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

Maija-Liisa Rummukainen1, Matti Mäkelä, Anja Noro

  • 1Central Finland Healthcare District, Keskussairaalantie, Jyväskylä, Finland. maija-liisa.rummukainen@ksshp.fi

American Journal of Infection Control
|January 22, 2013
PubMed

Insights

In Finnish long-term care facilities, 16% of residents received antimicrobials, primarily methenamine and trimethoprim. The Minimum Data Set (MDS) 2.0 is effective for tracking antibiotic use and infections.

Area of Science:

  • Gerontology
  • Infectious Diseases
  • Pharmacology

Background:

  • Antibiotic resistance is a growing concern in healthcare settings.
  • Long-term care facilities (LTCFs) are vulnerable to infections due to resident demographics.
  • Data collection on antimicrobial use in LTCFs is crucial for stewardship.

Purpose of the Study:

  • To determine the prevalence of antimicrobial use in Finnish long-term care facilities.
  • To identify common antimicrobials and infections in this population.
  • To assess the utility of the Minimum Data Set (MDS) 2.0 for data collection.

Main Methods:

  • Utilized data from the Minimum Data Set (MDS) 2.0 forms.
  • Included residents from 253 long-term care facilities in Finland.
  • Data collected in April and September 2011, encompassing 12,784 residents.

Main Results:

  • 16% of residents received antimicrobials.
  • Methenamine (42%) and trimethoprim (24%) were the most common antimicrobials.
  • Prevalence of infections: urinary tract infections (8%), wound infections (2%), pneumonia (2%).

Conclusions:

  • Antimicrobial prescribing is common in Finnish long-term care facilities.
  • The MDS 2.0 is a feasible tool for monitoring antibiotic use and infections.
  • Further research on infection prevention and antimicrobial stewardship in LTCFs is warranted.

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