloxacin resistance in community-and hospital-acquired Escherichia coli urinary tract infections: A systematic review and meta-analysis of observational studies
Fasugba, Oyebola, Gardner, Anne, Mitchell, Brett and Mnatzaganian, George. (2015). Ciprofloxacin resistance in community-and hospital-acquired Escherichia coli urinary tract infections: A systematic review and meta-analysis of observational studies. BMC Infectious Diseases. 15(545), pp. 1 - 16. https://doi.org/10.1186/s12879-015-1282-4
Hospital infection control units : Staffing, costs, and priorities
Mitchell, Brett G., Hall, Lisa, MacBeth, Deborough, Gardner, Anne and Halton, Kate. (2015). Hospital infection control units : Staffing, costs, and priorities. American Journal of Infection Control. 43(6), pp. 612-616. https://doi.org/10.1016/j.ajic.2015.02.016
Reducing pressure injuries in critically ill patients by using a patient skin integrity care bundle (InSPiRE)
Coyer, Fiona, Gardner, Anne, Doubrovsky, Anna, Cole, Rae, Ryan, Frances Mary, Allen, Craig and McNamara, Greg. (2015). Reducing pressure injuries in critically ill patients by using a patient skin integrity care bundle (InSPiRE). American Journal of Critical Care. 24(3), pp. 199-209. https://doi.org/10.4037/ajcc2015930
Propensity score matching and randomization
Mnatzaganian, George, Davidson, David C., Hiller, Janet E. and Ryan, Philip. (2015). Propensity score matching and randomization. Journal of Clinical Epidemiology. 68(7), pp. 1 - 9. https://doi.org/10.1016/j.jclinepi.2015.01.002
Ethnicity and patient satisfaction with tuberculosis care : A cross-sectional study
Mukasa, Jean, Glass, Nel and Mnatzaganian, George. (2015). Ethnicity and patient satisfaction with tuberculosis care : A cross-sectional study. Nursing and Health Sciences. 17(3), pp. 395 - 401. https://doi.org/10.1111/nhs.12202
Protocol paper : A randomized trial of 2 creams in the skin care of patients receiving radiation therapy for breast cancer in the tropics
Heyer, Elizabeth, Smyth, Wendy, Laffin, Nadine and Gardner, Anne. (2015). Protocol paper : A randomized trial of 2 creams in the skin care of patients receiving radiation therapy for breast cancer in the tropics. Cancer Nursing: an international journal for cancer care. 38(4), pp. 35 - 41. https://doi.org/10.1097/NCC.0000000000000175
Effectiveness and acceptability of a moisturizing cream and a barrier cream during radiation therapy for breast cancer in the tropics
Laffin, Nadine, Smyth, Wendy, Heyer, Elizabeth, Fasugba, Oyebola, Abernethy, Gail and Gardner, Anne. (2015). Effectiveness and acceptability of a moisturizing cream and a barrier cream during radiation therapy for breast cancer in the tropics. Cancer Nursing: an international journal for cancer care. 38(3), pp. 205 - 214. https://doi.org/10.1097/NCC.0000000000000161
E-cigarettes and smoking cessation: Evidence from a systematic review and meta-analysis
Rahman, Muhammad, Hann, Nicholas, Wilson, Andrew, Mnatzaganian, George and Worrall-Carter, Linda. (2015). E-cigarettes and smoking cessation: Evidence from a systematic review and meta-analysis. PLoS One (online). 10(3), pp. 1 - 16. https://doi.org/10.1371/journal.pone.0122544
E-cigarettes and smoking cessation: Evidence from a systematic review and meta-analysis
Rahman, Muhammad, Hann, Nicholas, Wilson, Andrew, Mnatzaganian, George and Worrall-Carter, Linda. (2015). E-cigarettes and smoking cessation: Evidence from a systematic review and meta-analysis. PLoS ONE. 10(3), pp. 1 - 16. https://doi.org/10.1371/journal.pone.0122544
Urinary Escherichia coli antimicrobial susceptibility profiles and their relationship with community antibiotic use in Tasmania, Australia
Meumann, Ella, Mitchell, Brett, McGregor, Alistair, McBryde, Emma and Cooley, Louise. (2015). Urinary Escherichia coli antimicrobial susceptibility profiles and their relationship with community antibiotic use in Tasmania, Australia. International Journal of Antimicrobial Agents. 46(4), pp. 389 - 393. https://doi.org/10.1016/j.ijantimicag.2015.05.015
Geographical comparisons of information and support needs for Australian women following the primary treatment of breast cancer : A 10-year replication study
Ahern, Tracey Ann, Gardner, Anne and Courtney, Mary. (2014). Geographical comparisons of information and support needs for Australian women following the primary treatment of breast cancer : A 10-year replication study. Health Expectations. https://doi.org/10.1111/hex.12242
Does co-morbidity provide significant improvement on age adjustment when predicting medical outcomes?
