{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:05:38Z","timestamp":1787061938031,"version":"build-2736575974"},"reference-count":45,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2024,2,3]],"date-time":"2024-02-03T00:00:00Z","timestamp":1706918400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Pfizer Inc. managed by Global Medical Grants &amp; Global Bridges Mayo Clinic Quality Improvement","award":["71388143"],"award-info":[{"award-number":["71388143"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Antibiotics"],"abstract":"<jats:p>Urinary tract infections (UTIs) are highly prevalent in long-term care facilities, constituting the most common infection in this setting. Our research focuses on analyzing clinical characteristics and antimicrobial prescriptions for UTIs in residents across nursing homes (NH) in Spain. This is a retrospective analytical cohort analysis using a multifaceted approach based on the normalization process theory to improve healthcare quality provided by nursing staff in 34 NHs in Spain. In this study, we present the results of the first audit including 719 UTI cases collected between February and April 2023, with an average age of 85.5 years and 74.5% being women. Cystitis and pyelonephritis presented distinct symptom patterns. Notably, 6% of asymptomatic bacteriuria cases were treated. The prevalence of dipstick usage was 83%, and that of urine culture was only 16%, raising concerns about overreliance, including in the 46 asymptomatic cases, leading to potential overdiagnosis and antibiotic overtreatment. Improved diagnostic criteria and personalized strategies are crucial for UTI management in NHs, emphasizing the need for personalized guidelines on the management of UTIs to mitigate indiscriminate antibiotic use in asymptomatic cases.<\/jats:p>","DOI":"10.3390\/antibiotics13020152","type":"journal-article","created":{"date-parts":[[2024,2,5]],"date-time":"2024-02-05T03:28:29Z","timestamp":1707103709000},"page":"152","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Antimicrobial Agent Use for Urinary Tract Infection in Long-Term Care Facilities in Spain: Results from a Retrospective Analytical Cohort Analysis"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6333-7116","authenticated-orcid":false,"given":"Priscila","family":"Matovelle","sequence":"first","affiliation":[{"name":"Geriatrics Department, Hospital San Juan de Dios, 50006 Zaragoza, Spain"},{"name":"Geriatrics Department, Universidad de Zaragoza, 50009 Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6565-9699","authenticated-orcid":false,"given":"B\u00e1rbara","family":"Olivan-Bl\u00e1zquez","sequence":"additional","affiliation":[{"name":"Group B21-23R, Health Research Institute of Aragon (IISA), 50009 Zaragoza, Spain"},{"name":"Network for Research on Chronicity, Primary Care and Health Promotion (RICAPPS, RD21\/0016\/0005), 50015 Zaragoza, Spain"},{"name":"Department of Psychology and Sociology, University of Zaragoza, 50009 Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Magall\u00f3n-Botaya","sequence":"additional","affiliation":[{"name":"Group B21-23R, Health Research Institute of Aragon (IISA), 50009 Zaragoza, Spain"},{"name":"Network for Research on Chronicity, Primary Care and Health Promotion (RICAPPS, RD21\/0016\/0005), 50015 Zaragoza, Spain"},{"name":"Medicine Department, Universidad de Zaragoza, 50009 Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6689-6466","authenticated-orcid":false,"given":"Ana","family":"Garc\u00eda-Sangen\u00eds","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3 Institut Universitari per a la Recerca a l\u2019Atenci\u00f3 Prim\u00e0ria de Salut Jordi Gol i Gurina, 08007 Barcelona, Spain"},{"name":"Pharmacology Department, Universitat Aut\u00f2noma de Barcelona, Bellaterra (Cerdanyola del Vall\u00e8s), 08193 Bellaterra, Spain"},{"name":"CIBER en Enfermedades Infecciosas Instituto Carlos III, 28029 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1324-3971","authenticated-orcid":false,"given":"Ramon","family":"Monf\u00e0","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3 Institut Universitari per a la Recerca a l\u2019Atenci\u00f3 Prim\u00e0ria de Salut Jordi Gol i Gurina, 08007 Barcelona, Spain"},{"name":"Pharmacology Department, Universitat Aut\u00f2noma de Barcelona, Bellaterra (Cerdanyola del Vall\u00e8s), 08193 Bellaterra, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Morros","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3 Institut Universitari per a la Recerca a l\u2019Atenci\u00f3 Prim\u00e0ria de Salut Jordi Gol i Gurina, 08007 Barcelona, Spain"},{"name":"Pharmacology Department, Universitat Aut\u00f2noma de Barcelona, Bellaterra (Cerdanyola del Vall\u00e8s), 08193 Bellaterra, Spain"},{"name":"CIBER en Enfermedades Infecciosas Instituto Carlos III, 28029 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia","family":"Navarro Sanmart\u00edn","sequence":"additional","affiliation":[{"name":"Nursing Home, Aragon Institute of Social Services (IASS), 50540 Borja, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5833-4407","authenticated-orcid":false,"given":"Jes\u00fas","family":"Mateos-Nozal","sequence":"additional","affiliation":[{"name":"Geriatrics Department, Hospital Universitario Ram\u00f3n y Cajal (IRYCIS), 28034 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"S\u00e1ez Bejar","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Hospital Universitario La Princesa, Instituto de Investigaci\u00f3n Sanitaria (IIS-Princesa), 28006 Madrid, Spain"},{"name":"Research Institute of Princesa (IIS Princesa), 28006 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Consuelo","family":"Rodr\u00edguez Jim\u00e9nez","sequence":"additional","affiliation":[{"name":"Pharmacology Department, Complejo Hospitalario Universitario de Canarias, 38320 Santa Cruz de Tenerife, 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