KMID : 1039620170070060864
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Korean Journal of Family Practice 2017 Volume.7 No. 6 p.864 ~ p.869
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Rate of Antimicrobial Resistant Urinary Pathogens and Associated Risk Factor in Older Adults Living in Long-Term Care Facilities in Seoul
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Hwang In-Young
Kim Hyun-Joon Son Youn-Jung Jeong Hye-Jin Kim Moo-Young Lee Soo-Hyoung Park Ki-Hyon
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Abstract
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Background: The risk of healthcare-associated infections is increasing due to the increasing use of long-term care facilities (LTCFs). Identifying LTCF patients at high risk for antimicrobial-resistant urinary tract infection (UTI) is important for empirical antimicrobial therapy.
Methods: A retrospective case-control study was performed at a Seoul Medical Center (500-bed public hospital) between September 1, 2015 and August 31, 2016. We selected LTCF patients by reviewing medical records.
Results: Of 196 patients with a UTI during the study period, 52 were from an LTCF. Antimicrobial-resistant UTI was found in 53.8% (n=28) of LTCF patients. Logistic regression model identified 2 clinical factors associated with antimicrobial-resistant UTI: dementia (odds ratio [OR], 0.088; 95% confidence interval [CI], 0.014?0.531) and readmission within 1 year (OR, 12.247; 95% CI, 1.982?75.693).
Conclusion: Clinical factors can be used to identify antimicrobial-resistant UTI in LTCF patients to aid in the selection of antibiotics.
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KEYWORD
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Urinary Tract Infection, Antibiotic Resistance, Nursing Home, Multidrug Resistant
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