Antibacterial resistance in urinary samples from long term care-facility and community-dwelling older people in Gauteng, South Africa

Key Points

Antimicrobial resistance was found to be significantly higher in urinary pathogens among LTCF residents, indicating a pressing health issue.
The study noted that common empirical treatments for UTIs may not be effective for older adults living in long-term care facilities.
Assessment involved evaluating urinary samples from both long-term care-facility and community-dwelling older individuals.
Findings highlight the need for targeted antimicrobial stewardship programs and updated treatment guidelines for older adults.

Abstract

LTCF residence was independently associated with higher AMR in several common urinary pathogens. These findings suggest that empirical UTI regimens commonly used in community-dwelling older adults may be inadequate for LTCF residents. Setting-specific antibiograms, improved diagnostic stewardship, and strengthened AMS interventions are needed to support appropriate prescribing. Further studies incorporating patient-level clinical factors are warranted to refine empirical treatment recommendations for older adults across care settings.

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Labuschagne et al. (Thu,) studied this question.

synapsesocial.com/papers/69a75bf5c6e9836116a243aa https://doi.org/https://doi.org/10.1016/j.jgar.2026.01.012

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