Adverse Outcomes in Nursing Home Residents with Increased Episodes of Observed Bacteriuria

被引:29
作者
Das, Rituparna [1 ]
Towle, Virginia [2 ]
Van Ness, Peter H. [2 ]
Juthani-Mehta, Manisha [1 ]
机构
[1] Yale Univ, Sch Med, Dept Internal Med, Infect Dis Sect, New Haven, CT 06520 USA
[2] Yale Univ, Sch Med, Sect Geriatr, New Haven, CT 06520 USA
基金
美国国家卫生研究院;
关键词
URINARY-TRACT-INFECTIONS; GRAM-NEGATIVE BACTERIA; MULTIDRUG-RESISTANT; RISK-FACTORS; ESCHERICHIA-COLI; PREVALENCE;
D O I
10.1086/657664
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We examined the association between an increase in episodes of observed bacteriuria and adverse clinical outcomes among nursing home residents without catheters. Although bacteriuria was not associated with hospitalization for urinary tract infection (UTI) or change in mental status, it was associated with use of antibiotics to treat UTI and with isolation of multidrug-resistant gram-negative rods from urine specimens, which suggested a causal relationship. Infect Control Hosp Epidemiol 2011; 32(1):84-86
引用
收藏
页码:84 / 86
页数:3
相关论文
共 10 条
[1]   Blapidly rising prevalence of nosocomial multidrug-resistant, gram-negative bacilli: A 9-year surveillance study [J].
D'Agata, EMC .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2004, 25 (10) :842-846
[2]   Interobserver variability in the assessment of clinical criteria for suspected urinary tract infection in nursing home residents [J].
Juthani-Mehta, Manisha ;
Tinetti, Mary ;
Perrelli, Eleanor ;
Towle, Virginia ;
Van Ness, Peter H. ;
Quagliarello, Vincent .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2008, 29 (05) :446-449
[3]   Clinical Features to Identify Urinary Tract Infection in Nursing Home Residents: A Cohort Study [J].
Juthani-Mehta, Manisha ;
Quagliarello, Vincent ;
Perrelli, Eleanor ;
Towle, Virginia ;
Van Ness, Peter H. ;
Tinetti, Mary .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2009, 57 (06) :963-970
[4]   Extended-spectrum β-lactamase-producing Escherichia coli and Klebsiella pneumoniae:: Risk factors for infection and impact of resistance on outcomes [J].
Lautenbach, E ;
Patel, JB ;
Bilker, WB ;
Edelstein, PH ;
Fishman, NO .
CLINICAL INFECTIOUS DISEASES, 2001, 32 (08) :1162-1171
[5]   Exposure to co-amoxiclav as a risk factor for co-amoxiclav-resistant Escherichia coli urinary tract infection [J].
Leflon-Guibout, W ;
Ternat, G ;
Heym, B ;
Nicolas-Chanoine, MH .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2002, 49 (02) :367-371
[6]   Urinary Tract Infections in the Elderly [J].
Nicolle, L. E. .
CLINICS IN GERIATRIC MEDICINE, 2009, 25 (03) :423-+
[7]   Multidrug-Resistant Gram-Negative Bacteria at a Long-Term Care Facility: Assessment of Residents, Healthcare Workers, and Inanimate Surfaces [J].
O'Fallon, Erin ;
Schreiber, Robert ;
Kandel, Ruth ;
D'Agata, Erika M. C. .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2009, 30 (12) :1172-1179
[8]   Multidrug-resistant gram-negative bacteria in a long-term care facility: Prevalence and risk factors [J].
Pop-Vicas, Aurora ;
Mitchell, Susan L. ;
Kandel, Ruth ;
Schreiber, Robert ;
D'Agata, Erika M. C. .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2008, 56 (07) :1276-1280
[9]   Influx of Multidrug-Resistant, Gram-Negative Bacteria in the Hospital Setting and the Role of Elderly Patients With Bacterial Bloodstream Infection [J].
Pop-Vicas, Aurora ;
Tacconelli, E. ;
Gravenstein, Stefan ;
Lu, Bing ;
D'Agata, Erika M. C. .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2009, 30 (04) :325-331
[10]   Risk factors for antibiotic-resistant Escherichia coli isolated from hospitalized patients with urinary tract infections:: A prospective study [J].
Sotto, A ;
De Boever, CM ;
Fabbro-Peray, P ;
Gouby, A ;
Sirot, D ;
Jourdan, J .
JOURNAL OF CLINICAL MICROBIOLOGY, 2001, 39 (02) :438-444