Prevalence of nosocomial infections and use of antibiotics in long-term care facilities in Norway, 2002 and 2003

Eriksen, Hanne-Merete; Iversen, Bjørn G.; Aavitsland, Preben

doi:10.1016/j.jhin.2004.03.028

Cited by 78 publications

(61 citation statements)

References 14 publications

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“…The findings are consistent with past studies that suggest limitations in ADL or functional impairment, and presence of skin ulcers are risk factors for infection. 15,17,21 Nevertheless, the protective effect of immunisation with seasonal influenza vaccine and pneumococcal vaccine was not clearly demonstrated in this study.…”

Section: Discussioncontrasting

confidence: 62%

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Prevalence of infections among residents of Residential Care Homes for the Elderly in Hong Kong

Choy

Chen²,

Yau³

et al. 2016

Hong Kong Med J

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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

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Section: Discussioncontrasting

confidence: 62%

“…[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.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of infections among residents of Residential Care Homes for the Elderly in Hong Kong

Choy

Chen²,

Yau³

et al. 2016

Hong Kong Med J

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“…Among eligible residents receiving antibacterial agent for treatment of an infection, only 2.4% of prescriptions were based microbiologically results. In comparison with the results from Norwegian and Dutch surveys (5.8% and 6.6%), our culture sampling rate was low, probably due to the fact that microbiological diagnostic tests were not commonly requested by the physicians in the elderly care in Hungary [14,18]. Antibiotic stewardship resources were uncommon in these settings.…”

Section: Discussionmentioning

confidence: 50%

“…The prevalence of infection among residents in Hungarian participating LTCFs was 2.1%. The infection prevalence rate was lower than those found in other European countries: 2.8% and 7.3% in Dutch LTCFs, 4.3% in German LTCFs, 6.4% in Irish LTCFs and 7.6% in Norwegian LTCFs [11,[14][15][16][17][18]. Lower infection prevalence results were probably due to the general diagnostic problems (e.g., change in mental and/or cognitive status of elders), the lack of microbiological and radiological diagnostic testing, and/or good quality of LTCF nursing care.…”

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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“…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

Healthcare-associated infections in long-term care facilities (HALT)

Wischnewski

Mielke

Wendt³

2011

Bundesgesundheitsbl.

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Prevalence of nosocomial infections and use of antibiotics in long-term care facilities in Norway, 2002 and 2003

Cited by 78 publications

References 14 publications

Prevalence of infections among residents of Residential Care Homes for the Elderly in Hong Kong

Prevalence of infections among residents of Residential Care Homes for the Elderly in Hong Kong

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

Healthcare-associated infections in long-term care facilities (HALT)

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