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Letter to the Editor| Volume 19, ISSUE 11, P1024-1026.e1, November 2018

Increasing Antimicrobial Resistance in Long-Term Care Facility Patients With Bacteremia: A 5 Year's Surveillance

Published:August 16, 2018DOI:https://doi.org/10.1016/j.jamda.2018.06.015
      Older patients residing in institutions, who are predisposed to frequent hospitalizations, invasive procedures, and repeated antibiotic use, are at higher risk for bacterial infections. The most common infection in a long-term care facility (LTCF) is an urinary tract infection (UTI) mainly caused by multidrug-resistant (MDR) gram-negative rods (GNR).
      • Mutters N.T.
      • Gunther F.
      • Heininger A.
      • Frank U.
      Device-related infections in long-term healthcare facilities: The challenge of prevention.
      • Smith P.W.
      • Bennett G.
      • Bradley S.
      • et al.
      SHEA/APIC Guideline Infection prevention and control in the long-term care facility.
      • Viray M.
      • Linkin D.
      • Maslow J.N.
      • et al.
      Longitudinal trends in antimicrobial susceptibilities across long-term-care facilities emergence of fluoroquinolone resistance.
      • Moro M.L.
      • Ricchizzi E.
      • Morsillo F.
      • et al.
      Infections and antimicrobial resistance in long-term care facilities: A national prevalence study.
      • Heudorf U.
      • Gustav C.
      • Mischler D.
      • Schulze J.
      Healthcare associated infections (HAI), antibiotic use and prevalence of multidrug-resistant bacteria (MDRO) in residents of long-term care facilities: The Frankfurt HALT plus MDRO project 2012.
      • Venkatachalam I.
      • Yang H.L.
      • Fisher D.
      • et al.
      Multidrug-resistant Gram-negative bloodstream infections among residents of long-term care facilities.
      Our objectives were to characterize antimicrobials susceptibility patterns of LTCF residents hospitalized with bacteremia acquired at LTCF and examine the adequacy of empiric antibiotic treatment and outcome.
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