Multidrug-Resistant, Gram-Negative Bacteria in Hospitalized Elderly Patients from Non-Hospital Long-Term Care Facilities / 대한내과학회지
Korean Journal of Medicine
; : 107-113, 2019.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-741124
Responsible library:
WPRO
ABSTRACT
BACKGROUND/AIMS:
We investigated the risk of multidrug-resistant, gram-negative bacteria (MDRGNB) in hospitalized elderly patients from non-hospital long-term care facilities (LTCFs) and the antibiotic prescription pattern.METHODS:
All clinical cultures obtained within 48 hours of hospitalization from elderly patients of at least 55 years of age arriving at a 623-bed, public teaching hospital in Seoul, Republic of Korea from LTCFs between April 1, 2011 and April 1, 2012 were collected retrospectively.RESULTS:
During this period, 365 elderly persons from 13 LTCFs were hospitalized. This study enrolled 135 patients who had cultures performed. In this group, 27.4% harbored MDRGNB at hospitalization. The presence of MDRGNB during prior hospitalization was the only risk factor that predicted harboring it (p = 0.043, odds ratio = 5.00, confidence interval = 1.049-23.834). Combinations of antibiotics or carbapenems were used initially in 35.6% of the patients, and this did not affect the mortality rate in this population.CONCLUSIONS:
Hospitalized elderly patients from non-hospital LTCFs need more attention. Judicious antibiotic selection is needed according to the risk factor of harboring MDRGNB for antibiotics stewardship.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Carbapenems
/
Odds Ratio
/
Retrospective Studies
/
Risk Factors
/
Mortality
/
Long-Term Care
/
Drug Resistance, Multiple, Bacterial
/
Prescriptions
/
Republic of Korea
/
Seoul
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Aged
/
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2019
Document type:
Article