000133475 001__ 133475
000133475 005__ 20240416133905.0
000133475 0247_ $$2doi$$a10.3390/antibiotics13020152
000133475 0248_ $$2sideral$$a138169
000133475 037__ $$aART-2024-138169
000133475 041__ $$aeng
000133475 100__ $$aMatovelle, Priscila$$uUniversidad de Zaragoza
000133475 245__ $$aAntimicrobial Agent Use for Urinary Tract Infection in Long-Term Care Facilities in Spain: Results from a Retrospective Analytical Cohort Analysis
000133475 260__ $$c2024
000133475 5060_ $$aAccess copy available to the general public$$fUnrestricted
000133475 5203_ $$aUrinary tract infections (UTIs) are highly prevalent in long-term care facilities, constituting the most common infection in this setting. Our research focuses on analyzing clinical characteristics and antimicrobial prescriptions for UTIs in residents across nursing homes (NH) in Spain. This is a retrospective analytical cohort analysis using a multifaceted approach based on the normalization process theory to improve healthcare quality provided by nursing staff in 34 NHs in Spain. In this study, we present the results of the first audit including 719 UTI cases collected between February and April 2023, with an average age of 85.5 years and 74.5% being women. Cystitis and pyelonephritis presented distinct symptom patterns. Notably, 6% of asymptomatic bacteriuria cases were treated. The prevalence of dipstick usage was 83%, and that of urine culture was only 16%, raising concerns about overreliance, including in the 46 asymptomatic cases, leading to potential overdiagnosis and antibiotic overtreatment. Improved diagnostic criteria and personalized strategies are crucial for UTI management in NHs, emphasizing the need for personalized guidelines on the management of UTIs to mitigate indiscriminate antibiotic use in asymptomatic cases.
000133475 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000133475 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000133475 700__ $$0(orcid)0000-0001-6565-9699$$aOlivan-Blázquez, Bárbara$$uUniversidad de Zaragoza
000133475 700__ $$0(orcid)0000-0002-5494-6550$$aMagallón-Botaya, Rosa$$uUniversidad de Zaragoza
000133475 700__ $$aGarcía-Sangenís, Ana
000133475 700__ $$aMonfà, Ramon
000133475 700__ $$aMorros, Rosa
000133475 700__ $$aNavarro Sanmartín, Alicia
000133475 700__ $$aMateos-Nozal, Jesús
000133475 700__ $$aSáez Bejar, Carmen
000133475 700__ $$aRodríguez Jiménez, Consuelo
000133475 700__ $$aLópez Pérez, Elena
000133475 700__ $$aLlor, Carl
000133475 7102_ $$14009$$2740$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicología Social
000133475 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000133475 773__ $$g13, 2 (2024), 152 [12 pp.]$$pAntibiotics$$tAntibiotics$$x2079-6382
000133475 8564_ $$s1134600$$uhttps://zaguan.unizar.es/record/133475/files/texto_completo.pdf$$yVersión publicada
000133475 8564_ $$s2679790$$uhttps://zaguan.unizar.es/record/133475/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000133475 909CO $$ooai:zaguan.unizar.es:133475$$particulos$$pdriver
000133475 951__ $$a2024-04-16-13:16:13
000133475 980__ $$aARTICLE