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Urinary tract infections and antimicrobial use among Finnish home care clients, April-September 2014

      Highlights

      • UTI prevalence and antimicrobial use among Finnish HC clients is lower compared to Finnish long-term care residents (8% vs. 16%, respectively).
      • Antimicrobials are mostly prescribed for UTI prophylaxis.
      • After validating RAI-MDS data, the tool has a potential to act as a surveillance system and to improve the quality of care.
      The 30-day prevalence of urinary tract infection (UTI) among Finnish home care clients (N = 6,887) estimated by the Resident Assessment Instrument was 4.5%, and 5.9% of the clients received antimicrobial agents, most commonly for UTI prophylaxis. Urinary catheter and female gender were the strongest factors independently associated with antimicrobial use and UTI. The Resident Assessment Instrument provides data that could be used when training home care providers and primary health care workers in the appropriate use of antimicrobial agents and UTI prevention.

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