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Antibiotic Deescalation Opportunities for Residents in Assisted Living Facilities

      Antibiotic prescribing patterns offer insights into clinical care across different health care settings, especially in nursing homes (NHs). These residents are highly susceptible to infection and are frequently inappropriately treated with antibiotics.
      • Khandelwal C.
      • Lathren C.
      • Sloane P.
      JALC
      Ten clinical situations in long-term care for which antibiotics are often prescribed but rarely necessary.
      Overuse and misuse of antibiotics is a common cause of adverse drug events, colonization, and infections caused by multidrug-resistant bacteria and Clostridioides difficile infection in NHs.
      • McElligott M.
      • Welham G.
      • Pop-Vicas A.
      • et al.
      Antibiotic stewardship in nursing facilities.
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      References

        • Khandelwal C.
        • Lathren C.
        • Sloane P.
        • JALC
        Ten clinical situations in long-term care for which antibiotics are often prescribed but rarely necessary.
        Ann Longterm Care. 2012; 20: 23-29
        • McElligott M.
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        • Pop-Vicas A.
        • et al.
        Antibiotic stewardship in nursing facilities.
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        Impact of an automated antibiotic time-out alert on the de-escalation of broad-spectrum antibiotics at a large community teaching hospital.
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        J Am Med Dir Assoc. 2021; 22: 1772-1773.e1
        • Sloane P.D.
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        J Am Geriatr Soc. 2013; 61: 565-570
        • Spellberg B.
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        JAMA Intern Med. 2016; 176: 1254-1255

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