Mnatzaganian, George, Ryan, Philip and Hiller, Janet. (2014). Does co-morbidity provide significant improvement on age adjustment when predicting medical outcomes? Methods of Information in Medicine. 53(2), pp. 115 - 120. https://doi.org/10.3414/ME13-01-0095
Investigating characteristics of collaboration between nurse practitioners and medical practitioners in primary healthcare: A mixed methods multiple case study protocol
Schadewaldt, Verena, McInnes, Elizabeth, Hiller, Janet and Gardner, Anne. (2014). Investigating characteristics of collaboration between nurse practitioners and medical practitioners in primary healthcare: A mixed methods multiple case study protocol. Journal of Advanced Nursing. 70(5), pp. 1184 - 1193. https://doi.org/10.1111/jan.12269
Controlling methicillin-resistant Staphylococcus aureus (MRSA) in a hospital and the role of hydrogen peroxide decontamination : An interrupted time series analysis
Mitchell, Brett, Digney, Wilhelmine, Locket, Phil and Dancer, Stephanie. (2014). Controlling methicillin-resistant Staphylococcus aureus (MRSA) in a hospital and the role of hydrogen peroxide decontamination : An interrupted time series analysis. BMJ Open. 4(4), pp. 1 - 7. https://doi.org/10.1136/bmjopen-2013-004522
Australian graduating nurses' knowledge, intentions and beliefs on infection prevention and control: A cross-sectional study
Mitchell, Brett G., Say, Richard, Wells, Anne, Wilson, Fiona, Cloete, Lindo and Matheson, Lucinda. (2014). Australian graduating nurses' knowledge, intentions and beliefs on infection prevention and control: A cross-sectional study. BMC Nursing. 13(1), pp. 1 - 7. https://doi.org/10.1186/s12912-014-0043-9
Gender differences in effectiveness of the Complete Health Improvement Program (CHIP) lifestyle intervention : An Australasian study
Kent, Lillian, Morton, Darren, Rankin, Paul, Mitchell, Brett, Chang, Ester and Diehl, Hans. (2014). Gender differences in effectiveness of the Complete Health Improvement Program (CHIP) lifestyle intervention : An Australasian study. Health Promotion Journal of Australia. 25(3), pp. 222 - 229. https://doi.org/10.1071/HE14041
Atherogenic subfractions of lipoproteins in the treatment of metabolic syndrome by physical activity and diet - the RESOLVE trial
Dutheil, Frederic, Walther, Guillame, Chapier, Robert, Mnatzaganian, George, Lesourd, Bruno, Naughton, Geraldine, Verney, Julien, Fogli, Anne, Sapin, Vincent, Duclos, Martine, Vinet, Agnes, Obert, Philippe, Courteix, Daniel and Lac, Gerard. (2014). Atherogenic subfractions of lipoproteins in the treatment of metabolic syndrome by physical activity and diet - the RESOLVE trial. Lipids in Health and Disease. 13(1). https://doi.org/10.1186/1476-511X-13-112
The prolongation of length of stay because of clostridium difficile infection
Mitchell, Brett, Gardner, Anne and Hiller, Janet. (2014). The prolongation of length of stay because of clostridium difficile infection. American Journal of Infection Control. 42(2), pp. 164 - 167. https://doi.org/10.1016/j.ajic.2013.07.006
Prior room occupancy increases risk of methicillin-resistant Stphylococcus aureus acquisition
Mitchell, Brett G., Digney, Wilhelmine and Ferguson, John. (2014). Prior room occupancy increases risk of methicillin-resistant Stphylococcus aureus acquisition. Healthcare Infection. 19(4), pp. 135 - 140. https://doi.org/10.1071/HI14023
A major reduction in hospital-onset staphylococcus aureus Bacteremia in Australia - 12 years of progress: An observational study
Mitchell, Brett, Collignon, Peter, McCann, Rebecca, Wilkinson, Irene and Wells, Anne. (2014). A major reduction in hospital-onset staphylococcus aureus Bacteremia in Australia - 12 years of progress: An observational study. Clinical Infectious Diseases. 59(7), pp. 969 - 975. https://doi.org/10.1093/cid/ciu508
A point prevalence cross-sectional study of healthcare-associated urinary tract infections in six Australian hospitals
Gardner, Anne, Mitchell, Brett, Beckingham, Wendy and Fasugba, Oyebola. (2014). A point prevalence cross-sectional study of healthcare-associated urinary tract infections in six Australian hospitals. BMJ Open. 4(7), pp. 1 - 9. https://doi.org/10.1136/bmjopen-2014-005099
Using the Donabedian framework to examine the quality and safety of nursing service innovation
Gardner, Glenn, Gardner, Anne and O'Connell, Jane. (2014). Using the Donabedian framework to examine the quality and safety of nursing service innovation. Journal of Clinical Nursing. 23(1-2), pp. 145 - 155. https://doi.org/10.1111/jocn.12146
Australian graduating nurses' knowledge, intentions and beliefs on infection prevention and control: A cross-sectional study
Mitchell, Brett, Say, Richard, Wells, Anne, Wilson, Fiona, Cloete, LInda and Matheson, Lucinda. (2014). Australian graduating nurses' knowledge, intentions and beliefs on infection prevention and control: A cross-sectional study. BMC Nursing. 13(43), pp. 1 - 7. https://doi.org/10.1186/s12912-014-0043-9
Surveillance to reduce urinary tract infections: the STRUTI project
Bola, Fasugba,, Gardner, Anne, Mitchell, Brett, Beckingham, Wendy and Bennett, Noleen. (2014). Surveillance to reduce urinary tract infections: the STRUTI project. Australian Nursing and Midwifery Journal. 22(3), pp. 34 - 35.
