000156646 001__ 156646
000156646 005__ 20251017144551.0
000156646 0247_ $$2doi$$a10.1007/s41999-025-01193-0
000156646 0248_ $$2sideral$$a143951
000156646 037__ $$aART-2025-143951
000156646 041__ $$aeng
000156646 100__ $$aMonfà, Ramon
000156646 245__ $$aThe impact of a multifaceted intervention on antibiotic use for common infections in nursing homes in Spain. A before and after study
000156646 260__ $$c2025
000156646 5060_ $$aAccess copy available to the general public$$fUnrestricted
000156646 5203_ $$aPurpose
The aim of this study was to assess the impact of a multifaceted intervention aimed at nursing home staff on antibiotic use and hygiene elements for nursing home residents with common infections.
Methods
Before-and-after study carried out in nursing homes in five areas of Spain. Nursing staff registered residents with common infections and documented hygiene practices over three months, before and after a 2-h educational intervention in autumn 2023. The intervention focused on the initial registration results, antibiotic guidelines, infection prevention, and management strategies for nursing homes. Indicators for potentially unnecessary antibiotic use and non-first-line antibiotics were developed, and results from both registration periods (Feb-Apr 2023 and Feb-Apr 2024) were compared to assess impact.
Results
Of 34 nursing homes, 23 completed the intervention and the two registrations (67.6%). Staff reported 1003 infections in the first registration and 789 in the second. The overall antibiotic prescription rate was 84.6%. Potentially inappropriate antibiotic use for urinary tract infections decreased from 70.3 to 59.9% (P < 0.005) and use for respiratory infections dropped from 78.1 to 62.7% (P < 0.001), with inappropriate use decreasing from 46.3 to 31% (P < 0.001). The mean duration of antibiotics for cystitis reduced from 7 to 5.4 days (P < 0.05). The intervention had no impact on hygiene practices.
Conclusion
Potentially unnecessary antibiotic use was lower after the intervention, whereas hygiene practices were unchanged. A more intensive, multifaceted educational approach is needed for a greater impact.
000156646 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000156646 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000156646 700__ $$aGarcía-Sangenís, Ana
000156646 700__ $$aMorros, Rosa
000156646 700__ $$aZárate Sáez, Carlota Manuela
000156646 700__ $$aMateos-Nozal, Jesús
000156646 700__ $$aVaquero Pinto, María N.
000156646 700__ $$aSáez Bejar, Carmen
000156646 700__ $$aLópez Pérez, Elena
000156646 700__ $$aRodríguez Jiménez, Consuelo
000156646 700__ $$0(orcid)0000-0002-5494-6550$$aMagallón-Botaya, Rosa$$uUniversidad de Zaragoza
000156646 700__ $$aMatovelle, Priscila
000156646 700__ $$aNavarro Sanmartín, Alicia
000156646 700__ $$aLlor, Carl
000156646 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000156646 773__ $$pEUROPEAN GERIATRIC MEDICINE$$tEUROPEAN GERIATRIC MEDICINE$$x1878-7649
000156646 8564_ $$s528421$$uhttps://zaguan.unizar.es/record/156646/files/texto_completo.pdf$$yVersión publicada
000156646 8564_ $$s2069252$$uhttps://zaguan.unizar.es/record/156646/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000156646 909CO $$ooai:zaguan.unizar.es:156646$$particulos$$pdriver
000156646 951__ $$a2025-10-17-14:11:50
000156646 980__ $$aARTICLE