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Antibiotic resistance patterns of bacteria causing urinary tract infections in the elderly living in nursing homes versus the elderly living at home: an observational study

Overview of attention for article published in BMC Geriatrics, August 2015
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  • Above-average Attention Score compared to outputs of the same age (57th percentile)
  • Average Attention Score compared to outputs of the same age and source

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Title
Antibiotic resistance patterns of bacteria causing urinary tract infections in the elderly living in nursing homes versus the elderly living at home: an observational study
Published in
BMC Geriatrics, August 2015
DOI 10.1186/s12877-015-0097-x
Pubmed ID
Authors

Mark Fagan, Morten Lindbæk, Nils Grude, Harald Reiso, Maria Romøren, Dagfinn Skaare, Dag Berild

Abstract

Antibiotic resistance is a problem in nursing homes. Presumed urinary tract infections (UTI) are the most common infection. This study examines urine culture results from elderly patients to see if specific guidelines based on gender or whether the patient resides in a nursing home (NH) are warranted. This is a cross sectional observation study comparing urine cultures from NH patients with urine cultures from patients in the same age group living in the community. There were 232 positive urine cultures in the NH group and 3554 in the community group. Escherichia coli was isolated in 145 urines in the NH group (64 %) and 2275 (64 %) in the community group. There were no clinically significant differences in resistance. Combined, there were 3016 positive urine cultures from females and 770 from males. Escherichia coli was significantly more common in females 2120 (70 %) than in males 303 (39 %)(p < 0.05). Enterococcus faecalis was significantly less common in females 223(7 %) than males 137 (18 %) (p < 0.05). For females, there were lower resistance rates to ciprofloxacin among Escherichia coli (7 % vs 12 %; p < 0.05) and to mecillinam among Proteus mirabilis (3 % vs 12 %; p < 0.05). Differences in resistance rates for patients in the nursing home do not warrant separate recommendations for empiric antibiotic therapy, but recommendations based on gender seem warranted.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 107 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 107 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 17 16%
Student > Bachelor 14 13%
Student > Ph. D. Student 14 13%
Researcher 11 10%
Student > Postgraduate 7 7%
Other 17 16%
Unknown 27 25%
Readers by discipline Count As %
Medicine and Dentistry 29 27%
Nursing and Health Professions 9 8%
Immunology and Microbiology 9 8%
Agricultural and Biological Sciences 7 7%
Biochemistry, Genetics and Molecular Biology 7 7%
Other 15 14%
Unknown 31 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 14 September 2015.
All research outputs
#12,617,044
of 22,818,766 outputs
Outputs from BMC Geriatrics
#1,804
of 3,187 outputs
Outputs of similar age
#112,070
of 264,230 outputs
Outputs of similar age from BMC Geriatrics
#23
of 36 outputs
Altmetric has tracked 22,818,766 research outputs across all sources so far. This one is in the 44th percentile – i.e., 44% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,187 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.5. This one is in the 43rd percentile – i.e., 43% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 264,230 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 57% of its contemporaries.
We're also able to compare this research output to 36 others from the same source and published within six weeks on either side of this one. This one is in the 36th percentile – i.e., 36% of its contemporaries scored the same or lower than it.