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Optimizing Antibiotic Stewardship in Nursing Homes: A Narrative Review and Recommendations for Improvement. - PubMed - NCBI

Optimizing Antibiotic Stewardship in Nursing Homes: A Narrative Review and Recommendations for Improvement. - PubMed - NCBI

 2015 Sep;32(9):699-716. doi: 10.1007/s40266-015-0292-7.

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

Crnich CJ1,2Jump R3,4Trautner B5,6Sloane PD7,8Mody L9,10.

Abstract

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 clinically unnecessary, are being implemented in an increasing number of acute care facilities, but their adoption has been slower in nursing homes. The antibiotic prescribing process in nursing homes is fundamentally different from that observed in hospital and clinic settings, with formidable challenges to implementation of effective antibiotic stewardship. Nevertheless, an emerging body of research points towards ways to improve antibiotic prescribing practices in nursing homes. This review summarizes the findings of this research and presents ways in which antibiotic stewardship can be implemented and optimized in the nursing home setting.
PMID:
 
26316294
 
PMCID:
 
PMC4579247
 
DOI:
 
10.1007/s40266-015-0292-7
[PubMed - indexed for MEDLINE] 
Free PMC Article

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