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- van Wietmarschen, Herman A.Louis Bolk Institute, Bunnik, 3981, Netherlands (author)
Probiotics use for antibiotic-associated diarrhea : a pragmatic participatory evaluation in nursing homes
- Article/chapterEnglish2020
Publisher, publication year, extent ...
- 2020-05-13
- Springer Science and Business Media LLC,2020
- electronicrdacarrier
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- LIBRIS-ID:oai:DiVA.org:miun-39066
- https://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-39066URI
- https://doi.org/10.1186/s12876-020-01297-wDOI
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- Language:English
- Summary in:English
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- BACKGROUND: Antibiotic-associated diarrhea (AAD) occurs in 2-25% of nursing home residents, which may lead to dehydration, malnutrition, severe complications and hospitalizations. Research shows that probiotics can be effective and safe in reducing AAD. However, probiotics are not routinely used in Dutch nursing homes. The objectives of this evaluation were to develop a procedure for the implementation of probiotics to prevent AAD in nursing homes, to evaluate effects on AAD occurrence, and to evaluate the implementation process of probiotics in daily care. METHODS: A pragmatic participatory evaluation (PPE) design was chosen, as it seemed a suitable approach for implementation of probiotics, as well as for evaluation of its effectiveness in daily nursing home practice. Probiotics administration was implemented in three nursing homes of the Rivas Zorggroep for residents with somatic and/or psychogeriatric conditions. Ninety-three residents provided data on 167 episodes of antibiotics use, of which 84 episodes that included supplementation with probiotics and 83 episodes with no probiotics supplementation. A multispecies probiotics was administered twice daily upon start of antibiotic treatment, up to 1 week after completing the antibiotics course. The occurrence of AAD was monitored and a process evaluation was conducted to assess facilitators and barriers of probiotics implementation. RESULTS: The number of episodes with AAD when using probiotics was significantly lower than when no probiotics was used (20% vs 36%; p = 0,022, Chi-square). No significant differences in the occurrence of AAD were found between the residents taking amoxicillin/clavulanic acid or ciprofloxacin. Reported facilitators for implementation were perceived benefits of probiotics and prescription by medical staff. Reported challenges were probiotics intake by residents and individual decision-making as to which resident would benefit from it. CONCLUSION: Successful implementation of probiotics demonstrated the prevention of AAD in nursing home residents. TRIAL REGISTRATION: ISRCTN 94786163, retrospectively registered on 3 February 2020.
Subject headings and genre
- MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap hsv//swe
- MEDICAL AND HEALTH SCIENCES Health Sciences hsv//eng
- AAD
- Antibiotic use
- Elderly
- Probiotics
- Psychogeriatric conditions
- Somatic conditions
- Urinary tract infection
Added entries (persons, corporate bodies, meetings, titles ...)
- Busch, MartineVan Praag Institute, Utrecht 3511, Netherlands (author)
- van Oostveen, AnnemiekRivas Zorggroep, Sliedrecht, Netherlands (author)
- Pot, GerdaLouis Bolk Institute, Bunnik, 3981, Netherlands (author)
- Jong, Miek C.,1968-Mittuniversitetet,Institutionen för hälsovetenskap(Swepub:miun)miejon (author)
- Louis Bolk Institute, Bunnik, 3981, NetherlandsVan Praag Institute, Utrecht 3511, Netherlands (creator_code:org_t)
Related titles
- In:BMC Gastroenterology: Springer Science and Business Media LLC20:11471-230X
Internet link
- https://doi.org/10.1186/s12876-020-01297-wFulltext
- https://miun.diva-portal.org/smash/get/diva2:1432135/FULLTEXT01.pdffulltext:print
- https://bmcgastroenterol.biomedcentral.com/track/pdf/10.1186/s12876-020-01297-w
- https://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-39066
- https://doi.org/10.1186/s12876-020-01297-w
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