Three-year prevalence of healthcare-associated infections in Dutch nursing homes

Eikelenboom-Boskamp, A.; Cox-Claessens, J.H.M.; Boom-Poels, P.G.M.; Drabbe, Miranda; Koopmans, Raymond T.C.M.; Voß, Andreas

doi:10.1186/1753-6561-5-s6-p158

Cited by 4 publications

(4 citation statements)

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“…Possibly, this is a result of the restrictive antibiotic policy in the Netherlands. Although antibiotic use in LTCFs is higher than in the community, this is still very low compared to other countries [16,17]. Neither could we confirm use of antibiotics, diabetes mellitus, connective tissue disease, and liver failure as risk factors [11].…”

Section: Discussionmentioning

confidence: 57%

Predicting carriage with extended-spectrum beta-lactamase-producing bacteria at hospital admission: a cross-sectional study

Platteel

Hall

Stuart

et al. 2015

Clinical Microbiology and Infection

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The prevalence of patients colonized with extended-spectrum beta-lactamase (ESBL)-producing bacteria increases, especially in long-term-care facilities (LTCFs). Identification of ESBL carriers at hospital admission is relevant for infection control measures and antibiotic therapy for nosocomial infections. We aimed to develop a prediction rule for ESBL carriage at hospital admission for patients admitted from home and LTCFs, and to quantify incidences of nosocomial infections caused by ESBL-producing bacteria. The ESBL-carrier status was determined of patients admitted from LTCFs and from home settings in four hospitals in the Netherlands using perianal swabs obtained within 48 hours of admission. Risk factors for ESBL carriage were assessed. Infections caused by ESBL-producing bacteria were identified retrospectively. Among 1351 patients, 111 (8.2%) were ESBL carriers at admission: 50/579 (8.6%) admitted from LTCFs and 61/772 (7.9%) from home settings (p 0.63). Previous ESBL carriage and previous hospital admission were risk factors for ESBL carriage in multivariable analysis. The area under the curve of the receiver operating characteristic curve of the model was 0.64 (95% CI 0.58-0.71). Presence of ≥1 risk factor (n = 803; 59%) had sensitivity of 72%. Incidences of nosocomial infections caused by ESBL-producing bacteria were 45.5/10,000 and 2.1/10,000 admission days for ESBL carriers and non-carriers, respectively (p <0.05). In conclusion, prevalence of ESBL carriage at hospital admission was 8.2%, and was comparable among patients admitted from LTCF and home. A clinically useful prediction rule for ESBL carriage at admission could not be developed. The absolute incidence of nosocomial infections by ESBL-producing bacteria was low, but higher among patients carrying ESBL-producing bacteria at the time of hospital admission.

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Section: Discussionmentioning

confidence: 57%

Predicting carriage with extended-spectrum beta-lactamase-producing bacteria at hospital admission: a cross-sectional study

Platteel

Hall

Stuart

et al. 2015

Clinical Microbiology and Infection

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“…Among eligible residents receiving antibacterial agent for treatment of an infection, only 2.4% of prescriptions were based microbiologically results. In comparison with the results from Norwegian and Dutch surveys (5.8% and 6.6%), our culture sampling rate was low, probably due to the fact that microbiological diagnostic tests were not commonly requested by the physicians in the elderly care in Hungary [14,18]. Antibiotic stewardship resources were uncommon in these settings.…”

Section: Discussionmentioning

confidence: 90%

“…The prevalence of infection among residents in Hungarian participating LTCFs was 2.1%. The infection prevalence rate was lower than those found in other European countries: 2.8% and 7.3% in Dutch LTCFs, 4.3% in German LTCFs, 6.4% in Irish LTCFs and 7.6% in Norwegian LTCFs [11,[14][15][16][17][18]. Lower infection prevalence results were probably due to the general diagnostic problems (e.g., change in mental and/or cognitive status of elders), the lack of microbiological and radiological diagnostic testing, and/or good quality of LTCF nursing care.…”

Section: Discussionmentioning

confidence: 99%

Infections and antimicrobial use among institutionalized residents in Hungary: Increasing need of microbiological surveillance

Szabó

Böröcz

2015

Acta Microbiologica Et Immunologica Hungarica

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As a result of the age-related changes, more elders live in long-term care facilities (LTCFs). Due to their susceptibility, infections and excess use of antimicrobials are common. The aim was to estimate the burden of infections and antimicrobial use in Hungarian LTCFs in order to increase the attention given to the prevention. European-wide point prevalence survey was conducted between April and May 2013. For each resident who had a signs and symptoms of an infection and/or treated with an antibacterial for systemic use a resident questionnaire was completed. Descriptive statistics were used to present the data. In total, 91 LTCFs with 11,823 residents were selected in this survey. The 252 residents had a sign/symptom of an infection (2.1%) and 156 received antimicrobial (1.3%). Skin and soft tissues (36.5%) was the most frequent infection. However, antimicrobials were mostly prescribed for respiratory tract infections (40.4%). The most common therapeutic antimicrobial agent (97.5%) belonged to the quinolone antibacterials (34.2%). Our results emphasise the need for targeted improvement of antimicrobial use including: reducing the use of quinolone antibacterials in order to prevent the spread of Clostridium diffi cile and other antimicrobial resistant microorganisms among institutionalized residents.

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“…These infections are largely endemic and have an overall infection rate that ranges from 1,8 to 13,5 infections per 1000 resident care days (Strausbaugh LJ & Al, 2000). The variability of prevalence (Cohen E & Al, 1979;Garibaldi R & Al, 1981;Standfast SJ & Al, 1984;Setia U & Al, 1985;Scheckler W & Peterson P, 1986;Alvarez S & Al, 1988;Magaziner J & Al, 1991;Steinmiller A & Al, 1991;Eikelenboom-Boskamp A & Al, 2011) and incidence (Magnussen M & Robb S, 1980;Farber BF & Al, 1984;Nicolle LE & Al, 1984;Franson T & Al, 1986;Scheckler W & Peterson P, 1986;Viahov D & Al, 1987;Alvarez S & Al, 1988;Schicker JM & Al, 1988;Hoffman N & Al, 1990;Jacobson C & Strausbaugh LJ, 1990;Darnowsky S & Al, 1991;Jackson M & Al, 1992) rate of infections, reflects differences in patients populations in different study institutions, as well as differing surveillance definitions and methods for case ascertainment .…”

Section: Occurrence Of Endemic Infectionsmentioning

confidence: 99%

Antibiotic Resistance in Nursing Homes

Ricci¹,

Barrionuevo²,

Cosso³

et al. 2012

Antibiotic Resistant Bacteria - A Continuous Challenge in the New Millennium

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Three-year prevalence of healthcare-associated infections in Dutch nursing homes

Cited by 4 publications

References 0 publications

Predicting carriage with extended-spectrum beta-lactamase-producing bacteria at hospital admission: a cross-sectional study

Predicting carriage with extended-spectrum beta-lactamase-producing bacteria at hospital admission: a cross-sectional study

Infections and antimicrobial use among institutionalized residents in Hungary: Increasing need of microbiological surveillance

Antibiotic Resistance in Nursing Homes

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