Brief report| Volume 41, ISSUE 4, e35-e37, April 2013

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Assessing prevalence of antimicrobial use and infections using the minimal data set in Finnish long-term care facilities

Published:January 17, 2013DOI:
      Of all residents (n = 12,784) for whom a minimum data set 2.0 form was completed in long-term care facilities (n = 253) using a Resident Assessment Instrument in April and September 2011 in Finland, 16% received antimicrobials, most commonly methenamine (42%) and trimethoprim (24%). The prevalence of urinary tract infections was 8%, wound infection 2%, and pneumonia 2%. Minimum data set form provides a feasible tool for collecting data on antibiotic use and infections in long-term care facilities.

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        • Hawes C.
        • Morris J.N.
        • Phillips C.D.
        • Fries B.E.
        • Murphy K.
        • Mor V.
        Development of the nursing home Resident Assessment Instrument in the USA.
        Age Ageing. 1997; 26: 19-25
        • Finne-Soveri H.
        • Hammar T.
        • Noro A.
        Measuring the quality of long-term institutional care in Finland.
        Eurohealth. 2010; 16: 8-10
        • Zimmerman D.R.
        • Karon S.L.
        • Arling G.
        • Clark B.R.
        • Collins T.
        • Ross R.
        • et al.
        Development and testing of nursing home quality indicators.
        Health Care Financ Rev. 1995; 16: 107-127
        • Rummukainen M.L.
        • Kärki T.
        • Kanerva M.
        • Haapasaari M.
        • Ollgren J.
        • Lyytikäinen O.
        Antimicrobial prescribing in nursing homes in Finland: results of three point prevalence surveys.
        Infection. 2012;
        • Rummukainen M.L.
        • Jakobsson A.
        • Matsinen M.
        • Järvenpää S.
        • Nissinen A.
        • Karppi P.
        • et al.
        Reduction in inappropriate prevention of urinary tract infections in long-termcare facilities.
        Am J Infect Control. 2012; 40: 711-714
        • Puhto T.
        • Ylipalosaari P.
        • Ohtonen P.
        • Syrjälä H.
        Point prevalence and risk factors for healthcare-associated infections in primary healthcare wards.
        Infection. 2011; 39: 217-223
        • McClean P.
        • Hughes C.
        • Tunney M.
        • Goossens H.
        • Jans B.
        Antimicrobial prescribing in European nursing homes.
        J Antimicrob Chemother. 2011; 66: 1609-1616
        • Tsan L.
        • Landberg R.
        • Davis C.
        • et al.
        Nursing home-associated infections in department of Veterans Affairs community living centers.
        Am J infect Control. 2010; 38: 461-466
        • Warren J.W.
        • Palumbo F.B.
        • Fitterman L.
        • Speedle S.M.
        Incidence and characteristics of antibiotic use in aged nursing home patients.
        J Am Geriatr Soc. 1991; 39: 963-972
        • Zimmer J.G.
        • Bentley D.W.
        • Valenti W.M.
        • Watson N.M.
        Systemic antibiotic use in nursing homes: a quality assessment.
        J Am Geriatr Soc. 1986; 34: 703-710
        • Jones S.R.
        • Parker D.F.
        • Liebow E.S.
        • Kimbrough R.C.
        • Frear R.S.
        Appropriateness of antibiotic therapy in long-term care facilities.
        Am J Med. 1987; 83: 499-502
        • Eriksen H.M.
        • Iversen B.G.
        • Aavitsland P.
        Prevalence of nosocomial infections and use of antibiotics in long-term care facilities in Norway, 2002 and 2003.
        J Hosp Infect. 2004; 57: 316-320
        • Blix H.S.
        • Bergman J.
        • Schjott J.
        How are antibacterials used in nursing homes? Results from point prevalence prescription study in 44 Norwegian nursing homes.
        Pharmacoepidemiol Drug Saf. 2010; 19: 1025-1030
        • Jans B.
        • Latour K.
        • Broek E.
        • Moro M.L.
        • Cookson B.
        • Van den Mortel M.
        • et al.
        Healthcare-associated infections in long-term care facilities in Europe. VII European Congress of International Association of Gerontology and Geriatrics April 2011 (poster).
        IAGG, 2011
      1. Latour K, Jans B, Moro ML, Fitzpatrick F, Ricchizzi E, Dillane T, et al. Healthcare associated infections and antimicrobial use in European long-term care facilities (HALT-2) ECCMID 2012 Poster European Network corner.

        • Lee B.B.
        • Simpson J.M.
        • Craig J.C.
        • Bhuta T.
        Methenamine hippurate for preventing urinary tract infections.
        The Cochrane Library. 2012;
        • Finnish Current Care Guidelines
        Urinary tract infections (in Finnish).
        Duodecim. 2011; 127: 2334-2335