An educational intervention to improve antimicrobial use in a hospital-based long-term care facility

Journal of the American Geriatrics Society

Volumn 55, Issue 8, 2007, Pages 1236-1242

  Schwartz, David N ^a,b   Abiad, Homer ^b,c   DeMarais, Patricia L ^b,c   Armeanu, Emilian ^a,b   Trick, William E ^a,b   Wang, Yue ^a   Weinstein, Robert A ^a,b  

^a Jr Hospital of Cook County   (United States)

^b RUSH MEDICAL COLLEGE   (United States)

^c Oak Forest Hospital   (United States)

Author keywords

Antimicrobial resistance; Antimicrobial use; Long term care

Indexed keywords

ANTIINFECTIVE AGENT;

ADULT; ARTICLE; CATHETER INFECTION; CENTRAL VENOUS CATHETER; COHORT ANALYSIS; COMPARATIVE STUDY; DECUBITUS; DIABETIC FOOT; DIARRHEA; DRUG USE; EDUCATION PROGRAM; EMERGENCY CARE; FEMALE; HEALTH CARE FACILITY; HEALTH CARE QUALITY; HOSPITAL; HUMAN; INFECTION; INSTITUTIONAL CARE; INTERVENTION STUDY; LONG TERM CARE; MAJOR CLINICAL STUDY; MALE; MEDICAL CARE; PATIENT CARE; PHYSICIAN; PRACTICE GUIDELINE; PROSPECTIVE STUDY; PYELONEPHRITIS; QUASI EXPERIMENTAL STUDY; REGISTRATION; RESPIRATORY TRACT INFECTION; SANITATION; TEACHING; TIME SERIES ANALYSIS; URINARY TRACT INFECTION; VOCATIONAL EDUCATION;

ANTI-BACTERIAL AGENTS; DRUG UTILIZATION; EDUCATION, MEDICAL; FEMALE; GUIDELINE ADHERENCE; HEALTH FACILITIES; HUMANS; LONG-TERM CARE; MALE; MIDDLE AGED; PROSPECTIVE STUDIES;

EID: 34547136922     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/j.1532-5415.2007.01251.x     Document Type: Article

References (30)

