Epidemiology and resistance patterns in urinary pathogens from long-term care facilities and GP populations.

2.50
Hdl Handle:
http://hdl.handle.net/10147/246273
Title:
Epidemiology and resistance patterns in urinary pathogens from long-term care facilities and GP populations.
Authors:
Brabazon, E D; Carton, M; Dornikova, G; Bedford, D
Affiliation:
Department of Public Health, Health Service Executive, Dublin North East, Railway St, Navan, Co Meath. elaine.brabazon@hse.ie
Citation:
Epidemiology and resistance patterns in urinary pathogens from long-term care facilities and GP populations. 2012, 105 (6):177-80 Ir Med J
Journal:
Irish Medical Journal
Issue Date:
Jun-2012
URI:
http://hdl.handle.net/10147/246273
PubMed ID:
22973655
Abstract:
Urinary tract infections (UTIs) are a major source of antimicrobial prescribing in the clinical setting and a potential reservoir for the emergence of resistant organisms. Although studies have been published on resistance rates for urinary pathogens from both hospital and general practitioner (GP) settings, there is little information from Long-Term Care Facilities (LTCFs) in Ireland. This study aimed to document the epidemiology and resistance rates in urinary isolates, in the LTCF and GP setting, from samples submitted to a typical microbiology laboratory. In 2010, there were 963 urinary isolates from LTCFs and 1,169 urinary isolates from GPs, identified from patients 65 years and over, with cytology suggestive of infection. E. coil was the most common causative organism identified. There were significantly higher levels of resistance to ampicillin, co-amoxiclav, ciprofloxacin, nitrofurantoin, trimethoprim, and piperacillin/tazobactam in the LTCF population compared to the GP population (e.g. for E. coli, 86%-v-69%; 30%-v- 21%; 58%-v-26%, 10%-v-3%, 68%-v-48%, 10%-v- 4% respectively). Isolates with resistance mechanisms to beta-lactams, were identified in both populations. Results presented in this paper demonstrate significant differences between resistance rates in LTCF and GP populations which suggest that there are implications for empiric antimicrobial prescribing for UTIs in the LTCF setting.
Item Type:
Article
Language:
en
Local subject classification:
PUBLIC HEALTH DEPARTMENT; HEALTH SERVICE PLANNING
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorBrabazon, E Den_GB
dc.contributor.authorCarton, Men_GB
dc.contributor.authorDornikova, Gen_GB
dc.contributor.authorBedford, Den_GB
dc.date.accessioned2012-09-28T15:31:57Z-
dc.date.available2012-09-28T15:31:57Z-
dc.date.issued2012-06-
dc.identifier.citationEpidemiology and resistance patterns in urinary pathogens from long-term care facilities and GP populations. 2012, 105 (6):177-80 Ir Med Jen_GB
dc.identifier.issn0332-3102-
dc.identifier.pmid22973655-
dc.identifier.urihttp://hdl.handle.net/10147/246273-
dc.description.abstractUrinary tract infections (UTIs) are a major source of antimicrobial prescribing in the clinical setting and a potential reservoir for the emergence of resistant organisms. Although studies have been published on resistance rates for urinary pathogens from both hospital and general practitioner (GP) settings, there is little information from Long-Term Care Facilities (LTCFs) in Ireland. This study aimed to document the epidemiology and resistance rates in urinary isolates, in the LTCF and GP setting, from samples submitted to a typical microbiology laboratory. In 2010, there were 963 urinary isolates from LTCFs and 1,169 urinary isolates from GPs, identified from patients 65 years and over, with cytology suggestive of infection. E. coil was the most common causative organism identified. There were significantly higher levels of resistance to ampicillin, co-amoxiclav, ciprofloxacin, nitrofurantoin, trimethoprim, and piperacillin/tazobactam in the LTCF population compared to the GP population (e.g. for E. coli, 86%-v-69%; 30%-v- 21%; 58%-v-26%, 10%-v-3%, 68%-v-48%, 10%-v- 4% respectively). Isolates with resistance mechanisms to beta-lactams, were identified in both populations. Results presented in this paper demonstrate significant differences between resistance rates in LTCF and GP populations which suggest that there are implications for empiric antimicrobial prescribing for UTIs in the LTCF setting.-
dc.language.isoenen
dc.rightsArchived with thanks to Irish medical journalen_GB
dc.subject.otherPUBLIC HEALTH DEPARTMENTEN
dc.subject.otherHEALTH SERVICE PLANNINGEN
dc.titleEpidemiology and resistance patterns in urinary pathogens from long-term care facilities and GP populations.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Public Health, Health Service Executive, Dublin North East, Railway St, Navan, Co Meath. elaine.brabazon@hse.ieen_GB
dc.identifier.journalIrish Medical Journalen_GB

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