Table 6. Choice of antibiotics in nursing homes versus hospital to patients provided intravenous and oral antibiotics, by diagnosis.
Iv antibiotics in nursing homes (n = 110) | Iv treatment in hospital (n = 84) | Total | |||||||
RTI | RTI + UTI | UTI | Other* | RTI | RTI+UTI | UTI | Other* | ||
Benzylpenicillin | 26 (34) | 1 (10) | 0 | 2 (18) | 23 (49) | 4 (19) | 0 | 0 | 56 (29) |
Broad spectrum penicillin | 1 (1) | 1 (10) | 0 | 0 | 3 (6) | 1 (5) | 2 (15) | 0 | 8 (4) |
Cefalosporins | 43 (57) | 8 (80) | 12 (92) | 7 (64) | 17 (36) | 12 (57) | 10 (77) | 1 (33) | 110 (57) |
Other iv antibiotics** | 2 (3) | 0 | 1 (8) | 0 | 0 | 1 (5) | 0 | 0 | 4 (2) |
Combinations*** | 4 (5) | 0 | 0 | 2 (18) | 4 (9) | 3 (14) | 1 (8) | 2 (67) | 16 (8) |
Total | 76 (100) | 10 (100) | 13 (100) | 11 (100) | 47 (100) | 21 (100) | 13 (100) | 3 (100) | 194 (100) |
Oral antibiotics in nursing homes (n = 44) | Oral antibiotics in hospital (n = 8) | Total | |||||||
RTI | RTI + UTI | UTI | Other* | RTI | RTI+UTI | UTI | Other* | ||
Phenoxymetylpenicillin | 6 (30) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 6 (12) |
Broad spectrum penicillin | 10 (50) | 1 (33) | 8 (50) | 2 (40) | 1 (50) | 0 | 2 (40) | 0 | 24 (46) |
Ciprofloxacin | 1 (5) | 0 | 4 (25) | 0 | 0 | 1 (100) | 3 (60) | 0 | 9 (17) |
Doksycyclin | 3 (15) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3 (6) |
Nitrofuradantin | 0 | 0 | 2 (13) | 0 | 0 | 0 | 0 | 0 | 2 (4) |
Trimetoprim +/- sulfa | 0 | 1 (33) | 1 (6) | 0 | 1 (50) | 0 | 0 | 0 | 3 (6) |
Other oral antibiotics**** | 0 | 1 (33) | 1 (6) | 3 (60) | 0 | 0 | 0 | 0 | 5 (10) |
Total | 20 (100) | 3 (100) | 16 (100) | 5 (100) | 2 (100) | 1 (100) | 5 (100) | 0 | 52 (100) |
*Other: skin, gastrointestinal and unspecified infections;
**Other iv antibiotics: ciprofloxacin (n = 1), meropenem (n = 3);
***Combinations: cefotaksim + benzylpenicillin/metronidazol/meropenem/klindamycin (n = 9), gentamicin + benzylpenicillin/ampicillin (n = 5), klindamycin + benzylpenicillin (n = 2);
****Other oral antibiotics: cefotaksim (n = 1), erythromycin (n = 1), metronidazol (n = 2), vancomycin (n = 1).