Comparison of antibiotic resistance rates and outcomes among older adult patients with urinary tract infections living in long- term care hospitals and the community

• Published in: Geriatric nursing (New York) Vol. 53; pp. 6 - 11
• Main Authors: Chung, Ho Sub, Namgung, Myeong, Lee, Dong Hoon, Choi, Yunhyung, Choi, Yoon Hee, Choi, Jae Young, Bae, Sung Jin
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.09.2023
• Subjects: Aged; Antibiotic resistance; Emergency department; Long-term care facility; Urinary tract infection; Urinary tract infection; Aged; Emergency department; Long-term care facility; Antibiotic resistance
• ISSN: 0197-4572; 1528-3984
• DOI: 10.1016/j.gerinurse.2023.06.012

•Empirical antibiotic prescribing for UTI in older adults in LTCF remains prevalent due to limitations for adequate urinalysis and culture in this setting.•LTCF residents have higher incidence of antibiotic resistance.•Definitive antibiotic prescribing for UTI and appropriate antibiotic stewardship should be considered in the LTCF population. In this study, we compared the proportion of antibiotic resistance between patients who visited the emergency department (ED) with urinary tract infection (UTI) from long-term care hospitals (LTCH), which is a type of long-term care facilities (LTCF) and the community. We assessed the resulting difference in prognosis. Older adults who visited the ED between January and December 2019 and were diagnosed with UTI were divided into community residents and LTCH residents. We investigated the antibiotics sensitivity rates, end of therapy (EOT), and the patient's outcomes were evaluated. The antibiotic resistance rate was higher in LTCH residents. LTCH residents had a higher in hospital mortality rate compared to community residents. EOT was found to be longer, and admission rate and in-hospital mortality rate were also higher in LTCH residents. LTCF residents had a higher rate of antibiotic resistance and a poor prognosis.