A snapshot of geriatric infections in Turkey: ratio of geriatric inpatients in hospitals and evaluation of their infectious diseases: A multicenter point prevalence study. (November 2020)

• Record Type: Journal Article
• Authors: Kurtaran, Behice; Kuscu, Ferit; Korkmaz, Pinar; Ozdemir, Burcu; Inan, Dilara; Oztoprak, Nefise; Ozatag, Duru Mistanoglu; Daglı, Ozgur; Birengel, Serhat; Ozdemir, Kevser; Aslaner, Hande; Ulu, Aslıhan; Sehmen, Emine; Erol, Serpil; Kızmaz, Yeşim Uygun; Durmuş, Gül; Işık, M Emirhan; Solay, Aslı Haykır; Komur, Suheyla; Azak, Emel; Yavuz, İlknur; Karagöz, Ergenekon; Sayar, Merve Sefa; Naz, Hasan; Demirbaş, Zehra; İnce, Nevin; Korkmaz, Fatime; Armağan, Şule Özdemir; Savaşçı, Ümit; Aktaş, Sabahat; Tigen, Elif Tükenmez; Şengel, Buket Ertürk; Gürsul, Nur Cancan; Acar, Ali; Sarı, Sema; Turan, Sema; Kostakoğlu, Uğur; Evik, Güliz; Arslan, Kader; Kılıç, Esra Kaya; Atilla, Aynur; Ağalar, Canan; Ateş, Selma; Uğurlu, Kenan; Doğan, Mustafa; Bilman, Funda; Kılıçaslan, Nirgül; Okay, Gülay; Altunal, Nilsun; Balkan, Yasemin; Yetik, Mevliye; Uysal, Serhat; Baran, A İrfan; Erben, Nurettin; Aydemir, Hande; Sezer, B Ergüt; Daldal, Abdulkadir; Kadanalı, Ayten; Tartar, Ayşe Sağmak; Şener, Alper; Harman, Rezan; Ceylan, M Reşat; Ürgüdücü, Hatice; Dökmetaş, İlyas; Hamidi, Ahmet; Yıldırım, A Altunçekiç; Kaygusuz, Sedat; Yılmaz, Esmeray Mutlu; Esen, Şaban; Nazik, Selçuk; Koç, Filiz; Özden, Hale Turan; Demirel, Aslıhan; Kürekçi, Yeşim; Erdoğan, Haluk; Göktaş, Emine Fırat; Uluğ, Mehmet; Kuşoğlu, Hülya; Gözüküçük, Ramazan; Elmaslar Mert, Habibe Tülin; Erdem, İlknur; Şahintürk, Hüseyin; Aliravcı, Işıl Deniz; Ali, Rıdvan Kara; Koçak, Funda; Yıldız, İE; Aslan, Emel; Karadağ, Fatma Yılmaz; Inal, A Seza; Tasova, Yesim;
• Is Part Of: International journal of infectious diseases. Volume 100(2020)
• Page Start: 337
• Page End: 342
• Publication Date: 2020-11
• Subjects: Geriatrics -- Hospitalization -- Infection -- Antibiotic; Communicable diseases -- Periodicals; Communicable Diseases -- Periodicals; Communicable diseases; Periodicals; Electronic journals; 616.9
• DOI: 10.1016/j.ijid.2020.08.046
• Languages: English
• ISSNs: 1201-9712

Abstract

Highlights: The figures are quite dramatic, indicating that one-third of all hospital inpatients are over the age of 65 years. Infections account for one-quarter of hospital admissions in geriatrics. These infection rates are significantly higher than those in developed countries. Pneumonia is the most common cause of hospitalization. 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.