Effective antimicrobial stewardship in a long-term care facility through an infectious disease consultation service: Keeping a LID on antibiotic use

Infection Control and Hospital Epidemiology

Volumn 33, Issue 12, 2012, Pages 1185-1192

  Jump, Robin L P ^a,b   Olds, Danielle M ^a   Seifi, Nasim ^a   Kypriotakis, Georgios ^a,b   Jury, Lucy A ^a   Peron, Emily P ^c   Hirsch, Amy A ^a,b   Drawz, Paul E ^a,b   Watts, Brook ^a,b   Bonomo, Robert A ^a,b   Donskey, Curtis J ^a,b  

^a LOUIS STOKES CLEVELAND VA MEDICAL CENTER   (United States)

^b CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c UNIVERSITY OF PITTSBURGH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AMOXICILLIN PLUS CLAVULANIC ACID; ANTIBIOTIC AGENT; BETA LACTAM ANTIBIOTIC; CEFTAROLINE; CLINDAMYCIN; COTRIMOXAZOLE; DORIPENEM; FIDAXOMICIN; LEVOFLOXACIN; QUINOLINE DERIVED ANTIINFECTIVE AGENT; TETRACYCLINE;

ANTIBIOTIC THERAPY; ARTICLE; CLOSTRIDIUM DIFFICILE INFECTION; CONSULTATION; CONTROLLED STUDY; DRUG USE; HEALTH CARE FACILITY; HEALTH SERVICE; HOSPITAL BED CAPACITY; HUMAN; ICD-9; INFECTION; LONG TERM CARE; LONG TERM CARE FACILITY INFECTIOUS DISEASE; MAJOR CLINICAL STUDY; OUTCOME ASSESSMENT; PRESCRIPTION;

ANTI-BACTERIAL AGENTS; ANTI-INFECTIVE AGENTS; BETA-LACTAMS; CIPROFLOXACIN; CLINDAMYCIN; CLOSTRIDIUM DIFFICILE; ENTEROCOLITIS, PSEUDOMEMBRANOUS; HUMANS; INFECTIOUS DISEASE MEDICINE; LONG-TERM CARE; NITROFURANTOIN; NURSING HOMES; REFERRAL AND CONSULTATION; REGRESSION ANALYSIS; TETRACYCLINES; TRIMETHOPRIM-SULFAMETHOXAZOLE COMBINATION; VANCOMYCIN;

EID: 84869193638     PISSN: 0899823X     EISSN: None     Source Type: Journal    
DOI: 10.1086/668429     Document Type: Article

References (30)

