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Published on: July 9, 2012
Development of an antibiogram in a long-term care facility
Haley M Phillippe1, Charles H Darling, Garrett B Aikens
1Auburn University Harrison School of Pharmacy, Huntsville, Alabama 35801, USA.
Summary
High rates of antibiotic resistance were found in bacteria within a long-term care facility. This study highlights the need for an antibiogram to guide effective treatment and combat rising antimicrobial resistance.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Public Health
Background:
- Antimicrobial resistance (AMR) is a growing global health concern.
- Long-term care facilities (LTCFs) are susceptible to the emergence and spread of resistant bacteria.
- Understanding local resistance patterns is crucial for effective infection control and treatment.
Purpose of the Study:
- To establish a facility-specific antibiogram for a long-term care facility.
- To determine the prevalence of bacterial resistance to various antibiotics.
- To inform antimicrobial stewardship and treatment strategies within the facility.
Main Methods:
- Retrospective analysis of culture and sensitivity data from July 2009 to June 2010.
- Inclusion of residents with at least one culture and sensitivity test.
- Data compilation and reporting aligned with Clinical and Laboratory Standards Institute guidelines.
Main Results:
- Common bacteria identified include Escherichia coli, Staphylococcus aureus, Enterococcus faecalis, Klebsiella pneumoniae, Pseudomonas aeruginosa, and Proteus mirabilis.
- High rates of resistance were observed for these common pathogens.
- Prevalence of methicillin-resistant S. aureus (MRSA) and extended-spectrum beta-lactamase (ESBL)-producing bacteria was noted.
Conclusions:
- The study revealed significant antibiotic resistance among bacteria in the LTCF.
- High resistance rates pose a substantial challenge to treating infections in residents.
- Developing an antibiogram and implementing clinical pathways can aid physicians in antimicrobial selection and improve treatment consistency.
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