European Geriatric Medicine - Supplement 1 - Volume 6

Poster presentations / European Geriatric Medicine 6S1 (2015) S32

–

S156

S113

P = 0.0.39). No between-group differences in FFM were observed.

There was a between-group difference in the 6MWT (25 vs. −10m)

at three months in favor of the IG (r = 0.47, P = 0.04). Changes in FMI

were associated with improved walking capacity in the IG.

Conclusions:

Three months of PRB training might reduce fat mass

in older adults approximately one year after stroke. This exploratory

study indicated an association between improvements in physical

performance and changes in body fat mass.

Infectious diseases and vaccines

P-306

Controlling MDRO in acute geriatric care: Compliancy to hand

disinfection by patients guided by geriatric teams

H. Baeyens

, A. Piette

, J. Dekoninck

, J. Ryckaert

, J.-P. Baeyens

Az Alma, Eeklo, Belgium;

Belgium

Objectives:

MDRO places acute geriatric teams to a huge challenge:

patients with high risk profile for developing MDRO are given

geriatric revalidation at the same time.

In this observational study, we want to measure the effect of hand

disinfection by the patients themselves. Frequently, they suffer from

cognitive and/or physical decline. In this context, it is necessary that

members of the geriatric team help with the hand disinfection.

In addition, we want to document the bacterial load to which these

patients were exposed to during revalidation time.

Methods:

40 patients from one acute geriatric ward are included

during period of 4 weeks. Informed consent is asked, if necessary to

their relatives. Data on MMSE, CCI (=Charlson Comorbidity Index)

and ADL, get up and go are collected.

Hand hygiene and disinfection will be evaluated by the ‘finger

press method’: the patients will press their fingertips directly onto

a blood agar plate. Each patient will be tested on four different

moments. The first measurement takes place after hygienic care and

hand disinfection by nurses in the morning. A ‘clean’ rollator will

be given to the patient. The second will take place after breakfast

in the acute ward restaurant and before entering the fitness room.

Then a hand disinfection (alcohol rub) will be performed, followed

by measurement 3. Patients are confined to their revalidation.

Standard measures to control for MDRO in revalidation rooms are

applied. After the exercises, a new bacteriological control is planned

(measurement 4).

Results:

June 2015.

Conclusions:

June 2015.

P-307

Risk factors of

Clostridium difficile

infection in elderly patients

in Czech hospital

K. Bielakov ´a

The University hospital Brno, Czech Republic, Brno, Czech Republic

Objectives:

Clostridium difficile

infection is a serious disease

complicating the antibiotic treatment in hospital environments.

The goal of this study was to evaluate the risk factors which lead

to the CDI disease in seniors in order to reduce mortality.

Methods:

In this retrospective study the group of 235 patients over

65 years of age with confirmed diagnosis of CDI, hospitalized at

the University hospital, Brno, from January 2008 to December 2013

were evaluated. For the diagnosis of CDI, finding of toxins A and

B in the stool of patients or autopsy confirmation were crucial.

Demographic and epidemiological details, clinical data, antibiotic

administration in previous two months, concurrent medication, the

effect of comorbidities, malnutrition were evaluated.

Results:

The risk factors comprised the cerebrovascular disease,

dementia, presence of pressure ulcers and immobility. The impact

of antibiotic therapy in anamnesis on increased incidence of CDI

was clearly confirmed in our group. The use of tetracycline and

third generation cephalosporin has proved to be a risk ATB. A

statistically significant was the leukocyte levels in the course of CDI.

While assessing other biochemical and haematological parameters,

calcium levels, urea levels and CRP with respect to mortality

measured within the course of CDI came out to be significant.

The study proved the MMSE test, ADL test, MNA-SF test and

Charlson comorbidity index as a statistically important factor.

Conclusion:

Knowledge of risk factors which leads to

Clostridium

difficile

infection in elderly patients could help to improve the

therapeutic process.

P-308

Short stretch bandage does not compromise microcirculation

in patients with erysipelas

S. Bojesen

, M. Midttun

, L. Wiese

Herlev Hospital, Vanløse, Denmark;

Department of Medicine,

and Geriatrics O, Copenhagen University Hospital, Herlev, Herlev,

Denmark;

Herlev Hospital, Copenhagen, Denmark

Objectives:

Cutaneous blood flow rate (BFR) was measured in

the forefoot of 24 patients diagnosed with erysipelas in one calf.

BFR was measured with and without short stretch bandage (SSB)

(comprilan bandage), and presence of the local veno-arteriolar

reflex (VAR) was examined in the forefoot.

Methods:

Five women and 19 men were included, mean age 68

years (45–92 years, median 72 years). Cutaneous BFR was measured

with the heat-washout method in the forefoot with the foot placed

at heart level, and 50 cm below heart level. SSB was applied, and

subsequently BRF was measured in the forefoot at heart level.

Measurements made in the forefoot with SSB were repeated the

following day.

Results:

BFR remained unchanged with the foot placed at heart

level as well as below heart level, not significant, n.s., indicating that

the local VAR was not present. BFR in the forefoot with and without

SSB remained unchanged, n.s., and so did BFR in the forefoot when

repeated at day two, n.s.

Conclusion:

The local VAR was not present, neither with nor

without SSB. Most likely this is due to the fact that VAR is overruled

by the hyperemia caused by the erysipelas infection. In attempt

to restore a normal microcirculation by the use of SSB, which

reduces diffusion distance from capillaries to the tissue, the healing

process might be improved. Use of short stretch bandage does not

compromise peripheral BFR but reduces the edema.

The authors have no conflict of interest to declare.

P-309

Bacteriological analysis of urinary tract infections in a French

nursing home. Introduction of an empiric antibiotic protocol

F. Delamarre Damier

, S. Lafargue

, J.L. Pirot

, H. Raimbault

E. Sassot

Cholet Hospital, Cholet, France;

Mer Et Pins Nursing Home, Saint

Brevin, France;

Medical Lab, Saint Brevin, France

Introduction:

Antibiotic resistance has become a major concern

in the nursing home (NH) communities. Despite this, antibiograms

are not being used enough in the NH to help physicians make more

educated decisions. Bacterial ecology of urinary tract infections

in the NH is unknown and selection of an antibiotic is based on

physician personal experience.

Objective:

To develop an empirical antibiotic protocol according to

urinary tract infections ecology in the NH

Methods:

This retrospective study was performed during one year.

We checked all bacterial urinary cultures (MSU) for susceptibility

to multiple antibiotics (ATB).

Results:

112 MSU were done in 309 potential residents with 34

antibiograms.