Prevalence of Antimicrobial Use and Opportunities to Improve Prescribing Practices in U.S. Nursing Homes

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• 作者：Nicola D. Thompson ; MSC ; PhD^a ; ^{ndthompson@cdc.gov} ; Lisa LaPlace ; MPH^a ; Lauren Epstein ; MD^a ; Deborah Thompson ; MD ; MSPH^b ; Ghinwa Dumyati ; MD^c ; ^d ; Cathleen Concannon ; MPH^d ; Gail Quinlan ; RN ; MS^d ; Tory Witten ; MPH^e ; Linn Warnke ; RN^e ; Ruth Lynfield ; MD^e ; Meghan Maloney ; MPH^f ; Richard Melchreit ; MD^f ; Nimalie D. Stone ; MD ; MS^a
• 关键词：Nursing home ; surveillance ; antimicrobial use ; antibiotic ; prescribing
• 刊名：Journal of the American Medical Directors Association
• 出版年：2016
• 出版时间：1 December 2016
• 年：2016
• 卷：17
• 期：12
• 页码：1151-1153
• 全文大小：214 K
• 卷排序：17

文摘

To describe the prevalence and epidemiology of antimicrobial use (AU) in nursing home residents.DesignOne-day point prevalence survey.Setting and participantsNine nursing homes in four states; 1,272 eligible residents.MeasurementFrequency of antimicrobials prescribed, drug name, start date, duration, route, rationale, and treatment site. AU prevalence per 100 residents overall and by resident characteristic.ResultsAU prevalence was 11.1% (95% confidence interval, 9.4%–12.9%) and varied by resident characteristics. Most (32%) antimicrobials were given for urinary tract infection. For 38% of AU, key prescribing information was not documented.ConclusionOpportunities to improve AU documentation and prescribing exist in nursing homes.