Cleaning, resistant bacteria, and antibiotic prescribing in residential aged care facilities

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• 作者：Raquel U. Cowan ; MBBS ; FRACP ; PhD^a ; ^{rcowan@barwonhealth.org.au" class="auth_mail" title="E-mail the corresponding author} ; Divya Kishan^b ; Aaron L. Walton ; MD ; FRACP ; FRCPA^a ; ^c ; Emmy Sneath ; MBBS^b ; Thomas Cheah^b ; Judith Butwilowsky ; BScN ; GDip AdvN^a ; N. Deborah Friedman ; MBBS ; FRACP ; MD ; MPH^a
• 关键词：Residential aged care facilities ; Cleaning ; Antibiotics ; Environmental contamination ; Extended-spectrum β-lactamase
• 刊名：American Journal of Infection Control
• 出版年：2016
• 出版时间：1 March 2016
• 年：2016
• 卷：44
• 期：3
• 页码：e19-e21
• 全文大小：135 K

文摘

Residents of residential aged care facilities (RACFs) are at risk of colonization and infection with multidrug-resistant bacteria, and antibiotic prescribing is often inappropriate and not based on culture-proven infection. We describe low levels of resident colonization and environmental contamination with resistant gram-negative bacteria in RACFs, but high levels of empirical antibiotic use not guided by microbiologic culture. This research highlights the importance of antimicrobial stewardship and environmental cleaning in aged care facilities.