Gafary explaining her research to fellow Adelphi students.
M.P.H. student and 2016 graduate Mina Gafary was the graduate winner in her category at the 13th Annual Research Conference at Adelphi.
Her ePoster, “The Statistical Anaylysis of Catheter Associated Urinary Tract Infections (Cauti) in Bladder Cancer Patients Post Cystectomy with a Neobladder: A Public Health View” won in the Nursing, Public Health and Social Work, graduate category. Assistant Professor Tonya Samuel, Ed.D., M.S.P.H. was her Capstone adviser.
Most acute care facilities are required by Centers for Medicare and Medicaid (CMS) or state reporting to monitor and report Catheter Associated Urinary Tract Infections (CAUTIs) to the Centers for Disease Control and Prevention (CDC) via the National Healthcare Safety Network (NHSN). In April of 2012, the CDC began to include irrigated urinary catheters in the CAUTI surveillance definition. With this new definition, a recent National and State Healthcare Associated Infections Progress Report from the CDC found a 6% increase in CAUTIs between 2009 and 2013. The aim of this study was to perform a statistical analysis to verify that patients who have neobladder surgery result in false positive urine cultures which are erroneously reported. Results of this retros
pective study showed that patients with a neobladder continued to have gastrointestinal bacteria in the urine after urinary diversion surgery and frequently had positive urine cultures due to the presence of bacteria from the segment of the bowel used to create a new bladder. It was also found that reliance on urine culture outcomes for a determination of a CAUTI cannot only be inaccurate, but can result in the hospital being unjustly penalized. Furthermore, results demonstrated the benefit and increased accuracy associated with waiting 6 months to report CAUTI data resulting from neobladder patients. Neobladder CAUTIs accounted for 4% of all NHSN reported CAUTIs at MSK; therefore it is recommended that an intermittent positive urine culture with no negative sequale should not be immediately recorded as a CAUTI
» See all the 2016 award winners and honorable mentions