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2015 ; 32
(9
): 699-716
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Optimizing Antibiotic Stewardship in Nursing Homes: A Narrative Review and
Recommendations for Improvement
#MMPMID26316294
Crnich CJ
; Jump R
; Trautner B
; Sloane PD
; Mody L
Drugs Aging
2015[Sep]; 32
(9
): 699-716
PMID26316294
show ga
The emerging crisis in antibiotic resistance and concern that we now sit on the
precipice of a post-antibiotic era have given rise to advocacy at the highest
levels for widespread adoption of programmes that promote judicious use of
antibiotics. These antibiotic stewardship programmes, which seek to optimize
antibiotic choice when clinically indicated and discourage antibiotic use when
clinically unnecessary, are being implemented in an increasing number of acute
care facilities, but their adoption has been slower in nursing homes. The
antibiotic prescribing process in nursing homes is fundamentally different from
that observed in hospital and clinic settings, with formidable challenges to
implementation of effective antibiotic stewardship. Nevertheless, an emerging
body of research points towards ways to improve antibiotic prescribing practices
in nursing homes. This review summarizes the findings of this research and
presents ways in which antibiotic stewardship can be implemented and optimized in
the nursing home setting.