Healthcare associated urinary tract infections : A protocol for a national point prevalence study
Mitchell, Brett, Gardner, Anne, Beckingham, Wendy and Fasugba, Oyebola. (2014). Healthcare associated urinary tract infections : A protocol for a national point prevalence study. Healthcare Infection. 19(1), pp. 26 - 31. https://doi.org/10.1071/HI13037
Atherogenic subfractions of lipoproteins in the treatment of metabolic syndrome by physical activity and diet : the RESOLVE trial
Dutheil, Frederic, Walther, Guillaume, Chapier, Robert, Mnatzaganian, George, Lesourd, Bruno, Naughton, Geraldine, Verney, Julien, Fogli, Anne, Sapin, Vincent and Duclose, Martine. (2014). Atherogenic subfractions of lipoproteins in the treatment of metabolic syndrome by physical activity and diet : the RESOLVE trial. Lipids in Health and Disease. 13(112), pp. 1 - 9. https://doi.org/10.1186/1476-511X-13-112
Addressing the need for an infection prevention and control framework that incorporates the role of surveillance: A discussion paper
Mitchell, Brett and Gardner, Anne. (2014). Addressing the need for an infection prevention and control framework that incorporates the role of surveillance: A discussion paper. Journal of Advanced Nursing. 70(3), pp. 533 - 542. https://doi.org/10.1111/jan.12193
The Fitzpatrick Skin Type Scale : A reliability and validity study in women undergoing radiation therapy for breast cancer
Fasugba, Oyebola, Gardner, Anne and Smyth, Wendy. (2014). The Fitzpatrick Skin Type Scale : A reliability and validity study in women undergoing radiation therapy for breast cancer. Journal of Wound Care. 23(7), pp. 358 - 368. https://doi.org/10.12968/jowc.2014.23.7.358
Methods to evaluate environmental cleanliness in healthcare facilities
Mitchell, Brett, Wilson, Fiona, Dancer, Stephanie and McGregor, Alistair. (2013). Methods to evaluate environmental cleanliness in healthcare facilities. Healthcare Infection. https://doi.org/10.1071/HI12047
Mortality and clostridium difficile infection in an Australian setting
Mitchell, Brett, Gardner, Anne and Hiller, Janet. (2013). Mortality and clostridium difficile infection in an Australian setting. Journal of Advanced Nursing. https://doi.org/10.1111/jan.12078
Urinary Interleukin-8 is a biomarker of stress in emergency physicians, especially with advancing age: The JOBSTRESS* randomized trial
Dutheil, Frederic, Trousselard, Marion, Perrier, Christophe, Lac, Gerard, Chamoux, Alain, Duclos, Martine, Naughton, Geraldine, Mnatzaganian, George and Schmidt, Jeannot. (2013). Urinary Interleukin-8 is a biomarker of stress in emergency physicians, especially with advancing age: The JOBSTRESS* randomized trial. PLoS ONE. 8(8), pp. 1 - 7. https://doi.org/10.1371/journal.pone.0071658
A survey-based study of knowledge of Alzheimer's disease among health care staff
Smyth, Wendy, Fielding, Elaine, Beattie, Elizabeth, Gardner, Anne, Moyle, Wendy, Franklin, Sara, Hines, Sonia and MacAndrew, Margaret. (2013). A survey-based study of knowledge of Alzheimer's disease among health care staff. BMC Geriatrics. 13(2), pp. 1 - 8. https://doi.org/10.1186/1471-2318-13-2
Views and experiences of nurse practitioners and medical practitioners with collaborative practice in primary health care: An integrative review
Schadewaldt, Verena, McInnes, Elizabeth, Hiller, Janet and Gardner, Anne. (2013). Views and experiences of nurse practitioners and medical practitioners with collaborative practice in primary health care: An integrative review. BMC Family Practice. 14(132), pp. 1 - 11. https://doi.org/10.1186/1471-2296-14-132
Smoking and primary total hip or knee replacement due to osteoarthritis in 54,288 elderly men and women
Mnatzaganian, George, Ryan, Philip, Reid, Christopher M., Davidson, David and Hiller, Janet E.. (2013). Smoking and primary total hip or knee replacement due to osteoarthritis in 54,288 elderly men and women. BMC Musculoskeletal Disorders. 14(262), pp. 262 - 272. https://doi.org/10.1186/1471-2474-14-262
Total joint replacement in men : Old age, obesity and in-hospital complications
