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A syndrome-based approach to antimicrobial stewardship in an Arizona skilled nursing facility-Moving the needle
Peter P Patterson1, Katherine D Ellingson2, Danielle Backus3
1Patterson LTC Consults, Surprise, AZ; The University of Arizona College of Public Health, Tucson, AZ.
Abstract:
In 2015, an Arizona skilled nursing facility implemented an antibiotic stewardship protocol targeting unnecessary prescribing for suspect urinary tract infection. The protocol emphasized auditing of culturing and prescribing practices, feedback to prescribers, engagement of clinical staff, and educational in-services. Between Quarter 4 of 2014 (baseline) and Quarter 1 of 2017, urine culturing, days of antibiotic therapy for suspect urinary tract infection, and Clostridiodes difficile infections per 1,000 resident-days decreased by >50% with no urosepsis events.
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