Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Antimicrobial Use for Urinary Tract Infection in Long-Term Care Facilities in Spain: Baseline Results from a Registration Audit

Priscila Matovelle
ORCID logo ,
Bárbara Olivan-Blázquez
* ORCID logo ,
Rosa Magallón-Botaya
,
Ana García-Sangenís
ORCID logo ,
Ramon Monfà
ORCID logo ,
Rosa Morros-Pedrós
,
Alicia Navarro-Sanmartín
,
Jesús Mateos-Nozal
ORCID logo ,
Carmen Sáez Bejar
,
Consuelo Rodríguez Jiménez
,
Elena Lopez-Perez
,
Carl Llor
Version 1 : Received: 1 January 2024 / Approved: 3 January 2024 / Online: 3 January 2024 (13:31:43 CET)

A peer-reviewed article of this Preprint also exists.

Matovelle, P.; Olivan-Blázquez, B.; Magallón-Botaya, R.; García-Sangenís, A.; Monfà, R.; Morros, R.; Navarro Sanmartín, A.; Mateos-Nozal, J.; Sáez Bejar, C.; Rodríguez Jiménez, C.; López Pérez, E.; Llor, C. Antimicrobial Agent Use for Urinary Tract Infection in Long-Term Care Facilities in Spain: Results from a Retrospective Analytical Cohort Analysis. Antibiotics 2024, 13, 152. Matovelle, P.; Olivan-Blázquez, B.; Magallón-Botaya, R.; García-Sangenís, A.; Monfà, R.; Morros, R.; Navarro Sanmartín, A.; Mateos-Nozal, J.; Sáez Bejar, C.; Rodríguez Jiménez, C.; López Pérez, E.; Llor, C. Antimicrobial Agent Use for Urinary Tract Infection in Long-Term Care Facilities in Spain: Results from a Retrospective Analytical Cohort Analysis. Antibiotics 2024, 13, 152.

Abstract

Urinary tract infections (UTIs) are highly prevalent in long-term care facilities, constituting the most common infection in this setting. Our research focuses on analyzing clinical characteristics and antimicrobial prescriptions for UTIs in residents across nursing homes (NH) in Spain. This cross-sectional report is part of a before/after intervention study using a multifaceted approach based on the normalization process theory to improve healthcare quality provided by nursing staff in 34 NHs in Spain. In this study we present the results of the first audit including 719 UTI cases, with an average age of 85.5 years and 74.5% being women. Cystitis and pyelonephritis presented distinct symptom patterns. Notably, 6% of asymptomatic bacteriuria cases were treated. The prevalence of dipstick usage was 83%, raising concerns about overreliance, including in the 46 asymptomatic cases, leading to potential overdiagnosis and antibiotic overtreatment. Improved diagnostic criteria and personalized strategies are crucial for UTI management in NHs, emphasizing the need for personalized guidelines on management of UTIs, to mitigate indiscriminate antibiotic use in asymptomatic cases.

Keywords

Elderly Population; nursing home; urinary tract infection; antibiotic prescriptions

Subject

Medicine and Pharmacology, Epidemiology and Infectious Diseases

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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