Factors influencing urinary tract infection prevention and antibiotic stewardship in European nursing homes: an interview study with staff

Marie Theut; Alexandra Jønsson; Jette Nygaard Jensen; Valeria Antsupova; Malene Plejdrup Hansen; Carl Llor; Ana Garcia-Sangenis; Ana Moragas; Lina Jaruseviciene; Nina Sodja; Anna Kowalczyk; Andras Balint; Helena Glasova; Agapi Angelaki; Jesper Lykkegaard

doi:10.1007/s41999-025-01330-9

Factors influencing urinary tract infection prevention and antibiotic stewardship in European nursing homes: an interview study with staff

Marie Theut^*, Alexandra Jønsson, Jette Nygaard Jensen, Valeria Antsupova, Malene Plejdrup Hansen, Carl Llor, Ana Garcia-Sangenis, Ana Moragas, Lina Jaruseviciene, Nina Sodja, Anna Kowalczyk, Andras Balint, Helena Glasova, Agapi Angelaki, Jesper Lykkegaard

^*Corresponding author for this work

Department of Clinical Microbiology

Abstract

Aim: This study aimed to explore nursing home staff’s perceptions of factors influencing infection prevention and antibiotic use in European nursing homes, focusing on urinary tract infections. Findings: Staff reported being in a challenging position, needing to balance respecting residents’ autonomy with maintaining proper hygiene. Regarding antibiotic stewardship, staff awareness of their crucial role was found to be limited. Message: Nursing home staff should be made more aware of their important role in the processes surrounding residents’ antibiotic use, and routines should balance residents’ hygiene needs with their autonomy.

Original language	English
Journal	European Geriatric Medicine
Volume	16
Issue number	6
Pages (from-to)	2293-2303
Number of pages	11
ISSN	1878-7649
DOIs	https://doi.org/10.1007/s41999-025-01330-9
Publication status	Published - Dec 2025

Keywords

Anti-bacterial agents
Hygiene
Nursing homes
Qualitative research
Urinary tract infections
Antimicrobial Stewardship/methods
Attitude of Health Personnel
Nursing Homes
Humans
Europe
Middle Aged
Male
Urinary Tract Infections/prevention & control
Female
Interviews as Topic
Adult
Qualitative Research
Anti-Bacterial Agents/therapeutic use

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Theut, M., Jønsson, A., Jensen, J. N., Antsupova, V., Hansen, M. P., Llor, C., Garcia-Sangenis, A., Moragas, A., Jaruseviciene, L., Sodja, N., Kowalczyk, A., Balint, A., Glasova, H., Angelaki, A., & Lykkegaard, J. (2025). Factors influencing urinary tract infection prevention and antibiotic stewardship in European nursing homes: an interview study with staff. European Geriatric Medicine, 16(6), 2293-2303. https://doi.org/10.1007/s41999-025-01330-9

Theut, M, Jønsson, A, Jensen, JN , Antsupova, V, Hansen, MP, Llor, C, Garcia-Sangenis, A, Moragas, A, Jaruseviciene, L, Sodja, N, Kowalczyk, A, Balint, A, Glasova, H, Angelaki, A & Lykkegaard, J 2025, 'Factors influencing urinary tract infection prevention and antibiotic stewardship in European nursing homes: an interview study with staff', European Geriatric Medicine, vol. 16, no. 6, pp. 2293-2303. https://doi.org/10.1007/s41999-025-01330-9

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abstract = "Aim: This study aimed to explore nursing home staff{\textquoteright}s perceptions of factors influencing infection prevention and antibiotic use in European nursing homes, focusing on urinary tract infections. Findings: Staff reported being in a challenging position, needing to balance respecting residents{\textquoteright} autonomy with maintaining proper hygiene. Regarding antibiotic stewardship, staff awareness of their crucial role was found to be limited. Message: Nursing home staff should be made more aware of their important role in the processes surrounding residents{\textquoteright} antibiotic use, and routines should balance residents{\textquoteright} hygiene needs with their autonomy.",

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doi = "10.1007/s41999-025-01330-9",

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T2 - an interview study with staff

AU - Theut, Marie

AU - Jønsson, Alexandra

AU - Jensen, Jette Nygaard

AU - Antsupova, Valeria

AU - Hansen, Malene Plejdrup

AU - Llor, Carl

AU - Garcia-Sangenis, Ana

AU - Moragas, Ana

AU - Jaruseviciene, Lina

AU - Sodja, Nina

AU - Kowalczyk, Anna

AU - Balint, Andras

AU - Glasova, Helena

AU - Angelaki, Agapi

AU - Lykkegaard, Jesper

N1 - Publisher Copyright: © The Author(s) 2025.

PY - 2025/12

Y1 - 2025/12

N2 - Aim: This study aimed to explore nursing home staff’s perceptions of factors influencing infection prevention and antibiotic use in European nursing homes, focusing on urinary tract infections. Findings: Staff reported being in a challenging position, needing to balance respecting residents’ autonomy with maintaining proper hygiene. Regarding antibiotic stewardship, staff awareness of their crucial role was found to be limited. Message: Nursing home staff should be made more aware of their important role in the processes surrounding residents’ antibiotic use, and routines should balance residents’ hygiene needs with their autonomy.

AB - Aim: This study aimed to explore nursing home staff’s perceptions of factors influencing infection prevention and antibiotic use in European nursing homes, focusing on urinary tract infections. Findings: Staff reported being in a challenging position, needing to balance respecting residents’ autonomy with maintaining proper hygiene. Regarding antibiotic stewardship, staff awareness of their crucial role was found to be limited. Message: Nursing home staff should be made more aware of their important role in the processes surrounding residents’ antibiotic use, and routines should balance residents’ hygiene needs with their autonomy.

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KW - Qualitative research

KW - Urinary tract infections

KW - Antimicrobial Stewardship/methods

KW - Attitude of Health Personnel

KW - Nursing Homes

KW - Humans

KW - Europe

KW - Middle Aged

KW - Male

KW - Urinary Tract Infections/prevention & control

KW - Female

KW - Interviews as Topic

KW - Adult

KW - Qualitative Research

KW - Anti-Bacterial Agents/therapeutic use

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DO - 10.1007/s41999-025-01330-9

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SN - 1878-7649

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EP - 2303

JO - European Geriatric Medicine

JF - European Geriatric Medicine

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ER -

Factors influencing urinary tract infection prevention and antibiotic stewardship in European nursing homes: an interview study with staff

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