Antibiotic Stewardship in Nursing Facilities

• Autores: Miranda McElligott, Grace Welham, Aurora Pop Vicas, Lyndsay Taylor, Christopher J. Crnich
• Localización: Infectious disease clinics of North America, ISSN 0891-5520, Vol. 31, Nº. 4, 2017 (Ejemplar dedicado a: Infections in Older Adults), págs. 619-638
• Idioma: inglés
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• Resumen

  • 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 determinants of antibiotic prescribing in nursing facilities, strategies to improve antibiotic prescribing in this setting, current status of ASPs in nursing facilities, and steps that facilities can take to enhance existing ASP structure and process.