Antimicrobial Stewardship in Long-Term Care Facilities

R I Med J (2013). 2018 Jun 1;101(5):42-44.

Abstract

Antimicrobial stewardship (AMS) has become a major component of patient safety across all healthcare settings. The risk of Clostridium difficile, increasing antibiotic-resistant organisms, and potential adverse events from antibiotic misuse have led to the demand for AMS programs in long-term care facilities (LTCFs). LTCFs face several unique barriers in implementing antibiotic stewardship; however, with a change in culture through leadership, education, and accountability to the whole team these barriers can be overcome.

Keywords: Antimicrobial stewardship; asymptomatic bacteriuria; long-term care; nursing homes.

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Antimicrobial Stewardship / organization & administration*
  • Centers for Disease Control and Prevention, U.S.
  • Clostridium Infections / prevention & control
  • Humans
  • Infection Control
  • Long-Term Care*
  • Nursing Homes*
  • Practice Guidelines as Topic
  • United States

Substances

  • Anti-Bacterial Agents