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Adverse Outcomes in Nursing Home Residents with Increased Episodes of Observed Bacteriuria

Published online by Cambridge University Press:  02 January 2015

Rituparna Das*
Affiliation:
Department of Internal Medicine, Sections of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut
Virginia Towle
Affiliation:
Geriatrics, Yale School of Medicine, New Haven, Connecticut
Peter H.Van Ness
Affiliation:
Geriatrics, Yale School of Medicine, New Haven, Connecticut
Manisha Juthani-Mehta
Affiliation:
Department of Internal Medicine, Sections of Infectious Diseases, Yale School of Medicine, New Haven, Connecticut
*
Yale School of Medicine, Department of Internal Medicine, Section of Infectious Diseases, PO Box 208022, New Haven, CT 06520.

Abstract

We examined the association between an increase in episodes of observed bacteriuria and adverse clinical outcomes among nursing home residents without catheters. Although bacteriuria was not associated with hospitalization for urinary tract infection (UTI) or change in mental status, it was associated with use of antibiotics to treat UTI and with isolation of multidrug-resistant gram-negative rods from urine specimens, which suggested a causal relationship.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2011

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