Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-18T11:17:11.209Z Has data issue: false hasContentIssue false

Longitudinal Trends in Antibiotic Resistance in US Nursing Homes, 2000-2004

Published online by Cambridge University Press:  02 January 2015

Christopher J. Crnich*
Affiliation:
Section of Infectious Diseases and Department of Medicine, University of Wisconsin Hospital and Medical School, Madison, Wisconsin
Nasia Safdar
Affiliation:
Section of Infectious Diseases and Department of Medicine, University of Wisconsin Hospital and Medical School, Madison, Wisconsin
Jim Robinson
Affiliation:
Center for Health Systems Research and Analysis, Madison, Wisconsin
David Zimmerman
Affiliation:
Center for Health Systems Research and Analysis, Madison, Wisconsin Department of Industrial and Systems Engineering, University of Wisconsin, Madison, Wisconsin
*
University of Wisconsin Hospital, 600 North Highland Avenue, CSC H4/574, Madison, WI 53792 (cjc@medicine.wisc.edu)

Abstract

We evaluated antibiotic resistance trends in US nursing homes using the Minimum Data Set. Significant increases in the number and proportion of infections caused by antibiotic-resistant bacteria were documented over the 5-year study. Further research on antibiotic resistance in nursing homes is urgently needed.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Strausbaugh, LJ, Joseph, CL. The burden of infection in long-term care. Infect Control Hosp Epidemiol 2000;21:674679.Google Scholar
2. Capitano, B, Leshem, OA, Nightingale, CH, Nicolau, DP. Cost effect of managing methicillin-resistant Staphylococcus aureus in a long-term care facility. J Am Geriatr Soc 2003;51:1016.Google Scholar
3. Cosgrove, SE, Sakoulas, G, Perencevich, EN, Schwaber, MJ, Karchmer, AW, Carmeli, Y. Comparison of mortality associated with methicillin-resistant and methicillin-susceptible Staphylococcus aureus bacteremia: a metaanalysis. Clin Infect Dis 2003;36:5359.CrossRefGoogle ScholarPubMed
4. Vromen, M, van der Ven, AJ, Knols, A, Stobberingh, EE. Antimicrobial resistance patterns in urinary isolates from nursing home residents: fifteen years of data reviewed. J Antimicrob Chemother 1999;44:113116.Google Scholar
5. Viray, M, Linkin, D, Maslow, JN, et al. Longitudinal trends in antimicrobial susceptibilities across long-term-care facilities: emergence of fluoroquinolone resistance. Infect Control Hosp Epidemiol 2005;26:5662.Google Scholar
6. Center for Medicare and Medicaid Services. Public Quality Indicator and Resident Reports. Baltimore, MD: Center for Medicare and Medicaid Services; 2005.Google Scholar
7. Center for Medicare and Medicaid Services. Chapter 3: Item-By-Item Guide to the MDS. In: Center for Medicare and Medicaid Services Resident Assessment Instrument. Version 2. Baltimore, MD: Centers for Medicare and Medicaid Services; 2003.Google Scholar
8. Haley, RW, Schaberg, DR, McClish, DK, et al. The accuracy of retrospective chart review in measuring nosocomial infection rates: results of validation studies in pilot hospitals. Am J Epidemiol 1980;111:516533.CrossRefGoogle ScholarPubMed
9. Mor, V, Angelelli, J, Jones, R, Roy, J, Moore, T, Morris, J. Inter-rater reliability of nursing home quality indicators in the U.S. BMC Health Serv Res 2003;3:20.Google Scholar
10. Stevenson, KB, Moore, JW, Sleeper, B. Validity of the minimum data set in identifying urinary tract infections in residents of long-term care facilities. J Am Geriatr Soc 2004;52:707711.Google Scholar
11. McGeer, A, Campbell, B, Emori, TG, et al. Definitions of infection for surveillance in long-term care facilities. Am J Infect Control 1991;19:17.Google Scholar