1. Nicolle LE. Urinary tract infections in long-term-care facilities. Infect Control Hosp Epidemiol 2001 22 : 167 175.
2. Vergis EM, Brennen C, Wagener M et al. Pneumonia in long-term care: A prospective case-control study of risk factors and impact on survival. Arch Intern Med 2001 161 : 2378 2381.
3. Katz PR, Beam TR, Brand F et al. Antibiotic use in the nursing home: Physician practice patterns. Arch Intern Med 1990 150 : 1465 1468.
4. Warren JW, Palumbo FB, Fitterman L et al. Incidence and characteristics of antibiotic use in aged nursing home patients. J Am Geriatr Soc 1991 39 : 963 972.
5. Wiener J, Quinn JP, Bradford PA et al. Multiple antibiotic-resistant Klebsiella and Escherichia coli in nursing homes. JAMA 1999 281 : 517 523.
6. Trick WE, Weinstein RA, DeMarais PL et al. Colonization of skilled-care facility residents with antimicrobial-resistant pathogens. J Am Geriatr Soc 2001 49 : 270 276.
7. Loeb MB, Craven S, McGeer AJ et al. Risk factors for resistance to antimicrobial agents among nursing home residents. Am J Epidemiol 2003 157 : 40 47.
8. Viray M, Linkin D, Maslow JN et al. Longitudinal trends in antimicrobial susceptibilities across long-term-care facilities: Emergence of fluoroquinolone resistance. Infect Control Hosp Epidemiol 2005 26 : 56 62.
9. McNulty C, Logan M, Donald IP et al. Successful control of Clostridium difficile infection in an elderly care unit through use of a restrictive antibiotic policy. J Antimicrob Chemother 1997 40 : 707 711.
10. Naughton BJ, Mylotte JM. Treatment guideline for nursing home-acquired pneumonia based on community practice. J Am Geriatr Soc 2000 48 : 82 88.
11. Bentley DW, Bradley S, High K et al. Practice guideline for evaluation of fever and infection in long-term care facilities. Clin Infect Dis 2000 31 : 640 653.
12. Nicolle LE, Bentley DW, Garibaldi R et al. Antimicrobial use in long-term-care facilities. Infect Control Hosp Epidemiol 2000 21 : 537 545.
13. Richards C. Infections in residents of long-term care facilities: An agenda for research. Report of an expert panel. J Amer Geriatr Soc 2002 50 : 570 576.
14. Wisniewski MF, Kieszkowski P, Zagorski BM et al. Development of a clinical data warehouse for hospital infection control. J Am Med Inform Assoc 2003 10 : 454 462.
15. Coignard B, Trick WE, DeMarais PL et al. Analysis of antibiotic use in a long-term care facility: Identifying opportunities for improvement. Fourth Decennial International Conference on Nosocomial and Healthcare-Associated Infections, Atlanta, GA, March 5-9, 2000; abstract S-W5-02.
16. Schackow TE, Chavez M, Loya L et al. Audience response system: Effect on learning in family medicine residents. Fam Med 2004 36 : 496 504.
17. Zagorski BM, Trick WE, Schwartz DN et al. The effect of renal dysfunction on antimicrobial utilization measurements. Clin Infect Dis 2002 35 : 1491 1497.
18. López-Lozano J-M, Monnet DL, Yague A et al. Modeling and forecasting antimicrobial resistance and its dynamic relationship to antimicrobial use: A time series analysis. Int J Antimicrob Agents 2000 14 : 21 31.
19. Wagner AK, Soumerai SB, Zhang F et al. Segmented regression analysis of interrupted time series studies in medication use research. J Clin Pharm Ther 2002 27 : 299 309.
20. Durbin J. Testing for serial correlation in least squares regressions when some of the regressors are lagged dependent variables. Econometrica 1970 38 : 410 421.
21. Harris AD, Bradham DD, Baumgarten M et al. The use and interpretation of quasi-experimental studies in infectious diseases. Clin Infect Dis 2004 38 : 1586 1591.
22. Trick WE, Vernon MO, Welbel SF et al. A multicenter intervention program to improve hand hygiene adherence and reduce antimicrobial resistance. Infect Control Hosp Epidemiol 2007 28 : 42 49.
23. Fendler EJ, Ali Y, Hammond BS et al. The impact of alcohol hand sanitizer use on infection rates in an extended care facility. Am J Infect Control 2002 30 : 226 233.
24. Wester CW, Durairaj L, Evans AT et al. Antibiotic resistance: A survey of physician perceptions. Arch Intern Med 2002 162 : 2210 2216.
25. Cabana MD, Rand CS, Powe NR et al. Why don't physicians follow clinical practice guidelines? A framework for improvement. JAMA 1999 282 : 1458 1465.
26. Lutters M, Harbarth S, Janssens J-P et al. Effect of a comprehensive, multidisciplinary, educational program on the use of antibiotics in a geriatric university hospital. J Am Geriatr Soc 2004 52 : 112 116.
27. Loeb M, Brazil K, Lohfeld L et al. Effect of a multifaceted intervention on number of antimicrobial prescriptions for suspected urinary tract infections in residents of nursing homes: Cluster randomized controlled trial. BMJ 2005 331 : 669.
28. MacDougall C, Polk RE. Antimicrobial stewardship programs in health care systems. Clin Microbiol Rev 2005 18 : 638 656.
29. Mylotte JM, Keagle J. Benchmarks for antibiotic use and cost in long-term care. J Am Geriatr Soc 2005 53 : 1117 1122.
30. Naughton BJ, Mylotte JM, Ramadan F et al. Antibiotic use, hospital admissions, and mortality before and after implementing guidelines for nursing home-acquired pneumonia. J Am Geriatr Soc 2001 49 : 1020 1024.