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

Triin Pärn1, Matti Mäkelä2, Outi Lyytikäinen3

  • 1Department of Infectious Diseases, National Institute for Health and Welfare, Helsinki, Finland; European Programme for Intervention Epidemiology Training, Stockholm, Sweden.

American Journal of Infection Control
|June 18, 2016
PubMed

Insights

Urinary tract infection (UTI) affected 4.5% of Finnish home care clients. Urinary catheter use and female gender were key factors linked to antimicrobial use and UTIs, highlighting needs for better prevention strategies.

Area of Science:

  • Gerontology
  • Infectious Diseases
  • Public Health

Background:

  • Urinary tract infections (UTIs) are a common concern in home care settings.
  • Antimicrobial use for UTIs, including prophylaxis, requires careful consideration due to resistance risks.
  • The Resident Assessment Instrument (RAI) offers valuable data on client health in home care.

Purpose of the Study:

  • To determine the 30-day prevalence of UTIs among Finnish home care clients.
  • To identify factors associated with antimicrobial use and UTI in this population.
  • To explore the utility of RAI data for improving antimicrobial stewardship and UTI prevention.

Main Methods:

  • Retrospective analysis of data from 6,887 Finnish home care clients.
  • Utilized the Resident Assessment Instrument (RAI) for data collection and analysis.
  • Identified associations between client characteristics, antimicrobial use, and UTI prevalence.

Main Results:

  • The 30-day UTI prevalence was 4.5%.
  • Antimicrobial agents were used by 5.9% of clients, primarily for UTI prophylaxis.
  • Urinary catheter use and female gender were the strongest independent predictors of antimicrobial use and UTI.

Conclusions:

  • RAI data can effectively monitor UTI prevalence and antimicrobial use in home care.
  • Targeted interventions focusing on urinary catheter management and female clients are crucial for UTI prevention.
  • Training programs for home care providers should leverage RAI data to promote appropriate antimicrobial use and UTI prevention.
Keywords:
Resident assessment instrument

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