- Dora Stepan1, Lea Ušaj1, Marija Petek Šter2, Marjetka Smolinger Galun3, Hermina Smole4, Bojana Beović1,5
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View Affiliations Hide AffiliationsAffiliations: 1 Department of Infectious Diseases, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia 2 Department of Family Medicine, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia 3 Long-term care facility Danice Vogrinec Maribor, Maribor, Slovenia 4 Long-term care facility for the elderly Trebnje, Trebnje, Slovenia 5 Department of Infectious Diseases, University Medical Centre Ljubljana, Ljubljana, SloveniaBojana Beovićbojana.beovic kclj.si
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Citation style for this article: Stepan Dora, Ušaj Lea, Petek Šter Marija , Smolinger Galun Marjetka, Smole Hermina, Beović Bojana. Antimicrobial prescribing in long-term care facilities: a nationwide point-prevalence study, Slovenia, 2016. Euro Surveill. 2018;23(46):pii=1800100. https://doi.org/10.2807/1560-7917.ES.2018.23.46.1800100 Received: 05 Mar 2018; Accepted: 14 Jul 2018
Antimicrobial prescribing in long-term care facilities: a nationwide point-prevalence study, Slovenia, 2016
Abstract
Residents in long-term care are at high risk of infections because of their old age and many related health problems that lead to frequent antibiotic prescribing. The aim of the study was to assess antibiotic use in Slovenian long-term care facilities (LTCFs). The point-prevalence study was conducted between April and June 2016. Online questionnaires were sent to all Slovenian LTCFs. Eighty (68.4%) of the 117 LTCFs contacted, caring for 13,032 residents (70.6% of all Slovenian LTCF residents), responded to the survey. On the day of the study, the mean antibiotic prevalence per LTCF was 2.4% (95% confidence interval: 1.94–2.66). Most (70.2%) of the residents taking antibiotics were female. Most residents were being treated for respiratory tract (42.7%) or urinary tract (33.3%) infections. Co-amoxiclav and fluoroquinolones were the most frequently prescribed antibiotics (41.0% and 22.3% respectively). Microbiological tests were performed for 5.2% of residents receiving antibiotics. Forty nine (19.8%) residents receiving antibiotics were colonised with multidrug-resistant bacteria (MDR). Antibiotic use in Slovenian LTCFs is not very high, but most prescribed antibiotics are broad-spectrum. Together with low use of microbiological testing and high prevalence of colonisation with MDR bacteria the situation is worrisome and warrants the introduction of antimicrobial stewardship interventions.

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Supplementary data
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Supplement. Patient with antibiotics prescribed per indication
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