Successfully reducing antibiotic prescribing in nursing homes

Journal of the American Geriatrics Society

Volumn 62, Issue 5, 2014, Pages 907-912

  Zimmerman, Sheryl ^a   Sloane, Philip D ^a,b   Bertrand, Rosanna ^c   Olsho, Lauren E W ^c   Beeber, Anna ^a   Kistler, Christine ^a,b   Hadden, Louise ^c   Edwards, Alrick ^c   Weber, David J ^b   Mitchell, C Madeline ^a  

^a UNIVERSITY OF NORTH CAROLINA   (United States)

^b UNIVERSITY OF NORTH CAROLINA SCHOOL OF MEDICINE   (United States)

^c ABT ASSOCIATES   (United States)

Author keywords

antibiotic prescribing; nursing homes; quality improvement

Indexed keywords

ANTIBIOTIC AGENT;

ADULT; AGED; ANTIBIOTIC THERAPY; ARTICLE; ASSISTED LIVING FACILITY; DEMENTIA; DRUG INDICATION; FEMALE; HUMAN; INFECTION CONTROL; LONG TERM CARE; MAJOR CLINICAL STUDY; MALE; MEDICAL CARE; NURSING ASSISTANT; NURSING HOME; NURSING HOME PATIENT; NURSING HOME PERSONNEL; NURSING STAFF; PATIENT REFERRAL; PRESCRIPTION; REGISTERED NURSE; RESPIRATORY TRACT INFECTION; SKIN INFECTION; SOFT TISSUE INFECTION; TOTAL QUALITY MANAGEMENT; UNITED STATES; URINARY TRACT INFECTION; URINE CULTURE;

ANTIBIOTIC PRESCRIBING; NURSING HOMES; QUALITY IMPROVEMENT;

ADULT; AGED; AGED, 80 AND OVER; ANTI-BACTERIAL AGENTS; FEMALE; FOLLOW-UP STUDIES; GUIDELINE ADHERENCE; HUMANS; INAPPROPRIATE PRESCRIBING; INCIDENCE; INFECTION; MALE; MIDDLE AGED; NORTH CAROLINA; NURSING HOMES; PHYSICIAN'S PRACTICE PATTERNS; RETROSPECTIVE STUDIES; YOUNG ADULT;

EID: 84900800617     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/jgs.12784     Document Type: Article

References (26)

1. Leung E, Weil DE, Raviglione M, et al. The WHO policy package to combat antimicrobial resistance. Bull World Health Organ 2011; 89: 390-392.
2. Centers for Disease Control and Prevention. Antibiotic Use in Nursing Homes [on-line]. Available at http://www.cdc.gov/getsmart/campaign-materials/ week/downloads/gsw-factsheet-nursinghomes.pdf Accessed December 27, 2012.
3. 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: 2039-2044.
4. 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.
5. 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.
6. Nicolle LE, Bentley DW, Garibaldi R, et al. Antimicrobial use in long-term-care facilities. SHEA Long-Term-Care Committee. Infect Control Hosp Epidemiol 2000; 21: 537-545.
7. Katz PR, Beam TR Jr, Brand F, et al. Antibiotic use in the nursing home. Physician practice patterns. Arch Intern Med 1990; 150: 1465-1468.
8. Zimmer JG, Bentley DW, Valenti WM, et al. Systemic antibiotic use in nursing homes. A quality assessment. J Am Geriatr Soc 1986; 34: 703-710.
9. 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 randomised controlled trial. BMJ 2005; 331: 669.
10. Loeb M, Brazil K, Lohfeld L, et al. Optimizing antibiotics in residents of nursing homes: Protocol of a randomized trial. BMC Health Serv Res 2002; 2: 17.
11. Loeb M, Simor AE, Landry L, et al. Antibiotic use in Ontario facilities that provide chronic care. J Gen Intern Med 2001; 16: 376-383.
12. Nicolle LE, Mayhew WJ, Bryan L,. Prospective randomized comparison of therapy and no therapy for asymptomatic bacteriuria in institutionalized elderly women. Am J Med 1987; 83: 27-33.
13. Nicolle LE, Bjornson J, Harding GK, et al. Bacteriuria in elderly institutionalized men. N Engl J Med 1983; 309: 1420-1425.
14. National Center for Health Statistics. Health, United States, 2011 With Special Feature on Socioeconomic Status and Health [on-line]. Available at http://www.cdc.gov/nchs/data/hus/hus11.pdf Accessed December 27, 2012.
15. Mody L,. Optimizing antimicrobial use in nursing homes: No longer optional. J Am Geriatr Soc 2007; 55: 1301-1302.
16. Linnebur SA, Fish DN, Ruscin JR, et al. Impact of a multidisciplinary intervention on antibiotic use for nursing home-acquired pneumonia. Am J Geriatr Pharmacother 2011; 9: 442-450.
17. Majerovitz SD, Mollott RJ, Rudder C,. We're on the same side: Improving communication between nursing home and family. Health Commun 2009; 24: 12-20.
18. Zimmerman S, Gruber-Baldini AL, Hebel R, et al. Nursing home facility risk factors for infection and hospitalization: Importance of RN turnover, administration and social factors. J Am Geriatr Soc 2002; 50: 1987-1995.
19. Loeb M, Bentley DW, Bradley S, et al. Development of minimum criteria for the initiation of antibiotics in residents of long-term-care facilities: Results of a consensus conference. Infect Control Hosp Epidemiol 2001; 22: 120-124.
20. Khandelwal C, Lathren C, Sloane P,. Ten clinical situations in long-term care for which antibiotics are often prescribed but rarely necessary. Ann Long-Term Care 2012; 20: 23-29.
21. Centers for Medicare and Medicaid Services. Nursing Home Data Compendium, 2010 Ed. [on-line]. Available at https://www.cms.gov/Medicare/Provider- Enrollment-and-Certification/CertificationandComplianc/downloads/ nursinghomedatacompendium-508.pdf Accessed December 27, 2012.
22. Schurr J, Bertrand R, Hurd D,. Using Nursing Home Antibiograms to Improve Antibiotic Prescribing and Delivery [on-line]. Available at http://www.ahrq.gov/news/events/conference/2012/track-a/62-garfinkel-et-al/ hirshon.html Accessed February 13, 2014.
23. Levy C, Palat SI, Kramer AM,. Physician practice patterns in nursing homes. J Am Med Dir Assoc 2007; 8: 558-567.
24. Katz PR, Karuza J, Intrator O, et al. Nursing home physician specialists: A response to the workforce crisis in long-term care. Ann Intern Med 2009; 150: 411-413.
25. Katz PR, Karuzna J,. Physician practice in the nursing home: Missing in action or misunderstood. J Am Geriatr Soc 2005; 53: 1826-1288.
26. Ouslander JG, Berenson RA,. Reducing unnecessary hospitalizations of nursing home residents. N Engl J Med 2011; 365: 1165-1167.