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Statements

Subject Item
n2:RIV%2F00179906%3A_____%2F12%3A10125696%21RIV13-MZ0-00179906
rdf:type
skos:Concept n12:Vysledek
rdfs:seeAlso
http://onlinelibrary.wiley.com/doi/10.1002/pds.3196/pdf
dcterms:description
PURPOSE: In light of the emerging problem with multiresistant microorganisms in nursing homes (NHs), the European Surveillance of Antimicrobial Consumption NH subproject was set up to measure and describe antimicrobial use across Europe. The aim of this paper was to investigate the indications for antimicrobial use and hence identify targets for quality improvement. METHODS: Data were obtained from a point prevalence survey conducted in 323 NHs across 21 European countries. A resident questionnaire had to be completed for each resident receiving an antimicrobial, collecting data such as compound name and indication for antimicrobial prescribing. Four main indications for antimicrobial use were recorded: nasal decolonisation of methicillin-resistant Staphylococcus aureus (MRSA) carriage with mupirocin, prophylactic, empirical, and microbiologically documented treatments. The latter three treatment types were further subdivided according to the targeted infections. RESULTS: In total, 1966 residents were treated with 2046 antimicrobials. Empirical treatments were most common (54.4% of all antimicrobial therapies; prevalence: 3.39 per 100 eligible residents), followed by prophylactic (28.8%; prevalence: 1.87%) and microbiologically documented (16.1%; prevalence: 1.01%) regimes. MRSA decolonisation with nasal mupirocin (0.7%; prevalence: 0.02%) was uncommon. Antimicrobials were most frequently prescribed for the prevention or treatment of urinary (49.5%; prevalence: 3.23%) and respiratory (31.8%; prevalence: 1.81%) tract infections. A very high proportion of uroprophylaxis was reported (25.6% of all prescribed antimicrobials; prevalence: 1.67%). CONCLUSIONS: The indications for antimicrobial prescribing varied markedly between countries. We identified uroprophylaxis as a possible target for quality improvement. PURPOSE: In light of the emerging problem with multiresistant microorganisms in nursing homes (NHs), the European Surveillance of Antimicrobial Consumption NH subproject was set up to measure and describe antimicrobial use across Europe. The aim of this paper was to investigate the indications for antimicrobial use and hence identify targets for quality improvement. METHODS: Data were obtained from a point prevalence survey conducted in 323 NHs across 21 European countries. A resident questionnaire had to be completed for each resident receiving an antimicrobial, collecting data such as compound name and indication for antimicrobial prescribing. Four main indications for antimicrobial use were recorded: nasal decolonisation of methicillin-resistant Staphylococcus aureus (MRSA) carriage with mupirocin, prophylactic, empirical, and microbiologically documented treatments. The latter three treatment types were further subdivided according to the targeted infections. RESULTS: In total, 1966 residents were treated with 2046 antimicrobials. Empirical treatments were most common (54.4% of all antimicrobial therapies; prevalence: 3.39 per 100 eligible residents), followed by prophylactic (28.8%; prevalence: 1.87%) and microbiologically documented (16.1%; prevalence: 1.01%) regimes. MRSA decolonisation with nasal mupirocin (0.7%; prevalence: 0.02%) was uncommon. Antimicrobials were most frequently prescribed for the prevention or treatment of urinary (49.5%; prevalence: 3.23%) and respiratory (31.8%; prevalence: 1.81%) tract infections. A very high proportion of uroprophylaxis was reported (25.6% of all prescribed antimicrobials; prevalence: 1.67%). CONCLUSIONS: The indications for antimicrobial prescribing varied markedly between countries. We identified uroprophylaxis as a possible target for quality improvement.
dcterms:title
Indications for antimicrobial prescribing in European nursing homes: results from a point prevalence survey Indications for antimicrobial prescribing in European nursing homes: results from a point prevalence survey
skos:prefLabel
Indications for antimicrobial prescribing in European nursing homes: results from a point prevalence survey Indications for antimicrobial prescribing in European nursing homes: results from a point prevalence survey
skos:notation
RIV/00179906:_____/12:10125696!RIV13-MZ0-00179906
n12:predkladatel
n13:ico%3A00179906
n3:aktivita
n15:I
n3:aktivity
I
n3:cisloPeriodika
9
n3:dodaniDat
n10:2013
n3:domaciTvurceVysledku
n14:7465629
n3:druhVysledku
n16:J
n3:duvernostUdaju
n19:S
n3:entitaPredkladatele
n11:predkladatel
n3:idSjednocenehoVysledku
141153
n3:idVysledku
RIV/00179906:_____/12:10125696
n3:jazykVysledku
n9:eng
n3:klicovaSlova
prevalency survey; respiratory tract infections; urinary tract infections; antibiotics; elderly; long-term care
n3:klicoveSlovo
n6:respiratory%20tract%20infections n6:urinary%20tract%20infections n6:long-term%20care n6:elderly n6:antibiotics n6:prevalency%20survey
n3:kodStatuVydavatele
US - Spojené státy americké
n3:kontrolniKodProRIV
[0A102254B00C]
n3:nazevZdroje
Pharmacoepidemiology and Drug Safety
n3:obor
n18:FR
n3:pocetDomacichTvurcuVysledku
1
n3:pocetTvurcuVysledku
42
n3:rokUplatneniVysledku
n10:2012
n3:svazekPeriodika
21
n3:tvurceVysledku
Vankerckhoven, Vanessa Rudolf, Kamil Muller, Arno Broex, Elisabeth Stroobants, Rudi Latour, Katrien Vlček, Jiří Jans, Béatrice Goossens, Herman Catry, Boudewijn
n3:wos
000308295000004
s:issn
1053-8569
s:numberOfPages
8
n4:doi
10.1002/pds.3196