Mnatzaganian, George, Ryan, Philip, Norman, Paul, Davidson, David and Hiller, Janet. (2013). Total joint replacement in men : Old age, obesity and in-hospital complications. ANZ Journal of Surgery. https://doi.org/10.1111/j.1445-2197.2012.06227.x
Development and interrater reliability testing of a telephone interview training programme for Australian nurse interviewers
Ahern, Tracey, Gardner, Anne, Gardner, Glenn, Middleton, Sandy and Della, Phillip. (2013). Development and interrater reliability testing of a telephone interview training programme for Australian nurse interviewers. Nurse Education Today. 33(5), pp. 470-474. https://doi.org/10.1016/j.nedt.2012.05.001
Centrelink: An innovative urban intervention for improving adult Aboriginal and Torres Strait Islander access to vaccination
Thomsen, Rosie, Smyth, Wendy, Gardner, Anne and Ketchell, Jennifer. (2012). Centrelink: An innovative urban intervention for improving adult Aboriginal and Torres Strait Islander access to vaccination. Infection, Disease and Health. 17(4), pp. 136 - 141. https://doi.org/10.1071/HI12035
Accuracy of hospital morbidity data and the performance of comorbidity scores as predictors of mortality
Mnatzaganian, George, Ryan, Philip, Norman, Paul E. and Hiller, Janet E.. (2012). Accuracy of hospital morbidity data and the performance of comorbidity scores as predictors of mortality. Journal of Clinical Epidemiology. 65(1), pp. 107 - 115. https://doi.org/10.1016/j.jclinepi.2011.03.014
Report of a case of neonatal malaria (Plasmodium falciparum) in Nigeria
Fasugba, Oyebola. (2012). Report of a case of neonatal malaria (Plasmodium falciparum) in Nigeria. Healthcare Infection. 17(4), pp. 122 - 126. https://doi.org/10.1071/HI12024
Supporting rural and remote area nurses to utilise and conduct research : An intervention study
Gardner, Anne, Smyth, Wendy, Renison, Bronia, Cann, Tina and Vicary, Mary. (2012). Supporting rural and remote area nurses to utilise and conduct research : An intervention study. Collegian. 19(2), pp. 97 - 105. https://doi.org/10.1016/j.colegn.2011.09.005
Anatomical location of injury in Stage I and Stage II heel pressure injuries : a pilot study
Dunk, Ann Marie, Gardner, Anne and Waddington, Gordon. (2012). Anatomical location of injury in Stage I and Stage II heel pressure injuries : a pilot study. Wound Practice & Research. 20(3), pp. 130 - 141.
Healthcare associated infection surveillance: Examining influences on reliable and valid data collection and analysis
Mitchell, Brett. (2012). Healthcare associated infection surveillance: Examining influences on reliable and valid data collection and analysis [Thesis]. https://doi.org/10.4226/66/5a962ea8c689a
Mortality and Clostridium difficile infection: a review
Mitchell, Brett G. and Gardner, Anne. (2012). Mortality and Clostridium difficile infection: a review. Antimicrobial Resistance and Infection Control. 1(1). https://doi.org/10.1186/2047-2994-1-20
Change for the better : An innovative model of care delivering positive patient and workforce outcomes
Cann, Tina and Gardner, Anne. (2012). Change for the better : An innovative model of care delivering positive patient and workforce outcomes. Collegian. 19(2), pp. 107 - 113. https://doi.org/10.1016/j.colegn.2011.09.002
Healthcare-associated infections: Getting the balance right in safety and quality v. public reporting (Review)
Mitchell, Brett, Gardner, Anne and McGregor, Alistair. (2012). Healthcare-associated infections: Getting the balance right in safety and quality v. public reporting (Review). Australian Health Review. 36(4), pp. 365 - 366. https://doi.org/10.1071/AH11200
Length of stay in hospital and all-cause readmission following elective total joint replacement in elderly men
Mnatzaganian, George, Ryan, Philip, Norman, Paul, Davidson, David and Hiller, Janet E.. (2012). Length of stay in hospital and all-cause readmission following elective total joint replacement in elderly men. Orthopedic Research and Reviews. 4, pp. 43 - 51. https://doi.org/10.2147/ORR.S31668
Can homemade fit testing solutions be as effective as commercial products?
