Abstract:The prevalence study identified a high prevalence of infected patients in nursing homes in Italy, consistent with observation in other geographic areas.
“…[15][16][17][18][19][20][21][22][23][24] Most reported UTI as the most common type of infection. 15,16,[19][20][21][22][23] Despite a lower prevalence in our survey compared with overseas surveys, we must interpret the results with caution for a few reasons.…”
Methods:Residential Care Homes for the Elderly in Hong Kong were selected by stratified single-stage cluster random sampling. All residents aged 65 years or above from the recruited homes were surveyed. Infections were identified using standardised definitions. Demographic and health informationincluding medical history, immunisation record, antibiotic use, and activities of daily living (as measured by Barthel Index)-was collected by a survey team to determine any associated factors.Results: Data were collected from 3857 residents in 46 Residential Care Homes for the Elderly from February to May 2014. A total of 105 residents had at least one type of infection based on the survey definition. The overall prevalence of all infections was 2.7% (95% confidence interval, 2.2%-3.4%). The three most common infections were of the respiratory tract (1.3%; 95% confidence interval, 0.9%-1.9%), skin and soft tissue (0.7%; 95% confidence interval, 0.5%-1.0%), and urinary tract (0.5%; 95% confidence interval, 0.3%-0.9%). Total dependence in activities
“…[15][16][17][18][19][20][21][22][23][24] Most reported UTI as the most common type of infection. 15,16,[19][20][21][22][23] Despite a lower prevalence in our survey compared with overseas surveys, we must interpret the results with caution for a few reasons.…”
Methods:Residential Care Homes for the Elderly in Hong Kong were selected by stratified single-stage cluster random sampling. All residents aged 65 years or above from the recruited homes were surveyed. Infections were identified using standardised definitions. Demographic and health informationincluding medical history, immunisation record, antibiotic use, and activities of daily living (as measured by Barthel Index)-was collected by a survey team to determine any associated factors.Results: Data were collected from 3857 residents in 46 Residential Care Homes for the Elderly from February to May 2014. A total of 105 residents had at least one type of infection based on the survey definition. The overall prevalence of all infections was 2.7% (95% confidence interval, 2.2%-3.4%). The three most common infections were of the respiratory tract (1.3%; 95% confidence interval, 0.9%-1.9%), skin and soft tissue (0.7%; 95% confidence interval, 0.5%-1.0%), and urinary tract (0.5%; 95% confidence interval, 0.3%-0.9%). Total dependence in activities
“…The prevalence of antimicrobial use among participating LTCFs was lower (1.3%) compared with results from other European surveys (2.4-15%) [3,11,[21][22][23]. National result showed that the prevalence of antimicrobial use was lower than the prevalence of infections, thus the overuse of antimicrobials is not common in participating LTCFs.…”
Section: Discussionmentioning
confidence: 52%
“…low priority of infection prevention and control measures) [2]. Recent reports with different methodologies indicated that the prevalence of infections is between 2.6% and 11.3% [3][4]. Because of infections, residents are often treated with antimicrobial agents.…”
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.
“…Auch in anderen europäischen Län-dern ist die fortlaufende Dokumentation und Bewertung von HCAI in Altenpflegeheimen nicht etabliert, und es existieren nur einige wenige Prävalenzstudien zu HCAI in Altenpflegeheimen [11,12,13,14,15]. Zudem war es auch bisher nicht mög-lich, Aussagen über den Gebrauch von Antibiotika zu therapeutischen oder prophylaktischen Zwecken in Heimen zu machen.…”
Section: Originalien Und üBersichtenunclassified
“…Viele diesbezügliche Studien wurden bisher in den USA durchgeführt [1,2,18,19,20,21]. Für Europa existieren hingegen nur wenige entsprechende Prävalenzuntersuchungen [11,12,13,14,15,16]. Auch für Deutschland gibt es nur wenige Studien, die die HCAI-Situation in Altenpflegeheimen beschreiben, und Daten zum dortigen Antibiotikagebrauch sind bisher nicht bekannt [11,22,23,24].…”
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