Indications for antimicrobial prescribing in European nursing homes: results from a point prevalence survey

Latour, Katrien; Catry, Boudewijn; Broex, Elisabeth; Vankerckhoven, Vanessa; Müller, A.; Stroobants, Rudi; Goossens, Herman; Jans, Béatrice

doi:10.1002/pds.3196

Cited by 45 publications

(33 citation statements)

References 20 publications

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“…Some studies reported data on antimicrobial use in nursing home residents [20][21][22][23][24] and others focused only on outpatient parenteral antimicrobial therapy.…”

Section: Discussionmentioning

confidence: 99%

National point prevalence survey of healthcare-associated infections and antimicrobial use in French home care settings, May to June 2012

et al. 2015

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In May and June 2012, a national point prevalence survey (PPS) of healthcare-associated infections (HAIs) and antimicrobial use was conducted among French patients under home-based hospital care (HBHC). Data from 5,954 patients in 179 volunteer HBHC providers were collected. Prevalence of patients with at least one active HAI was 6.8% (95% confidence interval (CI): 6.1-7.4). Prevalence of those receiving at least one antimicrobial agent was 15.2% (95% CI: 14.3-16.1). More than a third (35.5%) of HAIs were HBHC-associated, 56% were imported from a healthcare facility and 8.5% of indeterminate origin. The main infection sites were urinary tract (26.6%), skin and soft tissue (17.6%), surgical site (15%), and pneumonia or other respiratory tract infections (13.5%). In multivariate analysis, three risk factors were associated with HBHC-associated infections: urinary catheter, at least one vascular catheter and a McCabe score 1 or 2. The most frequently isolated microorganism was Staphylococcus aureus (20.7%), 28.1% of them meticillin-resistant. Non-susceptibility to thirdgeneration cephalosporins was reported in 25.3% of Enterobacteriaceae, of which 16.1% were extended spectrum beta-lactamase-producing strains. The most prescribed antimicrobials were fluoroquinolones (16.1%), and third-generation cephalosporins (14.5%). PPS may be a good start in HBHC to obtain information on epidemiology of HAIs and antimicrobial use.

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“…Some studies reported data on antimicrobial use in nursing home residents [20][21][22][23][24] and others focused only on outpatient parenteral antimicrobial therapy.…”

Section: Discussionmentioning

confidence: 99%

National point prevalence survey of healthcare-associated infections and antimicrobial use in French home care settings, May to June 2012

et al. 2015

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“…Local data on antimicrobial resistance profi les, antimicrobial committee, feedback to the physicians on institutional antimicrobial consumption, advice from a pharmacist were available in less than 16% of the participating LTCFs. Similar to other European LTCFs, regular education sessions of prescribers is an important and urgent action for improvement in Hungarian LTCFs [11,28].…”

Section: Discussionmentioning

confidence: 99%

Infections and antimicrobial use among institutionalized residents in Hungary: Increasing need of microbiological surveillance

Szabó

Böröcz

2015

Acta Microbiologica Et Immunologica Hungarica

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As a result of the age-related changes, more elders live in long-term care facilities (LTCFs). Due to their susceptibility, infections and excess use of antimicrobials are common. The aim was to estimate the burden of infections and antimicrobial use in Hungarian LTCFs in order to increase the attention given to the prevention. European-wide point prevalence survey was conducted between April and May 2013. For each resident who had a signs and symptoms of an infection and/or treated with an antibacterial for systemic use a resident questionnaire was completed. Descriptive statistics were used to present the data. In total, 91 LTCFs with 11,823 residents were selected in this survey. The 252 residents had a sign/symptom of an infection (2.1%) and 156 received antimicrobial (1.3%). Skin and soft tissues (36.5%) was the most frequent infection. However, antimicrobials were mostly prescribed for respiratory tract infections (40.4%). The most common therapeutic antimicrobial agent (97.5%) belonged to the quinolone antibacterials (34.2%). Our results emphasise the need for targeted improvement of antimicrobial use including: reducing the use of quinolone antibacterials in order to prevent the spread of Clostridium diffi cile and other antimicrobial resistant microorganisms among institutionalized residents.

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“…Abb. 3 J a h r e K r a n k e n h a u s a u f e n t h a l t m ä n n l i c h e s G e s c h l e c h t H a r n w e g s k a t h e t e r G e f ä ß k a t h e t e r D e k u b i t u s a n d e r e [14,15]. Sie scheint also ein recht realistisches Abbild des Antibiotikaeinsatzes in deutschen Pflegeinrichtungen zu geben, was nicht zuletzt darauf zurückzuführen ist, dass die Erfassung dieser Daten immer auf der Dokumentation in den Bewohnerakten durch die betreuenden Hausärzte beruht.…”

Section: Medizinische Versorgung Koordination Und Ausstattung Mit Hyunclassified

“…Die Gesamtprävalenz der systemischen Antibiotikagaben in den europäischen Teilnehmereinrichtungen lag in HALT-1 bei 4,3 %, und auch im Vergleich mit den Gesamtprävalenzen, die 2009 für das ESAC-Nursing Home Project in europäischen Heimen ermittelt wurden (6,33 % im April und 5 % im November 2009), erscheint die Prävalenz der deutschen Einrichtungen konstant niedrig [15,16]. In Finnland wurden die Daten aus drei wiederholten Punktpräva-lenzerhebungen in den Jahren 2009 und 2010, die ebenfalls teilweise im Rahmen des ESAC-Nursing Home Projects erhoben wurden, im vergangen Jahr veröffent-licht und zeigten mit einer mittleren Prä-valenz von 12,6 % (mit einer Spanne von 3,2 bis 33,3 %) einen deutlich höheren Antibiotikaeinsatz [17].…”

Section: W U N D E N D E S O R I E N T I E R T H E I T E I N G E S C unclassified

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Healthcare-associated infections and antimicrobial use in long term care facilities (HALT-2)

Ruscher

Kraus-Haas

Nassauer

et al. 2015

Bundesgesundheitsbl.

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Indications for antimicrobial prescribing in European nursing homes: results from a point prevalence survey

Abstract: The indications for antimicrobial prescribing varied markedly between countries. We identified uroprophylaxis as a possible target for quality improvement.

Cited by 45 publications

References 20 publications

National point prevalence survey of healthcare-associated infections and antimicrobial use in French home care settings, May to June 2012

National point prevalence survey of healthcare-associated infections and antimicrobial use in French home care settings, May to June 2012

Infections and antimicrobial use among institutionalized residents in Hungary: Increasing need of microbiological surveillance

Healthcare-associated infections and antimicrobial use in long term care facilities (HALT-2)

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