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Table 2 Predictors of UTIa antibiotic prescriptions among those ≥ 75 yearsb

From: Antibiotic use in the care home setting: a retrospective cohort study analysing routine data

 

All ≥ 75 years

≥75 years without a catheter

≥ 75 years with a catheter

 

Unadjusted odds ratio

Adjusted odds ratioc

Adjusted odds ratioc

Adjusted odds ratioc

Care home resident

2.66 (2.51–2.82; p < 0.001)

2.12 (1.99–2.26; p < 0.001)

2.19 (2.05–2.34; p < 0.001)

1.40 (1.08–1.82; p = 0.012)

Female

2.57 (2.45–2.69; p < 0.001)

2.85 (2.72–2.99; p < 0.001)

2.95 (2.80–3.09; p < 0.001)

1.46 (1.16–1.84; p = 0.001)

Age

1.03 (1.03–1.04; p < 0.001)

1.01 (1.00–1.01; p = 0.003)

1.01 (1.00–1.01; p = 0.004)

0.99 (0.98–1.01; p = 0.574)

Urinary catheter

8.08 (7.31–8.93; p < 0.001)

11.3 (10.1–12.6; p < 0.001)

N/A

N/A

Comorbidity

    

 • None

1.00

1.00

1.00

1.00

 • One

1.65 (1.53–1.79; p < 0.001)

1.67 (1.54–1.81; p < 0.001)

1.71 (1.58–1.86; p < 0.001)

0.86 (0.56–1.31; p = 0.475)

 • Two

2.12 (1.97–2.28; p < 0.001)

2.04 (1.89–2.20; p < 0.001)

2.10 (1.94–2.27; p < 0.001)

0.96 (0.65–1.42; p = 0.832)

 • Three or more

2.82 (2.64–3.02; p < 0.001)

2.61 (2.44–2.80; p < 0.001)

2.71 (2.53–2.91; p < 0.001)

1.00 (0.71–1.42; p = 0.989)

  1. aTrimethoprim and nitrofurantoin, the dominant antibiotics used for urinary tract infection in the UK and rarely used for alternative conditions
  2. bAll ≥75 years not prescribed long term prophylaxis against recurrent UTI, both in care homes and not in care homes (N = 101,373)
  3. cCare home resident status adjusted for gender, age, presence of urinary catheter and number of comorbidity according to Quality and Outcomes Framework, OR (95 % CI; p-value)
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BMC Geriatrics

ISSN: 1471-2318

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