In 2016, the Centers for Medicare & Medicaid Services issued new Conditions of Participation
for nursing homes that required them to establish an antibiotic stewardship program
as part of their broader infection prevention and control program.
1
The US Centers for Disease Control (CDC) recommends making the medical director,
director of nursing, infection preventionist, and consultant pharmacist all accountable
for antibiotic stewardship activities.
2
In reality, the responsibility of day-to-day antibiotic stewardship usually falls
on the nursing home infection preventionist. However, most infection preventionists
in this health care setting are nurses with limited training or experience in establishing
antibiotic stewardship programs. High staff turnover makes this situation even more
challenging. In order to establish an effective antibiotic stewardship program, infection
preventionists need support from a multidisciplinary team.US Centers for Disease Control and Prevention
Core elements of antibiotic stewardship for nursing homes.
Core elements of antibiotic stewardship for nursing homes.
https://www-cdc-gov/longtermcare/prevention/antibiotic-stewardship.html
Date accessed: November 23, 2020
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of the American Medical Directors AssociationAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Medicare and Medicaid Programs: Reform of requirements for long-term care facilities. Fed Regist 2016;81:68688.(Available at:)
- Core elements of antibiotic stewardship for nursing homes.(Available at:)https://www-cdc-gov/longtermcare/prevention/antibiotic-stewardship.htmlDate accessed: November 23, 2020
- Policy Statements and Guidelines. Antimicrobial Stewardship—Role of the Pharmacist.(Available at:)https://www.ascp.com/page/policystatementsDate accessed: November 23, 2020
- Antimicrobial Stewardship Certificate Programs.(Available at:)https://sidp.org/Stewardship-CertificateDate accessed: November 23, 2020
- Improvements in antibiotic appropriateness for cystitis in older nursing home residents: A quality improvement study with randomized assignment.J Am Med Dir Assoc. 2021; 22: 173-177
- Nurse decision-making for suspected urinary tract infections in nursing homes: Potential targets to reduce antibiotic overuse.J Am Med Dir Assoc. 2021; 22: 156-163
- A method for assessing drug therapy appropriateness.J Clin Epidemiol. 1992; 45: 1045-1051
- The Medication Appropriateness Index at 20: where it started, where it has been and where it may be going.Drugs Aging. 2013; 30: 893-900
- Diagnosis, treatment, and prevention of urinary tract infections in post-acute and long-term care settings: A consensus statement from AMDA's Infection Advisory Subcommittee.J Am Med Dir Assoc. 2020; 21: 12-24.e2
- Antimicrobial stewardship in community hospitals.Med Clin North Am. 2018; 102: 913-928
- A nationwide survey of antimicrobial stewardship practices.Clin Ther. 2013; 35: 758-765.e20
- Facilitators and barriers to antibiotic stewardship: A qualitative study of pharmacists' perspectives.Hosp Pharm. 2019; 54: 250-258
Article info
Publication history
Published online: November 30, 2020
Footnotes
M.S.A. is the principal investigator and S.B. the coinvestigator on an investigator-initiated research grant funded by Merck & Co that is targeted on evaluating the impact of training consultant pharmacists on antibiotic stewardship in the nursing homes. The authors declare no conflicts of interest.
Identification
Copyright
© 2020 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
