Optimizing Antibiotic Use in Nursing Homes Through Antibiotic Stewardship

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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...

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Antibiotic use and infections in nursing homes.

BACKGROUND Residents in nursing homes have a higher risk of developing infections that require antibiotic treatment than elderly people living at home. Use of antibiotics may cause adverse effects and result in the development of antimicrobial resistance. MATERIAL AND METHOD Data on healthcare-associated infections and antibiotic use in 540 Norwegian nursing homes were retrieved from the Norw...

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Antibiotic Stewardship in Nursing Facilities.

Misuse and overuse of antibiotic therapy is a frequent cause of resident harm in nursing facilities. As a result, newly released policy and regulatory initiatives will require antibiotic stewardship programs (ASPs) in nursing facilities. Although implementing ASPs can be challenging, improving the quality of antibiotic prescribing is achievable in this setting. The authors review the determinan...

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Effect of tailored antibiotic stewardship programmes on the appropriateness of antibiotic prescribing in nursing homes.

OBJECTIVES To evaluate the effect of tailored interventions on the appropriateness of decisions to prescribe or withhold antibiotics, antibiotic use and guideline-adherent antibiotic selection in nursing homes (NHs). METHODS We conducted a quasi-experimental study in 10 NHs in the Netherlands. A participatory action research (PAR) approach was applied, with local stakeholders in charge of sel...

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Effects of Excessive Antibiotic Use in Nursing Homes.

In theUnitedStates,onanygivenday, approximately 1.4million people reside inmore than 15 000nursing homes (NHs).1 As a testament to the burgeoning post–acute care population, approximately 3.3 million Medicare recipients are admitted to NHs for short stays each year,makingNHs a crucial segment of the overall health care provision system within the United States.2 Antibiotics are oneof themost fr...

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ژورنال

عنوان ژورنال: North Carolina Medical Journal

سال: 2016

ISSN: 0029-2559

DOI: 10.18043/ncm.77.5.324