Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-29T08:18:05.135Z Has data issue: false hasContentIssue false

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

Published online by Cambridge University Press:  02 January 2015

Rituparna Das*
Affiliation:
Department of Internal Medicine, Sections of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut
Virginia Towle
Affiliation:
Geriatrics, Yale School of Medicine, New Haven, Connecticut
Peter H.Van Ness
Affiliation:
Geriatrics, Yale School of Medicine, New Haven, Connecticut
Manisha Juthani-Mehta
Affiliation:
Department of Internal Medicine, Sections of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut
*
Yale School of Medicine, Department of Internal Medicine, Section of Infectious Diseases, PO Box 208022, New Haven, CT 06520.

Abstract

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.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.D'Agata, EM. Rapidly rising prevalence of nosocomial multidrug-resistant, gram-negative bacilli: a 9-year surveillance study. Infect Control Hosp Epidemiol 2004;25(10):842846.Google Scholar
2.Pop-Vicas, A, Tacconelli, E, Gravenstein, S, Lu, B, D'Agata, EM. Influx of multidrug-resistant, gram-negative bacteria in the hospital setting and the role of elderly patients with bacterial bloodstream infection. Infect Control Hosp Epidemiol 2009;30(4):325331.CrossRefGoogle ScholarPubMed
3.Pop-Vicas, A, Mitchell, SL, Kandel, R, Schreiber, R, D'Agata, EM. Multi-drug-resistant gram-negative bacteria in a long-term care facility: prevalence and risk factors. J Am Geriatr Soc 2008;56(7):12761280.Google Scholar
4.O'Fallon, E, Schreiber, R, Kandel, R, D'Agata, EM. Multidrug-resistant gram-negative bacteria at a long-term care facility: assessment of resi-dents, healthcare workers, and inanimate surfaces. Infect Control Hosp Epidemiol 2009;30(12):11721179.Google Scholar
5.Sotto, A, De Boever, CM, Fabbro-Peray, P, Gouby, A, Sirot, D, Jourdan, J. Risk factors for antibiotic-resistant Escherichia coli isolated from hospitalized patients with urinary tract infections: a prospective study. J Clin Microbiol 2001;39(2):438444.Google Scholar
6.Leflon-Guibout, V, Ternat, G, Heym, B, Nicolas-Chanoine, MH. Exposure to co-amoxiclav as a risk factor for co-amoxiclav-resistant Escherichia coli urinary tract infection. J Antimicrob Chemother 2002;49(2):367371.Google Scholar
7.Nicolle, LE. Urinary tract infections in the elderly. Clin Geriatr Med 2009;25(3):423436.Google Scholar
8.Juthani-Mehta, M, Quagliarello, V, Perrelli, E, Towle, V, Van Ness, PH, Tinetti, M. Clinical features to identify urinary tract infection in nursing home residents: a cohort study. J Am Geriatr Soc 2009;57(6):963970.Google Scholar
9.Juthani-Mehta, M, Tinetti, M, Perrelli, E, Towle, V, Van Ness, PH, Quagliarello, V. Interobserver variability in the assessment of clinical criteria for suspected urinary tract infection in nursing home residents. Infect Control Hosp Epidemiol 2008;29(5):446449.Google Scholar
10.Lautenbach, E, Patel, JB, Bilker, WB, Edelstein, PH, Fishman, NO. Extended-spectrum beta-lactamase-producing Escherichia coli and Klebsiella pneumoniae: risk factors for infection and impact of resistance on out-comes. Clin Infect Dis 2001;32(8):11621171.Google Scholar