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Prevention of urinary tract infections in nursing homes: lack of evidence-based prescription?

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dc.contributor.author Bergman, Jenny
dc.contributor.author Schjøtt, Jan
dc.contributor.author Blix, Hege S.
dc.date.accessioned 2011-12-09T11:41:51Z
dc.date.available 2011-12-09T11:41:51Z
dc.date.issued 2011-11-01
dc.identifier.citation BMC Geriatrics 2011, 11:69 en
dc.identifier.issn 1471-2318
dc.identifier.uri http://dx.doi.org/10.1186/1471-2318-11-69
dc.identifier.uri http://hdl.handle.net/1956/5272
dc.description.abstract Background: Urinary tract infections (UTIs, including upper and lower symptomatic) are the most common infections in nursing homes and prevention may reduce patient suffering, antibiotic use and resistance. The spectre of agents used in preventing UTIs in nursing homes is scarcely documented and the aim of this study was to explore which agents are prescribed for this purpose. Methods: We conducted a one-day, point-prevalence study in 44 Norwegian nursing homes during April-May 2006. Nursing home residents prescribed any agent for UTI prophylaxis were included. Information recorded was type of agent and dose, patient age and gender, together with nursing home characteristics. Appropriateness of prophylactic prescribing was evaluated with references to evidence in the literature and current national guidelines. Results: The study included 1473 residents. 18% (n = 269) of the residents had at least one agent recorded as prophylaxis of UTI, varying between 0-50% among the nursing homes. Methenamine was used by 48% of residents prescribed prophylaxis, vitamin C by 32%, and cranberry products by 10%. Estrogens were used by 30% but only one third was for vaginal administration. Trimethoprim and nitrofurantoin were used as prophylaxis by 5% and 4%, respectively. Conclusions: The agents frequently prescribed to prevent UTIs in Norwegian nursing homes lack documented efficacy including methenamine and vitamin C. Recommended agents like trimethoprim, nitrofurantoin and vaginal estrogens are infrequently used. We conclude that prescribing of prophylactic agents for UTIs in nursing homes is not evidence-based. en
dc.language.iso eng en
dc.publisher BioMed Central en
dc.rights Copyright 2011 Bergman et al; licensee BioMed Central Ltd. en
dc.rights.uri http://creativecommons.org/licenses/by/2.0/ en
dc.subject Evidence-based prescription en
dc.title Prevention of urinary tract infections in nursing homes: lack of evidence-based prescription? en
dc.type Peer reviewed en
dc.type Journal article en
dc.subject.nsi VDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801 en
dc.type.version publishedVersion en


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Copyright 2011 Bergman et al; licensee BioMed Central Ltd. Except where otherwise noted, this item's license is described as Copyright 2011 Bergman et al; licensee BioMed Central Ltd.

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