Mitchell, Brett, Wells, Anne, McGregor, Alistair and McKenzie, Duncan. (2012). Can homemade fit testing solutions be as effective as commercial products? Healthcare Infection. 17(4), pp. 111 - 114. https://doi.org/10.1071/HI12019
The epidemiology of Staphylococcus aureus bacteraemia in Tasmania
Mitchell, Brett, Gardner, Anne and Stewart, Lee. (2012). The epidemiology of Staphylococcus aureus bacteraemia in Tasmania. Healthcare Infection. 17(3), pp. 98 - 103. https://doi.org/10.1071/HI12020
Prolongation of length of stay and Clostridium difficile infection : A review of the methods used to examine length of stay due to healthcare associated infections
Mitchell, Brett and Gardner, Anne. (2012). Prolongation of length of stay and Clostridium difficile infection : A review of the methods used to examine length of stay due to healthcare associated infections. Antimicrobial Resistance and Infection Control. 1(14), pp. 1 - 6. https://doi.org/10.1186/2047-2994-1-14
Use of routine hospital morbidity data together with weight and height of patients to predict in-hospital complications following total joint replacement
Mnatzaganian, George, Ryan, Philip, Norman, Paul, Davidson, David and Hiller, Janet. (2012). Use of routine hospital morbidity data together with weight and height of patients to predict in-hospital complications following total joint replacement. BMC Health Services Research. 12(1), pp. 1 - 8. https://doi.org/10.1186/1472-6963-12-380
An increase in community onset Clostridium difficile infection : A population-based study, Tasmania, Australia
Mitchell, Brett, Wilson, Fiona and McGregor, Alistair. (2012). An increase in community onset Clostridium difficile infection : A population-based study, Tasmania, Australia. Healthcare Infection. 17(4), pp. 127 - 132. https://doi.org/10.1071/HI12029
The prevalence of urinary distress in male and female adults with diabetes mellitus attending a Northern Australian endocrine centre
Chadwick, Robyn, Corstiaans, Audrey, Gardner, Anne, Crook, Sandra, Tan, Yong Mong, Rane, Ajay and Millar, Lynne. (2012). The prevalence of urinary distress in male and female adults with diabetes mellitus attending a Northern Australian endocrine centre. Australian and New Zealand Continence Journal. 18(3), pp. 80 - 86.
Clostridium difficile infection in Tasmanian public hospitals 2006-2010
Mitchell, Brett G., Ware, C., McGregor, A., Brown, S. and Wells, A.. (2011). Clostridium difficile infection in Tasmanian public hospitals 2006-2010. Healthcare Infection (print version). 16(3), pp. 101 - 106. https://doi.org/10.1071/HI11009
Irritability :an underappreciated side effect of interferon treatment for chronic hepatitis C?
Blacklaws, Helen, Gardner, Anne and Usher, Kim. (2011). Irritability :an underappreciated side effect of interferon treatment for chronic hepatitis C? Journal of Clinical Nursing. 20, pp. 1215 - 1224. https://doi.org/10.1111/j.1365-2702.2010.03494.x
Smoking, body weight, physical exercise, and risk of lower limb total joint replacement in a population-based cohort of men
Mnatzaganian, G., Ryan, P., Norman, P E., Davidson, D. C. and Hiller, Janet E.. (2011). Smoking, body weight, physical exercise, and risk of lower limb total joint replacement in a population-based cohort of men. Arthritis & Rheumatism. 63(8), pp. 2523 - 2530. https://doi.org/10.1002/art.30400
Audit of factors associated with the intactness of central venous catheter exit site dressings for northern Australian haemodialysis patients
Hughes, K., Gardner, Anne and McArdle, J.. (2011). Audit of factors associated with the intactness of central venous catheter exit site dressings for northern Australian haemodialysis patients. Renal Society of Australasia Journal. 7(3), pp. 108 - 114.
