Challenges in assessing nursing home residents with advanced dementia for suspected urinary tract infections

Journal of the American Geriatrics Society

Volumn 61, Issue 1, 2013, Pages 62-66

  D'Agata, Erika D ^a   Loeb, Mark B ^b   Mitchell, Susan L ^a,c  

^a HARVARD MEDICAL SCHOOL   (United States)

^b MCMASTER UNIVERSITY   (Canada)

^c Hebrew SeniorLife Institute for Aging Research   (United States)

Author keywords

advanced dementia; antimicrobial therapy; criteria; urinary tract infection

Indexed keywords

AGED; ANTIMICROBIAL THERAPY; ARTICLE; CLINICAL ASSESSMENT; CLINICAL FEATURE; CONSENSUS; DEMENTIA; DYSURIA; FEMALE; FEVER; HEMATURIA; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL DOCUMENTATION; MENTAL DISEASE; MULTICENTER STUDY; NURSING HOME PATIENT; PRACTICE GUIDELINE; PRESCRIPTION; PROSPECTIVE STUDY; RIGOR; SYMPTOM; URINALYSIS; URINARY FREQUENCY; URINARY TRACT INFECTION; URINARY URGENCY; URINE CULTURE;

AGED; AGED, 80 AND OVER; DEMENTIA; FEMALE; FOLLOW-UP STUDIES; GERIATRIC ASSESSMENT; HUMANS; INCIDENCE; MALE; MASSACHUSETTS; NURSING HOMES; PROSPECTIVE STUDIES; RISK ASSESSMENT; RISK FACTORS; TIME FACTORS; URINALYSIS; URINARY TRACT INFECTIONS;

EID: 84872250903     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/jgs.12070     Document Type: Article

References (19)

1. Wang L, Lansing B, Symons K, et al. Infection rate and colonization with antibiotic-resistant organisms in skilled nursing facility residents with indwelling devices. Eur J Clin Microbiol Infect Dis 2012; 31: 1797-1804.
2. Loeb M, Brazil K, Lohfeld L, et al. Optimizing antibiotics in residents of nursing homes: Protocol of a randomized trial. BMC Health Serv Res 2002; 2: 17.
3. Pettersson E, Vernby A, Mölstad S, et al. Infections and antibiotic prescribing in Swedish nursing homes: A cross-sectional study. Scand J Infect Dis 2008; 40: 393-398.
4. Daneman N, Gruneir A, Newman A, et al. Antibiotic use in long-term care facilities. J Antimicrob Chemother 2011; 66: 2856-2863.
5. Loeb M, Simor AE, Landry L, et al. Antibiotic use in Ontario facilities that provide chronic care. J Gen Intern Med 2001; 16: 376-383.
6. Nicolle LE, Bradely S, Colgan R, et al. Infectious Disease Society of America guidelines for the diagnosis and treatment of asymptomatic bacteriuria in adults. Clin Infect Dis 2005; 40: 643-654.
7. Hebert LE, Scherr PA, Bienias JL, et al. Alzheimer disease in the US population: Prevalence estimates using the 2000 census. Arch Neurol 2003; 60: 1119-1122.
8. Reisberg B, Ferris SH, Georgotas A, et al. The global deterioration scale for assessment of primary degenerative dementia. Am J Psychiatry 1982; 139: 1136-1139.
9. D'Agata E, Mitchell S,. Antimicrobial utilization patterns among nursing home residents with advanced dementia. Arch Intern Med 2008; 168: 357-362.
10. Pop-Vicas A, Mitchell SL, Kandel R, et al. Multidrug-resistant bacteria in a long-term care facility: Prevalence and risk factors. J Am Geriatr Soc 2008; 56: 1276-1280.
11. Loeb M, Bentley DW, Bradley S, et al. Development of minimum criteria for the initiation of antibiotics in residents of long-term-care facilities: Results of a consensus conference. Infect Control Hosp Epidemiol 2001; 22: 120-124.
12. Volicer L, Hurley C, Lathi DC, et al. Measurement of severity in advanced Alzheimer's disease. J Gerontol 1994; 49: M223-M226.
13. Little P, Turner S, Rumsby K, et al. Dipsticks and diagnostic algorithms in urinary tract infections: Development and validation, randomized trial, economic analysis, observational cohort and qualitative study. Health Technol Assess 2009; 13: 1-73.
14. Hooton TM, Bradley SF, Cardenas DD, et al. Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 international clinical practice guidelines from the Infectious Diseases Society of America. Clin Infect Dis 2010; 50: 625-663.
15. High KP, Bradley SF, Gravenstein S, et al. Clinical practice guideline for the evaluation of fever and infection in older adult residents of long-term care facilities: 2008 update by the Infectious Disease Society of America. Clin Infect Dis 2009; 48: 149-171.
16. Drinka P,. Treatment of bacteriuria without urinary signs, symptoms, or systemic infectious illness (S/S/S). J Am Med Dir Assoc 2009; 10: 516-519.
17. Juthani-Mehta M, Quagilarello V, Perrelli E, et al. Clinical features to identify urinary tract infection in nursing home residents: A cohort study. J Am Geriatr Soc 2009; 57: 963-970.
18. Mitchell SL, Teno JM, Kiely DK, et al. The clinical course of advanced dementia. N Engl J Med 2009; 361: 1529-1538.
19. Pop-Vicas A, D'Agata EMC,. The rising influx of multi-drug resistant gram-negative bacteria into a tertiary care hospital. Clin Infect Dis 2005; 40: 1792-1798.