1. A snapshot of geriatric infections in Turkey: ratio of geriatric inpatients in hospitals and evaluation of their infectious diseases: A multicenter point prevalence study
- Author
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Ramazan Gözüküçük, Ilyas Dokmetas, Yeşim Taşova, Umit Savasci, Hale Turan Özden, Selma Ateş, Esra Kaya Kılıç, Serhat Birengel, Ali Acar, M Emirhan Işık, Şaban Esen, Fatma Yılmaz Karadağ, Kader Arslan, Rezan Harman, Ahmet Hamidi, Emine Sehmen, Asli Haykir Solay, Ayşe Sağmak Tartar, Sedat Kaygusuz, Funda Kocak, Esmeray Mutlu Yilmaz, Filiz Koc, Ozgur Dagli, Hande Aslaner, Şule Özdemir Armağan, Isil Deniz Aliravci, Serpil Erol, Duru Mıstanoğlu Özatağ, Behice Kurtaran, Canan Agalar, Ilknur Esen Yildiz, Mustafa Dogan, Merve Sefa Sayar, Yeşim Kürekçi, Rıdvan Kara Ali, Ilknur Erdem, Zehra Demirbaş, Yasemin Balkan, Fatime Korkmaz, Funda Bilman, Yesim Uygun Kizmaz, Nur Cancan Gürsul, Hüseyin Şahintürk, Emine Fırat Göktaş, Nefise Oztoprak, Pinar Korkmaz, Hande Aydemir, Aynur Atilla, A İrfan Baran, Nevin Ince, Hülya Kuşoğlu, Sabahat Çağan Aktaş, Ilknur Yavuz, Nilsun Altunal, Abdulkadir Daldal, Ferit Kuşcu, Aslıhan Demirel, Serhat Uysal, Mehmet Ulug, Buket Erturk Sengel, Güliz Evik, Dilara Inan, Gülay Okay, Aslihan Ulu, Nurettin Erben, Selçuk Nazik, A Altunçekiç Yıldırım, Sema Turan, M Reşat Ceylan, Haluk Erdoğan, Hatice Ürgüdücü, Hasan Naz, Kevser Ozdemir, Nirgül Kılıçaslan, Elif Tukenmez Tigen, Süheyla Kömür, Gül Durmuş, Uğur Kostakoğlu, Ayten Kadanali, B Ergüt Sezer, Habibe Tülin Elmaslar Mert, Emel Aslan, Ergenekon Karagoz, Alper Şener, Burcu Ozdemir, Emel Azak, Mevliye Yetik, Kenan Ugurlu, Sema Sarı, A Seza Inal, and OKAY, GÜLAY
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Male ,0301 basic medicine ,Turkey ,healthcare associated infection ,very elderly ,Antibiotics ,Psychological intervention ,Prevalence ,Turkey (republic) ,0302 clinical medicine ,Health care ,antibiotic therapy ,antibiotic agent ,030212 general & internal medicine ,Aged, 80 and over ,Geriatrics ,education.field_of_study ,inappropriate prescribing ,General Medicine ,Hospitals ,Hospitalization ,aged ,hospital patient ,Infectious Diseases ,female ,multicenter study (topic) ,Female ,Infection ,Microbiology (medical) ,medicine.medical_specialty ,medicine.drug_class ,Urinary system ,030106 microbiology ,Population ,prevalence ,Infections ,Communicable Diseases ,Article ,lcsh:Infectious and parasitic diseases ,03 medical and health sciences ,length of stay ,male ,medicine ,Humans ,pneumonia ,lcsh:RC109-216 ,human ,education ,Aged ,Preventive healthcare ,Inpatients ,business.industry ,Antibiotic ,Length of Stay ,major clinical study ,infection ,Emergency medicine ,geriatric disorder ,business - Abstract
Introduction The human population is aging at an astonishing rate. The aim of this study is to capture a situation snapshot revealing the proportion of individuals aged 65 years and over among inpatients in healthcare institutions in Turkey and the prevalence and type of infections in this patient group in order to draw a road map. Materials and Methods Hospitalized patients over 65 years at any of the 62 hospitals in 29 cities across Turkey on February 9, 2017 were included in the study. Web-based SurveyMonkey was used for data recording and evaluation system. Results Of 17,351 patients 5871 (33.8%) were ≥65 years old. The mean age was 75.1 ± 7.2 years; 3075 (52.4%) patients were male. Infection was reason for admission for 1556 (26.5%) patients. Pneumonia was the most common infection. The median length of hospital stay was 5 days (IQR: 2–11 days). The Antibiotic therapy was initiated for 2917 (49.7%) patients at the time of admission, and 23% of the antibiotics prescribed were inappropriate. Healthcare-associated infections developed in 1059 (18%) patients. Urinary catheters were placed in 2388 (40.7%) patients with 7.5% invalid indication. Conclusion This study used real data to reveal the proportion of elderly patients in hospital admissions. The interventions done, infections developed during hospitalization, length of hospital stay, and excessive drug load emphasize the significant impact on health costs and illustrate the importance of preventive medicine in this group of patients.
- Published
- 2020