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Antimicrobial resistance in Escherichia coli and Klebsiella pneumoniae urine isolates from a national sample of home-based primary care patients with dementia

Published online by Cambridge University Press:  22 May 2023

Rupak Datta*
Affiliation:
Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut
Gabrielle Pirruccio
Affiliation:
Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut
Terri R. Fried
Affiliation:
Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut
John R. O’Leary
Affiliation:
Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut
Andrew R. Zullo
Affiliation:
Department of Epidemiology, Brown University School of Public Health, Providence, Rhode Island Center of Innovation in Long-Term Services and Supports, Providence Veterans Affairs Medical Center, Providence, Rhode Island
Andrew Cohen
Affiliation:
Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut
*
Corresponding author: Rupak Datta, E-mail: rupak.datta@yale.edu

Abstract

Annual prevalences of antimicrobial resistance among urine isolates (3,913 Escherichia coli isolates and 1,736 Klebsiella pneumoniae isolates) from home-based primary care patients with dementia were high between 2014 and 2018 (ciprofloxacin, 18%–23% and 5%–7%, respectively; multidrug resistance, 9%–11% and 5%–6%, respectively). Multidrug resistance varied by region. Additional studies of antimicrobial resistance in home-care settings are needed.

Type
Concise Communication
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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