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.
1
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.
2
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
- Ten clinical situations in long-term care for which antibiotics are often prescribed but rarely necessary.Ann Longterm Care. 2012; 20: 23-29
- Antibiotic stewardship in nursing facilities.Infect Dis Clin North Am. 2017; 31: 619-638
- Impact of an automated antibiotic time-out alert on the de-escalation of broad-spectrum antibiotics at a large community teaching hospital.Infect Control Hosp Epidemiol. 2019; 40: 1287-1289
- Cluster randomized trial of an antibiotic time-out led by a team-based pharmacist.Infect Control Hosp Epidemiol. 2020; 41: 1266-1271
- Impact of a prescriber-driven antibiotic time-out on antibiotic use in hospitalized patients.Clin Infect Dis. 2019; 68: 1581-1584
- Effect of antibiotic time-outs on modification of antibiotic prescriptions in nursing homes.Infect Control Hosp Epidemiol. 2020; 41: 635-640
- Exploring antibiotic utilization in assisted living: identifying opportunities for improvement.J Am Med Dir Assoc. 2021; 22: 1772-1773.e1
- Physician perspectives on medical care delivery in assisted living.J Am Geriatr Soc. 2011; 59: 2326-2331
- Challenges of antibiotic prescribing for assisted living residents: perspectives of providers, staff, residents, and family members.J Am Geriatr Soc. 2013; 61: 565-570
- The new antibiotic mantra-“shorter is better.”.JAMA Intern Med. 2016; 176: 1254-1255
Article info
Publication history
Published online: April 03, 2022
Footnotes
The authors declare no conflicts of interest.
Identification
Copyright
© 2022 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
ScienceDirect
Access this article on ScienceDirectRelated Podcast
June 15, 2022
June 2022 Issue: Drug Prescribing Dilemmas in Geriatric Medicine
Host: Dr. Karl Steinberg. Featuring Dr. Philip Sloane, Dr. Mallory Brown, special guest: Josh Niznik, PharmD. Recorded on May 25, 2022.
https://mcdn.podbean.com/mf/download/trnufq/JOTG-2022-06-22_mixdown.mp3
Loading ...