1. Jones AL, Dwyer LL, Bercovitz AR, Strahan GW. The National Nursing Home Survey: 2004 overview. Vital Health Stat 2009; 167:1-155.
2. National Center for Health Statistics. Health, United States, 2010: With Special Feature on Death and Dying. Hyattsville, MD: National Center for Health Statistics, 2011.
3. US Census Bureau Public Information Office. An older and more diverse nation by midcentury. Release CB08-123, http:// www.census.gov/newsroom/releases/archives/population /cb08-123.html. Published August 14, 2008. Accessed March 7, 2012.
4. Strausbaugh LJ, Joseph CL. The burden of infection in longterm care. Infect Control Hosp Epidemiol 2000;21(10):674-679.
5. Strausbaugh LJ. Emerging health care-associated infections in the geriatric population. Emerg Infect Dis 2001;7(2):268-271.
6. Juthani-Mehta M, Quagliarello VJ. Infectious diseases in the nursing home setting: challenges and opportunities for clinical investigation. Clin Infect Dis 2010;51(8):931-936.
7. Trick WE, Weinstein RA, DeMarais PL, et al. Colonization of skilled-care facility residents with antimicrobial-resistant pathogens. J Am Geriatr Soc 2001;49(3):270-276.
8. Riggs MM, Sethi AK, Zabarsky TF, Eckstein EC, Jump RLP, Donskey CJ. Asymptomatic carriers are a potential source for transmission of epidemic and nonepidemic Clostridium difficile strains among long-term care facility residents. Clin Infect Dis 2007;45(8):992-998.
9. Nicolle LE, Bentley DW, Garibaldi R, Neuhaus EG, Smith PW. Antimicrobial use in long-term-care facilities. Infect Control Hosp Epidemiol 2000;21(8):537-545.
10. Peron EP, Hirsch AA, Jump RLP, Donskey CJ. Don't let the steward sail without us: high rate of unnecessary antimicrobial use in long-term care facility. Paper presented at: 50th Inter-science Conference on Antimicrobial Agents and Chemotherapy (ICAAC); September 12-15, 2010; Boston, MA.
11. Cohen SH, Gerding DN, Johnson S, et al. Clinical practice guidelines for Clostridium difficile infection in adults: 2010 update by the Society for Healthcare Epidemiology of America (SHEA) and the Infectious Diseases Society of America (IDSA). Infect Control Hosp Epidemiol 2010;31(5):431-455.
12. Dubberke ER, Reske KA, McDonald LC, Fraser VJ. ICD-9 codes and surveillance for Clostridium difficile-associated disease. Emerg Infect Dis 2006;12(10):1576-1579.
13. Wagner AK, Soumerai SB, Zhang F, Ross-Degnan D. Segmented regression analysis of interrupted time series studies in medication use research. J Clin Pharm Ther 2002;27(4):299-309.
14. Judge GG, Griffiths WE, Hill RC, Lee TC. The Theory and Practice of Econometrics. New York: Wiley, 1980.
15. Jump RLP, Riggs MM, Sethi AK, et al. Multihospital outbreak of Clostridium difficile infection, Cleveland, Ohio, USA. Emerg Infect Dis 2010;16(5):827-829, http://wwwnc.cdc.gov/eid/article/16/5/07-1606_article.htm.
16. Jury LA, Jump RLP, Sitzlar B, Guerrero DM, Donskey CJ. Improved diagnosis and treatment of Clostridium difficile infection in a long-term care facility after initiation of an on-site infectious disease consultation service. Paper presented at: 21st Annual Scientific Meeting of the Society for Healthcare Epidemiology of America (SHEA); April 2, 2011; Dallas, TX. Abstract 90.
17. Schwartz DN, Abiad H, DeMarais PL, et al. An educational intervention to improve antimicrobial use in a hospital-based long-term care facility. J Am Geriatr Soc 2007;55(8):1236-1242.
18. Monette J, Miller MA, Monette M, et al. Effect of an educational intervention on optimizing antibiotic prescribing in long-term care facilities. J Am Geriatr Soc 2007;55(8):1231-1235.
19. Loeb M. Effect of a multifaceted intervention on number of antimicrobial prescriptions for suspected urinary tract infections. in residents of nursing homes: cluster randomised controlled trial. BMJ 2005;331(7518):669-670.
20. Zabarsky TF, Sethi AK, Donskey CJ. Sustained reduction in inappropriate treatment of asymptomatic bacteriuria in a long-term care facility through an educational intervention. Am J Infect Control 2008;36(7):476-480.
21. Benoit SR, Nsa W, Richards CL, et al. Factors associated with antimicrobial use in nursing homes: a multilevel model. J Am Geriatr Soc 2008;56(11):2039-2044.
22. Mylotte JM. Measuring antibiotic use in a long-term care facility. Am J Infect Control 1996;24(3):174-179.
23. Johnson S, Samore MH, Farrow KA, et al. Epidemics of diarrhea caused by a clindamycin-resistant strain of Clostridium difficile in four hospitals. N Engl J Med 1999;341(22):1645-1651.
24. Loo VG, Poirier L, Miller MA, et al. A predominantly clonal multi-institutional outbreak of Clostridium difficile-associated diarrhea with high morbidity and mortality. N Engl J Med 2005; 353(23):2442-2449.
25. Polk RE, Hohmann SF, Medvedev S, Ibrahim O. Benchmarking risk-adjusted adult antibacterial drug use in 70 US academic medical center hospitals. Clin Infect Dis 2011;53(11):1100-1110.
26. Caprio TV, Karuza J, Katz PR. Profile of physicians in the nursing home: time perception and barriers to optimal medical practice. J Am Med Dir Assoc 2009;10(2):93-97.
27. Dellit TH, Owens RC, McGowan JE, et al. Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship. Clin Infect Dis 2007;44(2): 159-177.
28. VanSchooneveld TV, Miller H, Sayles H, Watkins K, Smith PW. Survey of antimicrobial stewardship practices in Nebraska long-term care facilities. Infect Control Hosp Epidemiol 2011;32(7): 732-734.
29. Smith PW, Bennett G, Bradley S, et al. SHEA/APIC guideline: infection prevention and control in the long-term care facility. Am J Infect Control 2008;36(7):504-535.
30. Smith PW, Watkins K, Miller H, VanSchooneveld T. Antibiotic stewardship programs in long-term care facilities. Ann Long-Term Care Clin Care Aging 2011;19(4):20-25.