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Prevalence of Antimicrobial Prescribing in Long-Term Care Facilities in a Local Health Authority of Northern Italy

Author

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  • Andrea Sarro

    (Department of Translational Medicine, Università Degli Studi del Piemonte Orientale, 28100 Novara, Italy)

  • Francesco Di Nardo

    (Presidio Ospedaliero Ss. Trinità, ASL NO, 28021 Borgomanero, Italy)

  • Michela Andreoletti

    (Presidio Ospedaliero Ss. Trinità, ASL NO, 28021 Borgomanero, Italy)

  • Chiara Airoldi

    (Department of Translational Medicine, Università Degli Studi del Piemonte Orientale, 28100 Novara, Italy)

  • Lorenza Scotti

    (Department of Translational Medicine, Università Degli Studi del Piemonte Orientale, 28100 Novara, Italy)

  • Massimiliano Panella

    (Department of Translational Medicine, Università Degli Studi del Piemonte Orientale, 28100 Novara, Italy)

Abstract

Background: Almost half of antimicrobial prescriptions in long-term care facilities (LTCFs) is inappropriate. This broad use might represent a strong contributor to antimicrobial resistance in these facilities. This study aimed to assess antibiotic use patterns and potential associated factors with a survey of LTCFs in the local health authority (LHA) of Novara. Methods: A cross-sectional study was conducted in 25 LTCFs in the LHA of Novara following the healthcare-associated infection in LCTFs (HALT) protocol. Information on residents and facilities was assessed. Antibiotic usage and potential determinants were also estimated. Results: In total, 1137 patients were screened for antibiotic usage. Mean age was 84.58 years (SD 9.77), and the majority were female (76.52%). Twenty-six were antibiotic users (prevalence rate 2.29%, 95%CI 1.50–3.33). Antimicrobials were mainly prescribed orally (84.62%). Potential risk factors for antibiotic prescription were catheter use (central and peripheral venous, p -values 0.0475 and 0.0034, respectively, and urinary, p -value 0.0008), immobilization ( p -value < 0.0001), and sex ( p -value 0.0486). Conclusions: This study identified a low prevalence of antimicrobic consumption in LTCFs. Further surveillance studies are warranted to identify trends and changes in pathogen incidence and antimicrobial resistance and to inform public health authorities on the necessity of prudent use of antimicrobials in LCTFs.

Suggested Citation

  • Andrea Sarro & Francesco Di Nardo & Michela Andreoletti & Chiara Airoldi & Lorenza Scotti & Massimiliano Panella, 2022. "Prevalence of Antimicrobial Prescribing in Long-Term Care Facilities in a Local Health Authority of Northern Italy," IJERPH, MDPI, vol. 19(20), pages 1-13, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13412-:d:944881
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    References listed on IDEAS

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    1. George France & Francesco Taroni & Andrea Donatini, 2005. "The Italian health‐care system," Health Economics, John Wiley & Sons, Ltd., vol. 14(S1), pages 187-202, September.
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