Antimicrobial Agent Use for Urinary Tract Infection in Long-Term Care Facilities in Spain: Results from a Retrospective Analytical Cohort Analysis
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 re...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-02-01
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| Series: | Antibiotics |
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| Online Access: | https://www.mdpi.com/2079-6382/13/2/152 |
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| author | Priscila Matovelle Bárbara Olivan-Blázquez Rosa Magallón-Botaya Ana García-Sangenís Ramon Monfà Rosa Morros Alicia Navarro Sanmartín Jesús Mateos-Nozal Carmen Sáez Bejar Consuelo Rodríguez Jiménez Elena López Pérez Carl Llor |
| author_facet | Priscila Matovelle Bárbara Olivan-Blázquez Rosa Magallón-Botaya Ana García-Sangenís Ramon Monfà Rosa Morros Alicia Navarro Sanmartín Jesús Mateos-Nozal Carmen Sáez Bejar Consuelo Rodríguez Jiménez Elena López Pérez Carl Llor |
| author_sort | Priscila Matovelle |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-07T22:44:58Z |
| format | Article |
| id | doaj.art-d3140cc8a70849029c91943e0bc83763 |
| institution | Directory Open Access Journal |
| issn | 2079-6382 |
| language | English |
| last_indexed | 2024-03-07T22:44:58Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Antibiotics |
| spelling | doaj.art-d3140cc8a70849029c91943e0bc837632024-02-23T15:05:04ZengMDPI AGAntibiotics2079-63822024-02-0113215210.3390/antibiotics13020152Antimicrobial Agent Use for Urinary Tract Infection in Long-Term Care Facilities in Spain: Results from a Retrospective Analytical Cohort AnalysisPriscila Matovelle0Bárbara Olivan-Blázquez1Rosa Magallón-Botaya2Ana García-Sangenís3Ramon Monfà4Rosa Morros5Alicia Navarro Sanmartín6Jesús Mateos-Nozal7Carmen Sáez Bejar8Consuelo Rodríguez Jiménez9Elena López Pérez10Carl Llor11Geriatrics Department, Hospital San Juan de Dios, 50006 Zaragoza, SpainGroup B21-23R, Health Research Institute of Aragon (IISA), 50009 Zaragoza, SpainGroup B21-23R, Health Research Institute of Aragon (IISA), 50009 Zaragoza, SpainFundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina, 08007 Barcelona, SpainFundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina, 08007 Barcelona, SpainFundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina, 08007 Barcelona, SpainNursing Home, Aragon Institute of Social Services (IASS), 50540 Borja, SpainGeriatrics Department, Hospital Universitario Ramón y Cajal (IRYCIS), 28034 Madrid, SpainInternal Medicine Department, Hospital Universitario La Princesa, Instituto de Investigación Sanitaria (IIS-Princesa), 28006 Madrid, SpainPharmacology Department, Complejo Hospitalario Universitario de Canarias, 38320 Santa Cruz de Tenerife, SpainInstitut Català de la Salut, 08038 Barcelona, SpainFundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina, 08007 Barcelona, SpainUrinary 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.https://www.mdpi.com/2079-6382/13/2/152elderly populationnursing homeurinary tract infectionantibiotic prescriptions |
| spellingShingle | Priscila Matovelle Bárbara Olivan-Blázquez Rosa Magallón-Botaya Ana García-Sangenís Ramon Monfà Rosa Morros Alicia Navarro Sanmartín Jesús Mateos-Nozal Carmen Sáez Bejar Consuelo Rodríguez Jiménez Elena López Pérez Carl Llor Antimicrobial Agent Use for Urinary Tract Infection in Long-Term Care Facilities in Spain: Results from a Retrospective Analytical Cohort Analysis Antibiotics elderly population nursing home urinary tract infection antibiotic prescriptions |
| title | Antimicrobial Agent Use for Urinary Tract Infection in Long-Term Care Facilities in Spain: Results from a Retrospective Analytical Cohort Analysis |
| title_full | Antimicrobial Agent Use for Urinary Tract Infection in Long-Term Care Facilities in Spain: Results from a Retrospective Analytical Cohort Analysis |
| title_fullStr | Antimicrobial Agent Use for Urinary Tract Infection in Long-Term Care Facilities in Spain: Results from a Retrospective Analytical Cohort Analysis |
| title_full_unstemmed | Antimicrobial Agent Use for Urinary Tract Infection in Long-Term Care Facilities in Spain: Results from a Retrospective Analytical Cohort Analysis |
| title_short | Antimicrobial Agent Use for Urinary Tract Infection in Long-Term Care Facilities in Spain: Results from a Retrospective Analytical Cohort Analysis |
| title_sort | antimicrobial agent use for urinary tract infection in long term care facilities in spain results from a retrospective analytical cohort analysis |
| topic | elderly population nursing home urinary tract infection antibiotic prescriptions |
| url | https://www.mdpi.com/2079-6382/13/2/152 |
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