The status of Australian nurse practitioners: The second national census
Middleton, Sandy, Gardner, Anne, Gardner, G. and Della, P R.. (2011). The status of Australian nurse practitioners: The second national census. Australian Health Review. 35(4), pp. 448 - 454. https://doi.org/10.1071/AH10987
A snapshot of Australian nurse practitioners' extended practice activities
Gardner, Glenn, Gardner, Anne, Middleton, Sandy, Della, Phillip and Doubrovsky, Anna. (2010). A snapshot of Australian nurse practitioners' extended practice activities. The Nurse Practitioner Series. 3(1), pp. 8-15.
A literature review supporting the proposed national Australian definition for Staphylococcus aureus bacteraemia
Mitchell, Brett, Gardner, Anne, Collignon, Peter, Stewart, Lee and Cruickshank, Marilyn. (2010). A literature review supporting the proposed national Australian definition for Staphylococcus aureus bacteraemia. Healthcare Infection. 15(4), pp. 105 - 113. https://doi.org/10.1071/HI10030
The work of nurse practitioners
Gardner, Glenn, Gardner, Anne, Middleton, Sandy, Della, Phillip, Kain, Victoria and Doubrovsky, Anna. (2010). The work of nurse practitioners. Journal of Advanced Nursing. 66(10), pp. 2160-2169. https://doi.org/10.1111/j.1365-2648.2010.05379.x
The first Australian nurse practitioner census : A protocol to guide standardized collection of information about an emergent professional group
Middleton, Sandy, Gardner, Glenn, Gardner, Anne, Della, Phillip, Gibb, Michelle and Millar, Lynne. (2010). The first Australian nurse practitioner census : A protocol to guide standardized collection of information about an emergent professional group. International Journal of Nursing Practice. 16(5), pp. 517-524. https://doi.org/10.1111/j.1440-172X.2010.01877.x
Development and validation of a novel approach to work sampling : A study of work practitioner work patterns
Gardner, Glenn, Gardner, Anne, Middleton, Sandy, Gibb, Michelle, Della, Phillip and Duffield, Christine. (2010). Development and validation of a novel approach to work sampling : A study of work practitioner work patterns. Australian Journal of Advanced Nursing. 27(4), pp. 4-12.
Clients' understanding of the role of nurse practitioners
Susan, Allnutt,, Allnutt, Nissa, McMaster, Rose, O'Connell, Jane, Middleton, Sandy, Hillege, Sharon, Della, Phillip R., Gardner, Glenn E. and Gardner, Anne. (2010). Clients' understanding of the role of nurse practitioners. Australian Health Review. 34(1), pp. 59-65. https://doi.org/10.1071/AH09688
The status of Australian nurse practitioners : The first national census
Gardner, Anne, Della, Phillip R., Middleton, Sandy and Gardner, Glenn. (2009). The status of Australian nurse practitioners : The first national census. Australian Health Review. 33(4), pp. 679-689. https://doi.org/10.1071/AH090679
Pressure injury prevalence in a private health service: Risks and recommendations
Gardner, Anne, Millar, Lynne, Legg, Sandra, Gomez, Yvette, McGillion, Tony and Mulcahy, Aidan. (2009). Pressure injury prevalence in a private health service: Risks and recommendations. Wound Practice & Research. 17(3), pp. 134 - 145.
Absolutely fabulous - but are we? Carers' perspectives on satisfaction with a palliative homecare service
O'Connor, Lera, Gardner, Anne, Millar, Lynne and Bennett, Peter. (2009). Absolutely fabulous - but are we? Carers' perspectives on satisfaction with a palliative homecare service. Collegian. 16(4), pp. 201 - 209. https://doi.org/10.1016/j.colegn.2009.04.005
Implementing a journal club in a palliative care setting: A link in the chain of evidence-based practice
O'Connor, Lera, Bennett, Peter, Gardner, Anne, Hawkins, Mary and Wellman, David. (2009). Implementing a journal club in a palliative care setting: A link in the chain of evidence-based practice. Collegian. 16(3), pp. 147 - 152. https://doi.org/10.1016/j.colegn.2008.12.006
A literature review of central venous catheter dressings: Implications for haemodialysis in the tropics
McArdle, Joleen and Gardner, Anne. (2009). A literature review of central venous catheter dressings: Implications for haemodialysis in the tropics. Infection, Disease and Health. 14(4), pp. 139 - 146. https://doi.org/10.1071/HI09014
Excellence in regional stroke care: An evaluation of the implementation of a stroke care unit in regional Australia
McCann, Leanne, Groot, Patrick, Charnley, Chris and Gardner, Anne. (2009). Excellence in regional stroke care: An evaluation of the implementation of a stroke care unit in regional Australia. Australian Journal of Rural Health. 17(5), pp. 273 - 278. https://doi.org/10.1111/j.1440-1584.2009.01098.x
