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Related Experiment Videos

Antimicrobial use in long-term-care facilities

L E Nicolle1, D Bentley, R Garibaldi

  • 1Long-Term-Care Committee, Society for Healthcare Epidemiology of America, Woodbury, NJ 08096-3172, USA.

Infection Control and Hospital Epidemiology
|February 1, 1996
PubMed
Summary

Antimicrobial use in long-term-care facilities (LTCF) is often inappropriate, contributing to antimicrobial resistance. This article offers management strategies and review standards for common infections in LTCF settings.

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Area of Science:

  • Infectious Diseases
  • Geriatric Medicine
  • Pharmacology

Background:

  • Long-term-care facilities (LTCF) exhibit high rates of antimicrobial use, frequently documented as inappropriate.
  • The escalating crisis of antimicrobial resistance (AMR) exacerbates concerns regarding antimicrobial prescribing in LTCF.
  • Unique patient population characteristics, limited diagnostics, and scarce clinical trials complicate efforts to optimize antimicrobial use in LTCF.

Purpose of the Study:

  • To recommend evidence-based approaches for managing common infections in LTCF.
  • To propose minimal standards for implementing effective antimicrobial stewardship programs in LTCF.
  • To address the specific challenges and considerations unique to antimicrobial use in the LTCF setting.

Main Methods:

Related Experiment Videos

  • Literature review and synthesis of existing data on antimicrobial use in LTCF.
  • Development of clinical management guidelines for prevalent LTCF infections.
  • Formulation of recommendations for antimicrobial stewardship program components tailored to LTCF.

    • Main Results:

    • Identified specific common infections in LTCF requiring targeted management strategies.
    • Outlined essential elements for a functional antimicrobial review program in LTCF.
    • Acknowledged the distinct care environment and patient needs within LTCF.

    Conclusions:

    • Optimizing antimicrobial use in LTCF is critical for combating AMR.
    • Implementing standardized management approaches and robust antimicrobial stewardship programs can improve prescribing practices in LTCF.
    • Tailored strategies are necessary to address the complexities of infection management and antimicrobial stewardship in long-term-care settings.