TY - JOUR
T1 - Antimicrobial Agent Use for Urinary Tract Infection in Long-Term Care Facilities in Spain
T2 - Results from a Retrospective Analytical Cohort Analysis
AU - Matovelle, Priscila
AU - Olivan-Blázquez, Bárbara
AU - Magallón-Botaya, Rosa
AU - García-Sangenís, Ana
AU - Monfà, Ramon
AU - Morros, Rosa
AU - Navarro Sanmartín, Alicia
AU - Mateos-Nozal, Jesús
AU - Sáez Bejar, Carmen
AU - Rodríguez Jiménez, Consuelo
AU - López Pérez, Elena
AU - Llor, Carl
PY - 2024/2
Y1 - 2024/2
N2 - Urinary tract infections (UTIs) are highly prevalent in long-term care facilities, constituting the most common infection in this setting. Our research focuses on analyzing clinical characteristics and antimicrobial prescriptions for UTIs in residents across nursing homes (NH) in Spain. This is a retrospective analytical cohort analysis using a multifaceted approach based on the normalization process theory to improve healthcare quality provided by nursing staff in 34 NHs in Spain. In this study, we present the results of the first audit including 719 UTI cases collected between February and April 2023, with an average age of 85.5 years and 74.5% being women. Cystitis and pyelonephritis presented distinct symptom patterns. Notably, 6% of asymptomatic bacteriuria cases were treated. The prevalence of dipstick usage was 83%, and that of urine culture was only 16%, raising concerns about overreliance, including in the 46 asymptomatic cases, leading to potential overdiagnosis and antibiotic overtreatment. Improved diagnostic criteria and personalized strategies are crucial for UTI management in NHs, emphasizing the need for personalized guidelines on the management of UTIs to mitigate indiscriminate antibiotic use in asymptomatic cases.
AB - Urinary tract infections (UTIs) are highly prevalent in long-term care facilities, constituting the most common infection in this setting. Our research focuses on analyzing clinical characteristics and antimicrobial prescriptions for UTIs in residents across nursing homes (NH) in Spain. This is a retrospective analytical cohort analysis using a multifaceted approach based on the normalization process theory to improve healthcare quality provided by nursing staff in 34 NHs in Spain. In this study, we present the results of the first audit including 719 UTI cases collected between February and April 2023, with an average age of 85.5 years and 74.5% being women. Cystitis and pyelonephritis presented distinct symptom patterns. Notably, 6% of asymptomatic bacteriuria cases were treated. The prevalence of dipstick usage was 83%, and that of urine culture was only 16%, raising concerns about overreliance, including in the 46 asymptomatic cases, leading to potential overdiagnosis and antibiotic overtreatment. Improved diagnostic criteria and personalized strategies are crucial for UTI management in NHs, emphasizing the need for personalized guidelines on the management of UTIs to mitigate indiscriminate antibiotic use in asymptomatic cases.
KW - antibiotic prescriptions
KW - elderly population
KW - nursing home
KW - urinary tract infection
U2 - 10.3390/antibiotics13020152
DO - 10.3390/antibiotics13020152
M3 - Journal article
C2 - 38391537
AN - SCOPUS:85187221835
SN - 2079-6382
VL - 13
JO - Antibiotics
JF - Antibiotics
IS - 2
M1 - 152
ER -