Writing ourselves into a web of obedience: A nursing policy analysis
Bail, Kasia, Cook, Robert, Gardner, Anne and Grealish, Laurie. (2009). Writing ourselves into a web of obedience: A nursing policy analysis. International Journal of Nursing Studies. 46(11), pp. 1457 - 1466. https://doi.org/10.1016/j.ijnurstu.2009.04.005
Potential scope and impact of a transboundary model of nurse practitioners in aged care
Bail, Kasia, Arbon, Paul, Eggert, Marlene, Gardner, Anne, Hogan, Sonia, Phillips, Christine, van Dieman, Nicole and Waddington, Gordon. (2009). Potential scope and impact of a transboundary model of nurse practitioners in aged care. Australian Journal of Primary Health. 15(3), pp. 232 - 237. https://doi.org/10.1071/PY09009
Patients' and nurses' perspectives on oxygen therapy: A qualitative study
Eastwood, Glenn, O'Connell, Beverley, Gardner, Anne and Considine, Julie. (2009). Patients' and nurses' perspectives on oxygen therapy: A qualitative study. Journal of Advanced Nursing. 65(3), pp. 634 - 641. https://doi.org/10.1111/j.1365-2648.2008.04933.x
Reporting a research project on the potential of aged care nurse practitioners in the Australian capital territory
Arbon, Paul, Bail, Kasia, Eggert, Marlene, Gardner, Anne, Hogan, Sonia, Phillips, Christine, van Dieman, Nicole and Waddington, Gordon. (2009). Reporting a research project on the potential of aged care nurse practitioners in the Australian capital territory. Journal of Clinical Nursing. 18(2), pp. 255 - 262. https://doi.org/10.1111/j.1365-2702.2008.02452.x
Selecting the right integration of research into practice strategy
Eastwood, Glenn, O'Connell, Beverley and Gardner, Anne. (2008). Selecting the right integration of research into practice strategy. Journal of Nursing Care Quality. 23(3), pp. 258 - 264. https://doi.org/10.1097/01.NCQ.0000324591.76590.e9
From competence to capability: A study of nurse practitioners in clinical practice
Gardner, Anne, Hase, Stewart, Gardner, Glenn, Dunn, Sandra and Carryer, Jenny. (2008). From competence to capability: A study of nurse practitioners in clinical practice. Journal of Clinical Nursing. 17(2), pp. 250 - 258. https://doi.org/10.1111/j.1365-2702.2006.01880.x
Evaluation of nasopharyngeal oxygen, nasal prongs and facemask oxygen therapy devices in adult patients: A randomised crossover trial
Eastwood, Glenn, O'Connell, Beverley, Gardner, Anne and Considine, Julie. (2008). Evaluation of nasopharyngeal oxygen, nasal prongs and facemask oxygen therapy devices in adult patients: A randomised crossover trial. Anaesthesia and Intensive Care. 36(5), pp. 691 - 694.
Effect of infections on 30-day mortality among critically ill patients hospitalized in and out of the intensive care unit
Mnatzaganian, George, Sprung, Charles L., Zitser-Gurevich, Yana, Galai, Noya, Goldschmidt, Nethanel, Levi, Leon, Bar-Lavi, Yaron, Zveibil, Fabio, Salz, Inbal Weiss, Ekka-Zohar, Anat and Simchen, Elisheva. (2008). Effect of infections on 30-day mortality among critically ill patients hospitalized in and out of the intensive care unit. Critical Care Medicine. 36(4), pp. 1097 - 1104. https://doi.org/10.1097/CCM.0B013E3181659610
The core role of the nurse practitioner: practice, professionalism and clinical leadership
Carryer, Jenny, Gardner, Glenn, Dunn, Sandra and Gardner, Anne. (2007). The core role of the nurse practitioner: practice, professionalism and clinical leadership. Journal of Clinical Nursing. 16(10), pp. 1818 - 1825. https://doi.org/10.1111/j.1365-2702.2007.01823.x
Living with chronic illness
Gardner, Glenn and Gardner, Anne. (2007). Living with chronic illness. In In McAllister, Margaret (Ed.). Solution focused nursing : Rethinking practice pp. 143-153 Palgrave Macmillan.
Dealing with data: optimising data consistency to demonstrate the value of nurse practitioner service
Gardner, Anne, Millar, Lynne and Driscoll, Andrea. (2007). Dealing with data: optimising data consistency to demonstrate the value of nurse practitioner service. The Nurse Practitioner Series. 2(1), pp. 19 - 25.
Intravascular catheter bloodstream infections: An effective and sustained hospital-wide prevention program over 8 years
Collignon, Peter J., eimanis, Dianne E., Beckingham, Wendy D., Roberts, Jan L. and Gardner, Anne. (2007). Intravascular catheter bloodstream infections: An effective and sustained hospital-wide prevention program over 8 years. Medical Journal of Australia. 187(10), pp. 551 - 554.
