Abstract
The contemporary long-term care provider and interdisciplinary team are well aware
of the recent focus on antibiotic use in their settings. Regulatory changes implemented
by Centers for Medicare and Medicaid Services beginning in 2016 have required long-term
care settings to look at antibiotic use in a more comprehensive way and to align their
programs with the Centers for Disease Control and Prevention's Core Elements for Antibiotic
Stewardship for Nursing Homes. As long-term care settings have worked to develop antibiotic
stewardship programs over the past several years, there have been many discoveries
about the processes involved in gathering data about antibiotic use and associated
attributes, including dose, duration of therapy, and indication for use. Attempts
to align these attributes with appropriateness may require integration of data elements
from pharmacy records and the individual resident's electronic medical record. In
this article, we systematically discuss relevant antibiotic use metrics, sources of
antibiotic use data, collecting and reporting antibiotic use data, concluding with
implications for policy, practice, and research. Only by measuring antibiotic use
can we start to assess the effectiveness of antibiotic stewardship program to induce
meaningful change in the care of residents in long-term care.
Keywords
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Article info
Publication history
Published online: July 28, 2020
Footnotes
The authors declare no conflicts of interest. Dr. Davidson discloses research funding from Sunovion, Seqirus, and Sanofi. Dr. Jump discloses research funding from Pfizer and Merck; she has served on advisory boards for Pfizer and Roche.
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© 2020 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
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