Abstract
Antibiograms are important clinical tools to report and track antibiotic susceptibility
and help guide empiric antimicrobial therapy. Antibiograms support compliance with
antimicrobial stewardship (AMS) requirements from the Centers for Medicare and Medicaid
Services and are in line with recommendations from the Centers for Disease Control
and Prevention Core Elements of AMS for nursing homes/long-term care facilities (LTCFs).
Unlike most acute-care settings, LTCFs are challenged in creating antibiograms because
of the low number of bacterial isolates collected annually. Determining the best methodology
for creating clinically useful antibiograms for LTCFs needs to be explored. Possible
approaches include (1) extending the isolate data beyond 1 year, (2) combining isolate
data from the same geographic region, (3) using a nearby acute-care facility's antibiogram
as a proxy, or (4) collapsing isolate data. This article discusses the benefits and
limitations of each approach.
Keywords
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Article info
Publication history
Published online: June 19, 2018
Footnotes
This work was supported in part by the Veterans Affairs (VA) Health Services and Research Merit Award #15-120. The findings and conclusions in this document are those of the authors, who are responsible for its content, and do not necessarily represent the views of the VA or of the United States Government.
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Copyright
Published by Elsevier Inc. on behalf of AMDA - The Society for Post-Acute and Long-Term Care Medicine.