The capability of nurse practitioners may be diminished by controlling protocols
Carryer, Jenny, Gardner, Glenn, Dunn, Sandra and Gardner, Anne. (2007). The capability of nurse practitioners may be diminished by controlling protocols. Australian Health Review. 31(1), pp. 108 - 115. https://doi.org/10.1071/AH070108
Clinical usefulness and feasibility of using Reality Orientation with patients who have dementia in acute care settings
O'Connell, Beverley, Gardner, Anne, Takase, Miyuki, Hawkins, Mary, Ostaszkiewicz, Joan, Ski, Chantal and Josipovic, Patricia. (2007). Clinical usefulness and feasibility of using Reality Orientation with patients who have dementia in acute care settings. International Journal of Nursing Practice. 13(3), pp. 182 - 192. https://doi.org/10.1111/j.1440-172X.2007.00624.x
Prevalence of genital human papillomavirus DNA in a sample of senior school-aged women in the Australian Capital Territory
O'Keefe, Elissa, Gardner, Anne, Currie, Marian, Garland, Suzanne, Tabrizi, Sepehr and Bowden, Francis. (2006). Prevalence of genital human papillomavirus DNA in a sample of senior school-aged women in the Australian Capital Territory. Sexual Health. 3(2), pp. 91 - 94. https://doi.org/10.1071/SH05047
Competency and capability: imperative for nurse practitioner education
Gardner, Glenn, Carryer, Jenny, Dunn, Sandra and Gardner, Anne. (2006). Competency and capability: imperative for nurse practitioner education. Australian Journal of Advanced Nursing. 24(1), pp. 8 - 14.
Using a monitored sip test to assess risk of aspiration in postoperative patients
Osborne, Sonya, Gardner, Glenn, Gardner, Anne, Franklin, Susan, Tuohy, Elizabeth and Fisher, Alex. (2006). Using a monitored sip test to assess risk of aspiration in postoperative patients. AORN Journal. 83(4), pp. 908 - 928. https://doi.org/10.1016/S0001-2092(06)60010-0
Sedation and analgesia management for mechanically ventilated adults: literature review, case study and recommendations for practice
Feeley, Kathy and Gardner, Anne. (2006). Sedation and analgesia management for mechanically ventilated adults: literature review, case study and recommendations for practice. Australian Critical Care. 19(2), pp. 73 - 77. https://doi.org/10.1016/S1036-7314(06)80012-3
How ophthalmic day surgery patients convalesce at home: an exploration of the salient issues
Ryan, Fiona, O'Connell, Beverley and Gardner, Anne. (2006). How ophthalmic day surgery patients convalesce at home: an exploration of the salient issues. Day Surgery Australia. 5(3), pp. 11 - 16.
Pressure injury: an exploration of the relationship between risk factors and interface pressure
Gardner, Anne, Dunk, Ann Marie, Eggert, Marlene, Gardner, Glenn and Wellman, David. (2006). Pressure injury: an exploration of the relationship between risk factors and interface pressure. Wound Practice & Research. 14(4), pp. 140 - 149.
Nurse Practitioner competency standards: Findings from collaborative Australian and New Zealand research
Gardner, Glenn, Carryer, Jenny, Gardner, Anne and Dunn, Sandra. (2006). Nurse Practitioner competency standards: Findings from collaborative Australian and New Zealand research. International Journal of Nursing Studies. 43(5), pp. 601 - 610. https://doi.org/10.1016/j.ijnurstu.2005.09.002
A trial of nurse practitioner scope of practice
Gardner, Anne and Gardner, Glenn. (2005). A trial of nurse practitioner scope of practice. Journal of Advanced Nursing. 49(2), pp. 135 - 145. https://doi.org/10.1111/j.1365-2648.2004.03273.x
Best practice in stabilisation of oral endotracheal tubes: a systematic review
Gardner, Anne, Hughes, Dot, Cook, Robert, Henson, Rachael, Osborne, Sonya and Gardner, Glenn. (2005). Best practice in stabilisation of oral endotracheal tubes: a systematic review. Australian Critical Care. 18(4), pp. 158 - 165. https://doi.org/10.1016/S1036-7314(05)80029-3
Parenting a preterm infant: Experiences in a regional neonatal health services programme
Rowe, Jennifer, Gardner, Glenn and Gardner, Anne. (2005). Parenting a preterm infant: Experiences in a regional neonatal health services programme. Neonatal, Paediatric and Child Health Nursing. 8(1), pp. 17 - 23.