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

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    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
    Issue Date
    2012-06
    Local subject classification
    PUBLIC HEALTH DEPARTMENT
    HEALTH SERVICE PLANNING
    
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    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
    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
    ISSN
    0332-3102
    Collections
    Departments of Public Health

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