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Urinary tract infection treatment practices in nursing homes reporting to the National Healthcare Safety Network, 2017

Published online by Cambridge University Press:  12 March 2021

Sarah Kabbani Open the ORCID record for Sarah Kabbani [Opens in a new window] ,
Danielle Palms ,
Jeneita M. Bell ,
Lauri A. Hicks  and
Nimalie D. Stone
Sarah Kabbani*
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Danielle Palms
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Jeneita M. Bell
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Lauri A. Hicks
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Nimalie D. Stone
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
*
Author for correspondence: Sarah Kabbani, MD, MSc, E-mail: [email protected]
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Abstract

We describe differences between urinary tract infection treatment and events reported by nursing homes enrolled in the National Healthcare Safety Network. In 2017, almost 4 times as many antibiotic starts as infection events were reported, suggesting that opportunities exist for antibiotic stewardship and improvement of urinary tract infection reporting.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 43 , Issue 2 , February 2022 , pp. 238 - 240
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Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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References

Montoya, A, Mody, L. Common infections in nursing homes: a review of current issues and challenges. Aging Health 2011;7:889–899.CrossRefGoogle ScholarPubMed
Thompson, ND, LaPlace, L, Epstein, L, et al. Prevalence of antimicrobial use and opportunities to improve prescribing practices in US nursing homes. J Am Med Dir Assoc 2016;17:1151–1153.CrossRefGoogle Scholar
National Healthcare Safety Network, surveillance for urinary tract infections (UTI). Centers for Disease Control and Prevention website. https://www.cdc.gov/nhsn/ltc/uti/index.html. Accessed November 27, 2019.Google Scholar
National Healthcare Safety Network, Long-Term Care Facility Component—annual facility survey. Centers for Disease Control and Prevention website. https://www.cdc.gov/nhsn/forms/57.137_LTCFSurv_BLANK.pdf. Accessed October 10, 2019.Google Scholar
Core elements of antibiotic stewardship for nursing homes. Centers for Disease Control and Prevention website. https://www.cdc.gov/longtermcare/prevention/antibiotic-stewardship.html. Published 2015. Accessed August 24, 2016.Google Scholar
Nursing home data compendium 2015 edition. Centers for Medicare and Medicaid Services website. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/Downloads/nursinghomedatacompendium_508-2015.pdf. Published 2015. Accessed November 27, 2019.Google Scholar
Phillips, CD, Adepoju, O, Stone, N, et al. Asymptomatic bacteriuria, antibiotic use, and suspected urinary tract infections in four nursing homes. BMC Geriatr 2012;12:73.CrossRefGoogle ScholarPubMed
Eure, T, LaPlace, LL, Melchreit, R, et al. Measuring antibiotic appropriateness for urinary tract infections in nursing home residents. Infect Control Hosp Epidemiol 2017;38:998–1001.CrossRefGoogle ScholarPubMed
Mayne, S, Sundvall, PD, Gunnarsson, R. Confusion strongly associated with antibiotic prescribing due to suspected urinary tract infections in nursing homes. J Am Geriatr Soc 2018;66:274–281.CrossRefGoogle ScholarPubMed
Brown, KA, Daneman, N, Schwartz, KL, et al. The urine culturing cascade: variation in nursing home urine culturing and association with antibiotic use and C. difficile infection. Clin Infect Dis 2020;70:1620–1627.CrossRefGoogle Scholar
Palms, DL, Kabbani, S, Bell, JM, Anttila, A, Hicks, LA, Stone, ND. Implementation of the core elements of antibiotic stewardship in nursing homes enrolled in the National Healthcare Safety Network. Clin Infect Dis 2019;69:1235–1238.CrossRefGoogle ScholarPubMed
Bjarnadottir, RI, Herzig, CTA, Travers, JL, Castle, NG, Stone, PW. Implementation of electronic health records in US nursing homes. Comput Inform Nurs 2017;35:417–424.CrossRefGoogle ScholarPubMed