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Published on: August 30, 2018
Prevalence of Antimicrobial Use and Opportunities to Improve Prescribing Practices in U.S. Nursing Homes
Nicola D Thompson1, Lisa LaPlace1, Lauren Epstein1
1Centers for Disease Control and Prevention, Atlanta, GA.
Objectives:
To describe the prevalence and epidemiology of antimicrobial use (AU) in nursing home residents.
Design:
One-day point prevalence survey.
Setting And Participants:
Nine nursing homes in four states; 1,272 eligible residents.
Measurement:
Frequency of antimicrobials prescribed, drug name, start date, duration, route, rationale, and treatment site. AU prevalence per 100 residents overall and by resident characteristic.
Results:
AU prevalence was 11.1% (95% confidence interval, 9.4%-12.9%) and varied by resident characteristics. Most (32%) antimicrobials were given for urinary tract infection. For 38% of AU, key prescribing information was not documented.
Conclusion:
Opportunities to improve AU documentation and prescribing exist in nursing homes.
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