Skip to main content Accessibility help
×
Home

Prevalence and Predictors of Antibiotic Use in Community-Based Elderly in Ontario, Canada

  • Dominik Mertz (a1), Erin Y. Tjam (a2) (a3), Jeff Poss (a2), John P. Hirdes (a2) (a4), Bruce Arai (a5), Jennie Johnstone (a1) (a6), Micaela Jantzi (a2) and Mark Loeb (a1) (a6) (a7)...

Extract

Little is known about antibiotic use in the elderly receiving home care. We found that 6,873 (5.4%) of 126,339 home care patients in Ontario received antibiotic treatment; 26% of the antibiotics administered were fluoroquinolones. Antibiotic treatment was most frequent in patients less than 65 years of age and among those with a poorer health status.

Copyright

Corresponding author

Departments of Pathology and Molecular Medicine and Clinical Epidemiology and Biostatistics, McMaster University, MDCL 3203, 1200 Main Street W, Hamilton, ON L8N 3Z5, Canada (loebm@mcmaster.ca)

References

Hide All
1.Steinman, MA, Gonzales, R, Linder, JA, Landefeld, CS. Changing use of antibiotics in community-based outpatient practice, 1991–1999. Ann Intern Med 2003;138(7):525533.
2.Gonzales, R, Malone, DC, Maselli, JH, Sande, MA. Excessive antibiotic use for acute respiratory infections in the United States. Clin Infect Dis 2001;33(6):757762.
3.Shehab, N, Patel, PR, Srinivasan, A, Budnitz, DS. Emergency department visits for antibiotic-associated adverse events. Clin Infect Dis 2008;47(6):735743.
4.Goossens, H, Ferech, M, Vander Stichele, R, Elseviers, M, and the ESAC Project Group. Outpatient antibiotic use in Europe and association with resistance: a cross-national database study. Lancet 2005;365(9459):579587.
5.Filippini, M, Masiero, G, Moschetti, K. Socioeconomic determinants of regional differences in outpatient antibiotic consumption: evidence from Switzerland. Health Policy 2006;78(1):7792.
6.Glass, SK, Pearl, DL, McEwen, SA, Finley, R. A province-level risk factor analysis of fluoroquinolone consumption patterns in Canada (2000–06). J Antimicrob Chemother 2010;65(9):20192027.
7.Zhang, Y, Lee, BY, Donohue, JM. Ambulatory antibiotic use and prescription drug coverage in older adults. Arch Intern Med 2010;170(15):13081314.
8.Nitzan, O, Low, M, Lavi, I, Hammerman, A, Klang, S, Raz, R. Variability in outpatient antimicrobial consumption in Israel. Infection 2010;38(1):1218.
9.Dial, S, Kezouh, A, Dascal, A, Barkun, A, Suissa, S. Patterns of antibiotic use and risk of hospital admission because of Clostridium difficile infection. CMAJ 2008;179(8):767772.
10.Hirdes, JP, Frijters, DH, Teare, GF. The MDS-CHESS scale: a new measure to predict mortality in institutionalized older people. J Am Geriatr Soc 2003;51(1):96100.

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed