Bacteriological analysis of urinary tract infections found in a French nursing home
Bacteriological analysis of urinary tract infections found in a French nursing home. Establishment of an empiric antibiotic therapy protocol
INTRODUCTION
S. LAFARGUE1, B BERNADAC2, J.L. PIROT3, H. RAIMBAULT 4, E. SASSOT5, F. DELAMARRE-DAMIER6
(1) MD CMD EHPAD Mer et Pins Saint Brevin, Agree Member, France,
(2) Pharm D GCS Pays de Retz, France,
(3) MD biological lab Saint Brevin les pins France,
(4) MD, Saint Brevin Nursing Home France,
(5) Emmanuelle SASSOT, NP, EHPAD Mer et Pins,
(6) MD MBA CMD Cholet Hospital France, Saint Laurent sur Sèvre Nursing Home and Viellevigne Nursing Home on behalf of AGREE French Nursing Home Research Organization Chateau Thebaud France
Bacterial infections are common in the elderly. They are the third leading cause of death in France (1). The prevalence of infections in nursing homes (NH) varies between 1.6 and 32.7%(2) and for Urinary tract infections (UTI) the prevalence is 40% (3). Elderly people in institutions receive 2 times more antibiotics than at home (4). Urinary colonization has a high prevalence in the elderly : risk increases with age, female gender and dependence (20 to 50%) (5). Treatment of urinary colonization may lead to emergence and spread of antibiotic-resistant bacteria. The aim of this study is to adapt the French infectious diseases recommendations (SPILF) (6) to the nursing home bacterial ecology wich receive 310 elderly people. The fight against infectious risk in nursing homes requires a better control of the bacterial ecology. Knowledge of urinary germ resistance patterns allowed us to develop an adapted antibiotic protocol.
