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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
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.
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- © The Author(s), 2023. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America
References
DeRosa, A, Carter, MT, Wattengel, BA, Lesse, AJ, Sellick, JA, Mergenhagen, KA. Antimicrobial susceptibility trends for urinary isolates in the veteran population. Am J Infect Control 2021;49:576–581.CrossRefGoogle ScholarPubMed
Eure, TR, Stone, ND, Mungai, EA, Bell, JM, Thompson, ND. Antibiotic-resistant pathogens associated with urinary tract infections in nursing homes: summary of data reported to the National Healthcare Safety Network long-term care facility component, 2013–2017. Infect Control Hosp Epidemiol 2021;42:31–36.CrossRefGoogle Scholar
Ornstein, KA, Leff, B, Covinsky, KE, et al. Epidemiology of the homebound population in the United States. JAMA Intern Med 2015;175:1180–1186.CrossRefGoogle ScholarPubMed
Karuza, J, Gillespie, SM, Olsan, T, et al. National structural survey of Veterans’ Affairs home-based primary care programs. J Am Geriatr Soc 2017;65:2697–2701.CrossRefGoogle ScholarPubMed
Datta, R, Fried, T, O’Leary, JR, et al. National cohort study of homebound persons living with dementia: antibiotic prescribing trends and opportunities for antibiotic stewardship. Open Forum Infect Dis 2022;9:ofac453.CrossRefGoogle ScholarPubMed
Cohen, AL, Calfee, D, Fridkin, SK, et al. Recommendations for metrics for multidrug-resistant organisms in healthcare settings: SHEA/HICPAC position paper. Infect Control Hosp Epidemiol 2008;29:901–991.CrossRefGoogle ScholarPubMed
Pulcini, C, Clerc-Urmes, I, Attinsounon, CA, Fougnot, S, Thilly, N. Antibiotic resistance of Enterobacteriaceae causing urinary tract infections in elderly patients living in the community and in the nursing home: a retrospective observational study. J Antimicrob Chemother 2019;74:775–781.CrossRefGoogle ScholarPubMed
Fagan, M, Lindbæk, M, Grude, N, et al. Antibiotic resistance patterns of bacteria causing urinary tract infections in the elderly living in nursing homes versus the elderly living at home: an observational study. BMC Geriatr 2015;15:98
CrossRefGoogle ScholarPubMed
Nicolle, LE, Gupta, K, Bradley, SF, et al. Clinical practice guideline for the management of asymptomatic bacteriuria: 2019 update by the Infectious Diseases Society of America. Clin Infect Dis 2019;68:1611–1615.CrossRefGoogle ScholarPubMed
Fridkin, SK, Pack, J, Licitra, G, et al. Creating reasonable antibiograms for antibiotic stewardship programs in nursing homes: analysis of 260 facilities in a large geographic region, 2016–2017. Infect Control Hosp Epidemiol 2019;40:839–846.CrossRefGoogle Scholar