Adverse outcomes in nursing home residents with increased episodes of observed bacteriuria
- PMID: 21091203
- PMCID: PMC3089439
- DOI: 10.1086/657664
Adverse outcomes in nursing home residents with increased episodes of observed bacteriuria
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.
Conflict of interest statement
Conflicts of interest: No conflicts for all authors
Similar articles
-
Asymptomatic bacteriuria, antibiotic use, and suspected urinary tract infections in four nursing homes.BMC Geriatr. 2012 Nov 23;12:73. doi: 10.1186/1471-2318-12-73. BMC Geriatr. 2012. PMID: 23176555 Free PMC article.
-
Effect of Cranberry Capsules on Bacteriuria Plus Pyuria Among Older Women in Nursing Homes: A Randomized Clinical Trial.JAMA. 2016 Nov 8;316(18):1879-1887. doi: 10.1001/jama.2016.16141. JAMA. 2016. PMID: 27787564 Free PMC article. Clinical Trial.
-
Interleukin-6 concentrations in the urine and dipstick analyses were related to bacteriuria but not symptoms in the elderly: a cross sectional study of 421 nursing home residents.BMC Geriatr. 2014 Aug 12;14:88. doi: 10.1186/1471-2318-14-88. BMC Geriatr. 2014. PMID: 25117748 Free PMC article.
-
Bacteruria and Urinary Tract Infections in the Elderly.Urol Clin North Am. 2015 Nov;42(4):561-8. doi: 10.1016/j.ucl.2015.07.002. Epub 2015 Aug 19. Urol Clin North Am. 2015. PMID: 26475952 Review.
-
Urinary tract infections. How to manage nursing home patients with or without chronic catheterization.Geriatrics. 2002 May;57(5):45, 49-52, 55-6 passim. Geriatrics. 2002. PMID: 12040593 Review.
Cited by
-
Potentially inappropriate prescriptions of antibiotics in geriatric psychiatry-a retrospective cohort study.Front Psychiatry. 2024 Jan 9;14:1272695. doi: 10.3389/fpsyt.2023.1272695. eCollection 2023. Front Psychiatry. 2024. PMID: 38264634 Free PMC article.
-
Syndromic Antibiograms and Nursing Home Clinicians' Antibiotic Choices for Urinary Tract Infections.JAMA Netw Open. 2023 Dec 1;6(12):e2349544. doi: 10.1001/jamanetworkopen.2023.49544. JAMA Netw Open. 2023. PMID: 38150250 Free PMC article. Clinical Trial.
-
Can Electronic Clinical Decision Support Systems Improve the Diagnosis of Urinary Tract Infections? A Systematic Review and Meta-Analysis.Open Forum Infect Dis. 2022 Dec 28;10(1):ofac691. doi: 10.1093/ofid/ofac691. eCollection 2023 Jan. Open Forum Infect Dis. 2022. PMID: 36632418 Free PMC article.
-
Urinary Tract Infection Investigation and Treatment in Older Adults Presenting to the Emergency Department with Confusion: a Health Record Review of Local Practice Patterns.Can Geriatr J. 2021 Dec 1;24(4):341-350. doi: 10.5770/cgj.24.518. eCollection 2021 Dec. Can Geriatr J. 2021. PMID: 34912489 Free PMC article.
-
Prospective assessment of catheter-associated bacteriuria clinical presentation, epidemiology, and colonization dynamics in nursing home residents.JCI Insight. 2021 Oct 8;6(19):e144775. doi: 10.1172/jci.insight.144775. JCI Insight. 2021. PMID: 34473649 Free PMC article.
References
-
- D'Agata EM. Rapidly rising prevalence of nosocomial multidrug-resistant, Gram-negative bacilli: a 9-year surveillance study. Infect Control Hosp Epidemiol. 2004 Oct;25(10):842–846. - PubMed
-
- Pop-Vicas A, Mitchell SL, Kandel R, Schreiber R, D'Agata EM. Multidrug-resistant gram-negative bacteria in a long-term care facility: prevalence and risk factors. Journal of the American Geriatrics Society. 2008 Jul;56(7):1276–1280. - PubMed
Publication types
MeSH terms
Substances
Grants and funding
- UL1 RR024139/RR/NCRR NIH HHS/United States
- T32‐AG019134/AG/NIA NIH HHS/United States
- R03 AG028057-01A1/AG/NIA NIH HHS/United States
- R03‐AG028057/AG/NIA NIH HHS/United States
- T32 AI007517/AI/NIAID NIH HHS/United States
- K23 AG028691/AG/NIA NIH HHS/United States
- P30‐AG21342/AG/NIA NIH HHS/United States
- T32 AG019134/AG/NIA NIH HHS/United States
- P30 AG021342/AG/NIA NIH HHS/United States
- K23‐AG028691/AG/NIA NIH HHS/United States
- K23 AG028691-02/AG/NIA NIH HHS/United States
- K23 AG028691-01A2/AG/NIA NIH HHS/United States
- R03 AG028057-02/AG/NIA NIH HHS/United States
- K23 AG028691-03/AG/NIA NIH HHS/United States
- R03 AG028057/AG/NIA NIH HHS/United States
LinkOut - more resources
Full Text Sources
Medical