Antimicrobial Prophylaxis and Stewardship in Nursing Home: A Narrative Review

نویسندگان

چکیده

The rapid increase in antimicrobial resistance is a great concern safeguarding the nursing home population. Improving inappropriate prescribing main agenda of stewardship. It complicated to articulate appropriateness prescribed residents, especially prophylaxis. tricky because most residents are often on multiple medications, and there no guidelines available for prescribers decide appropriateness. Except urinary tract infections, instructions rarely exists other infections homes. Very few studies discuss prophylactic prescribing, them prevalence studies. These showed tract, respiratory skin-related problem as common cause However, this information presented total proportion without disaggregated analysis conditions types infections. Further, definition used vague, significant risk factors prophylaxis precision about use remain unanswered. Lack appropriate unanswered questions potentially challenging stewardship This review summarizes current situation discusses gaps literature pertinent areas moving forward settings.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

What’s Next? Sustaining Hospital-Initiated Nursing Home Antimicrobial Stewardship Programs

Background. The core elements provide a framework for nursing homes (NH) to establish antibiotic stewardship programs (ASP). We report on implementation and sustainability of ASP through a hospital-NH partnership. Methods. Since 2014, a hospital-based team (HBT) assisted 9 NH in Monroe County, NY in implementing ASP. Enrollment was staggered; data are currently available from 2 NH: Facility X (...

متن کامل

Optimizing Antibiotic Stewardship in Nursing Homes: A Narrative Review and Recommendations for Improvement

The emerging crisis in antibiotic resistance and concern that we now sit on the precipice of a post-antibiotic era have given rise to advocacy at the highest levels for widespread adoption of programmes that promote judicious use of antibiotics. These antibiotic stewardship programmes, which seek to optimize antibiotic choice when clinically indicated and discourage antibiotic use when clinical...

متن کامل

Content Analysis Approaches and methods in Iranian Nursing Studies: A Narrative Review Study

Background and aim: Content analysis (CA) is a widely used to extract the meanings in qualitative studies. Different approaches and methods have been used to perform CA in nursing studies, and their identification can support the selection of an appropriate method in future research. Therefore, the present narrative review examined the approaches and methods used to analyze contents performed b...

متن کامل

Benefits, Limitations and Administrative Methods of Learning Contracts in Nursing Clinical Education: A Narrative Review

Introduction: Learning contract is an individual and dynamic process through which students become self-directed and proactive in learning. Several studies have underscored using this method in nursing education. The purpose of this paper was to review benefits, limitations and administrative methods of learning contracts in nursing clinical education. Methods: This paper is a narrative review....

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: The Journal of nursing home research

سال: 2021

ISSN: ['2496-0799']

DOI: https://doi.org/10.14283/jnhrs.2021.11