Antibiotic-Prescribed Infections in Patients Receiving Home Care Services
DOI:
https://doi.org/10.35916/thmr.v5i1.87Abstract
In our study, it was aimed to examine "antibiotic (AB) prescribed infections" (ABPI) in patients receiving home care service (HCS) in the last year. Patients receiving HCS from a tertiary hospital were evaluated (n=176). In addition to descriptive information such as demographics, devices used and chronic diseases, ABs prescribed to patients in the last year and infections that were the reason for their prescription were screened retrospectively. It was determined that 138 patients had been prescribed AB at least once. In total, 691 ABs were used in 550 prescriptions. It was observed that the most common ABPI was urinary tract infection (44.9%), and the most commonly prescribed AB was amoxicillin-clavulanic acid (n=123). Using assistive devices for breathing and lung disease increased the risk of lower respiratory tract infection, for which ABs were prescribed at least once. These predictive factors were feeding with a nasogastric catheter or percutaneous endoscopic gastrostomy for upper respiratory tract infections and using a urinary catheter for urinary tract infections. Our study revealed the most common ABPI in patients receiving HCS and the factors predicting them. These findings will shed light on the planning and management of HCS.
References
Montauk SL. Home health care. American family physician. 1998; 58(7):1608-14.
Murkofsky RL, Alston K. The past, present, and future of skilled home health agency care. Clin Geriatr Med. 2009; 25(1):1-17. doi: 10.1016/j.cger.2008.11.006.
Mevzuat Bilgi Sistemi. Sa?l?k Bakanl??? ve ba?l? kurulu?lar? taraf?ndan evde sa?l?k hizmetlerinin sunulmas?na dair yönetmelik. Cited 2023 Feb 28. Available from: https://www.resmigazete.gov.tr/eskiler/2015/02/20150227-14.htm
I??k O, Kandemir A, Eri?en MA, Fidan C. Profile of patients who use home care health services and evaluation of provided service. Hacettepe Journal of Health Administration. 2016;19(2):171-86. Available from: https://dergipark.org.tr/tr/download/article-file/225560
Demirkol ME, K?r Biçer E, Can Çiçek S. Home Health Care Services in Turkey: The Sample of Bolu. Konuralp Medical Journal. 2020; 12(2):200-7. doi: 10.18521/ktd.716781
H?zel K. Ya?l?da enfeksiyon hastal?klar? ve korunma (In Turkish). 53-6. Birinci basamak için temel geriatri. 1. edition. Ankara: Ankara Medical Chamber, 2012, cited 2023 Feb 28. Available from: http://static.ato.org.tr/fs/506304d267cde98830000000/geriatri_semp_kitabi.pdf
Shang J, Ma C, Poghosyan L, Dowding D, Stone P. The prevalence of infections and patient risk factors in home health care: a systematic review. American journal of infection control. 2014; 42(5):479-84. doi: 10.1016/j.ajic.2013.12.018.
Shang J, Larson E, Liu J, Stone P. Infection in home health care: Results from national Outcome and Assessment Information Set data. American journal of infection control. 2015; 43(5):454-9. doi: 10.1016/j.ajic.2014.12.017. Epub 2015 Feb 10.
Sami D, Çeldir Emre J, Özdemir Ö. Frequency of pulmonary infection in patients followed by home care services. Smyrna T?p Dergisi. 2016; (1):35-9. https://www.smyrnatipdergisi.com/dosyalar_upload/belgeler/Evde%20bak%C4%B1m%20hizmetleri1495205255.pdf
Akdemir N, Bostano?lu H, Yurtsever S, Kutlutürkan S, Kapucu S, Canl? Özer Z. Needs of home care services for the bedridden patient’s problems living in their home. Dicle Medical Journal. 2011; 38(1):57-65. https://dergipark.org.tr/tr/download/article-file/54226
Balcio?lu ?. Investigation of the relationship between nutrition, infection, and hospitalization time during palliative care, Kütahya, 2019 (Medical thesis). 27-8.
Chenoweth CE. Urinary tract infections: 2021 Update. Infect Dis Clin North Am. 2021; 35(4):857-70. doi: 10.1016/j.idc.2021.08.003.
Ergin O, Özorak A, Güzel A, Öztürk SA, Çapk?n T, Uçar M. Home Health Services and Urological Problems. Smyrna T?p Dergisi. 2015: (1):1-4. https://smyrnatipdergisi.com/dosyalar_upload/belgeler/Evde%20%C3%BCrolojik%20sorunlar1486406493.pdf
Yörük S, Çal??kan T, Gündo?du H. Determining the reasons for taking care of and the services provided for the elderly individuals age 65 and over who take care from the Bal?kesir State Hospital home care unit. Balikesir Saglik Bil Derg. 2012; 1(1):12-5. Available from: https://dergipark.org.tr/tr/download/article-file/514413
Cohen HA, Kahan E, Cohen Z, Sarrell M, Beni S, Grosman Z, Ashkenazi S. Microbial colonization of nebulizers used by asthmatic children. Pediatrics international. 2006; 48(5): 454-8. doi: 10.1111/j.1442-200X.2006.02252.x.
González-Moro JMR, Vivero GA, Díez JM, Martín SL, Sánchez C, Alonso JLI, Ramos PL. Bacterial colonization and home mechanical ventilation: prevalence and risk factors. Arch Bronconeumol (English Edition). 2004; 40(9): 392-6. doi: 10.1016/S1579-2129(06)60341-8
Bülbül Mara? G, Yetkin B, Özlü Ö, Ceylan M. Healthcare-Associated Infections in the Elderly: An Overview of Nursing Homes. YIU Saglik Bil Derg. 2022; 3(3): 73?8. doi: 10.51261/yiu.2022.00052
Schweon SJ, Edmonds SL, Kirk J, Rowland DY, Acosta C. Effectiveness of a comprehensive hand hygiene program for reduction of infection rates in a long-term care facility. Am J Infect Control. 2013; 41(1): 39-44. doi: 10.1016/j.ajic.2012.02.010. Epub 2012 Jun 30.
World Health Organization. Promoting Rational Use of Medicines: Core Components. Geneva: World Health Organization; 2002, cited 2023 Feb 28. https://apps.who.int/iris/bitstream/handle/10665/67438/WHO_EDM_2002.3.pdf;jsessionid=483415F08E223068B44AB6A3A2857BB4?sequence=1
??li F, Aksoy M, Emre Ayd?ngöz S, Kad? E. Rational Use of Antibiotics by Family Physicians in Turkey During Primary Healthcare Service: A Cross-Sectional Analysis Through The Prescription Information System. TJFMPC. 2020; 14(1): 87-95. doi: 10.21763/tjfmpc.618125.
Demirtürk N. Rational Antibiotic Use in Primary Health Care. Turkiye Klinikleri J Fam Med-Special Topics. 2017; 8(3): 204-9. https://www.turkiyeklinikleri.com/article/tr-birinci-basamakta-akilci-antibiyotik-kullanimi-78757.html
World Health Organization. WHO global strategy for containment of antimicrobial resistance Geneva: World Health Organization; 2001, cited 2023 Feb 28 (WHO /CDS /CSR /DRS /2001.2). https://apps.who.int/iris/bitstream/handle/10665/66860/WHO_CDS_CSR_DRS_2001.2.pdf?sequence=1
