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Measuring antibiotic use in a long-term care facility

J M Mylotte1

  • 1Department of Medicine, State University of New York, USA.

American Journal of Infection Control
|June 1, 1996
PubMed
Summary

Antibiotic use in long-term care facilities showed no correlation with fever or Foley catheter use. Monitoring the number of residents treated monthly is a more practical measure of antibiotic use.

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Area of Science:

  • Geriatric Medicine
  • Infectious Disease Epidemiology
  • Healthcare Quality Improvement

Background:

  • Limited data exists on antibiotic use patterns and their correlation with patient outcomes like fever or Foley catheter use in long-term care facilities.
  • Understanding these correlations is crucial for optimizing antibiotic stewardship and patient care in this setting.

Purpose of the Study:

  • To compare different quantitative measures of antibiotic use in a hospital-based long-term care facility.
  • To correlate these antibiotic use measures with the incidence of febrile morbidity and Foley catheter utilization.

Main Methods:

  • A prospective study design was employed, documenting daily resident fever (rectal temperature ≥100.5°F) and Foley catheter presence.
  • Antibiotic use was quantified using incidence (courses per 100 resident care days), proportion of antibiotic days, and monthly courses/residents treated.

Main Results:

  • Over 111 residents received 263 antibiotic courses (0.61 courses/100 resident days) between January-December 1989.
  • An average of 18 residents/month were treated, with trimethoprim/sulfa and ciprofloxacin comprising 55% of prescriptions.
  • No significant correlations were identified between any antibiotic use metric and monthly febrile or Foley catheter days.

Conclusions:

  • In long-term care settings, tracking the monthly number of residents treated with antibiotics is a more practical and informative metric than measuring resident care days on antibiotics.
  • This finding supports a shift towards resident-centered monitoring for antibiotic stewardship initiatives.

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