Healthcare Professional Surveys: Judicious Antibiotic Use in Minnesota Long‐term Care Facilities

Gahr, Pamala; Harper, Jane; Kieke, Burney A.; Como‐Sabetti, Kathryn; Christianson, RobertaE.; Pederson, Jane M.; Lynfield, Ruth

doi:10.1111/j.1532-5415.2007.01080.x

Cited by 9 publications

(21 citation statements)

References 3 publications

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“…Our finding that nursing staff, patients, and family can influence the antibiotic prescribing decision corresponds with previous long-term care studies [ 16 , 18 , 20 – 23 ]. We found that most of the situations in which physicians complied with family wishes to prescribe antibiotics involved end-of-life situations.…”

Section: Discussionsupporting

confidence: 91%

Factors influencing antibiotic prescribing in long-term care facilities: a qualitative in-depth study

et al. 2014

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Background: Insight into factors that influence antibiotic prescribing is crucial when developing interventions aimed at a more rational use of antibiotics. We examined factors that influence antibiotic prescribing in long-term care facilities, and present a conceptual model that integrates these factors. Methods: Semi-structured qualitative interviews were conducted with physicians (n = 13) and nursing staff (n = 13) in five nursing homes and two residential care homes in the central-west region of the Netherlands. An iterative analysis was applied to interviews with physicians to identify and categorize factors that influence antibiotic prescribing, and to integrate these into a conceptual model. This conceptual model was triangulated with the perspectives of nursing staff. Results: The analysis resulted in the identification of six categories of factors that can influence the antibiotic prescribing decision: the clinical situation, advance care plans, utilization of diagnostic resources, physicians' perceived risks, influence of others, and influence of the environment. Each category comprises several factors that may influence the decision to prescribe or not prescribe antibiotics directly (e.g. pressure of patients' family leading to antibiotic prescribing) or indirectly via influence on other factors (e.g. unfamiliarity with patients resulting in a higher physician perceived risk of non-treatment, in turn resulting in a higher tendency to prescribe antibiotics).

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Section: Discussionsupporting

confidence: 91%

Factors influencing antibiotic prescribing in long-term care facilities: a qualitative in-depth study

et al. 2014

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“…241 A recent survey revealed that fewer than one third of LTCFs surveyed had any such antibiotic use protocols in place. 251 Minimum criteria for initiation of antibiotic therapy have been proposed to improve antimicrobial prescribing in LTCFs 252 and may be of assistance in developing antibiotic appropriateness criteria.…”

Section: Antibiotic Stewardshipmentioning

confidence: 99%

“…Approximately two thirds of LTCF professionals identified a clear need for greater education regarding judicious antibiotic use in LTCFs. 251 Education and development of antibiotic guidelines have improved antimicrobial usage in the LTCF setting in several studies. 253,254 Other aspects of the program Policies and procedures.…”

Section: Antibiotic Stewardshipmentioning

confidence: 99%

SHEA/APIC Guideline: Infection prevention and control in the long-term care facility

Smith

Bennett²,

Bradley

et al. 2008

American Journal of Infection Control

200

132

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“…In view of the differences in healthcare models and resources in aged care, AMS programs that function in the acute care hospital setting cannot be readily applied to the long-term care setting. It is thought that education and antimicrobial prescribing protocols in the aged care setting may help reduce unnecessary antimicrobial use [ 47 ].…”

Section: Locations For Ams Programsmentioning

confidence: 99%

Antimicrobial Stewardship: The Need to Cover All Bases

Friedman

2013

Antibiotics

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Increasing antimicrobial resistance has necessitated an approach to guide the use of antibiotics. The necessity to guide antimicrobial use via stewardship has never been more urgent. The decline in anti-infective innovation and the failure of currently available antimicrobials to treat some serious infections forces clinicians to change those behaviors that drive antimicrobial resistance. The majority of antimicrobial stewardship (AMS) programs function in acute-care hospitals, however, hospitals are only one setting where antibiotics are prescribed. Antimicrobial use is also high in residential aged care facilities and in the community. Prescribing in aged care is influenced by the fact that elderly residents have lowered immunity, are susceptible to infection and are frequently colonized with multi-resistant organisms. While in the community, prescribers are faced with public misconceptions about the effectiveness of antibiotics for many upper respiratory tract illnesses. AMS programs in all of these locations must be sustainable over a long period of time in order to be effective. A future with effective antimicrobials to treat bacterial infection will depend on AMS covering all of these bases. This review discusses AMS in acute care hospitals, aged care and the community and emphasizes that AMS is critical to patient safety and relies on government, clinician and community engagement.

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Healthcare Professional Surveys: Judicious Antibiotic Use in Minnesota Long‐term Care Facilities

Cited by 9 publications

References 3 publications

Factors influencing antibiotic prescribing in long-term care facilities: a qualitative in-depth study

Factors influencing antibiotic prescribing in long-term care facilities: a qualitative in-depth study

SHEA/APIC Guideline: Infection prevention and control in the long-term care facility

Antimicrobial Stewardship: The Need to Cover All Bases

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