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Antimicrobial Stewardship in Rhode Island Long-Term Care Facilities: Current Standings and Future Opportunities

  • Haley J. Morrill (a1) (a2) (a3), Leonard A. Mermel (a2) (a4) (a5), Rosa R. Baier (a6) (a7), Nicole Alexander-Scott (a4) (a8) (a9), David Dosa (a3) (a9), Sara Kavoosifar (a10), Rebecca Reece (a4) (a8) and Kerry L. LaPlante (a1) (a2) (a3) (a4)...
Abstract

Our survey of antimicrobial stewardship practices among Rhode Island long-term care facilities demonstrated opportunities to develop formal programs. Results suggest infection preventionists are largely responsible for ensuring appropriate antibiotic use in long-term care facilities and there is a need for increased interdisciplinary access to individuals with antimicrobial stewardship expertise.

Infect Control Hosp Epidemiol 2016;37:979–982

Copyright
Corresponding author
Address correspondence to Kerry L. LaPlante, PharmD, University of Rhode Island, College of Pharmacy, 7 Greenhouse Rd, Ste 295A, Kingston, RI 02881 (KerryLaPlante@uri.edu).
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Presented in part: IDWeek 2015; San Diego, California; October 8, 2015.

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References
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1. The core elements of antibiotic stewardship for nursing homes. Centers for Disease Control and Prevention website. http://www.cdc.gov/longtermcare/index.html. Published 2015. Accessed September 20, 2015.
2. Proposed rule: Medicare and Medicaid Programs; reform of requirements for long-term care facilities. Centers for Medicare and Medicaid Services website. https://www.federalregister.gov/articles/2015/07/16/2015-17207/medicare-and-medicaid-programs-reform-of-requirements-for-long-term-care-facilities-table_of_contents. Published 2015. Accessed November 26, 2015.
3. Clinical outcome goal: infections. Advancing Excellence in America’s Nursing Homes Campaign website. https://www.nhqualitycampaign.org/goalDetail.aspx?g=inf. Accessed November 26, 2014.
4. Core elements of hospital antibiotic stewardship programs. Centers for Disease Control and Prevention website. http://www.cdc.gov/getsmart/healthcare/implementation/core-elements.html. Published 2014. Accessed November 26, 2014.
5. Malani, AN, Brennan, BM, Collins, CD, Finks, J, Pogue, JM, Kaye, KS. Antimicrobial stewardship practices in Michigan long-term care facilities. Infect Control Hosp Epidemiol 2016;37:236237.
6. Van Schooneveld, T, Miller, H, Sayles, H, Watkins, K, Smith, PW. Survey of antimicrobial stewardship practices in Nebraska long-term care facilities. Infect Control Hosp Epidemiol 2011;32:732734.
7. Yang, M, Vleck, K, Bellantoni, M, Sood, G. Telephone survey of infection-control and antibiotic stewardship practices in long-term care facilities in Maryland [published online February 2, 2016]. J Am Med Dir Assoc. pii: S1525-8610(15)00777-X.
8. Dellit, TH, Owens, RC, McGowan, JE Jr, 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;44:159177.
9. Morrill, HJ, Caffrey, AR, Jump, RL, Dosa, D, LaPlante, KL. Antimicrobial stewardship in long-term care facilities: a call to action. J Am Med Dir Assoc 2016;17:183.e1183.e16.
10. Jump, RL, Olds, DM, Seifi, N, et al. Effective antimicrobial stewardship in a long-term care facility through an infectious disease consultation service: keeping a LID on antibiotic use. Infect Control Hosp Epidemiol 2012;33:11851192.
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Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
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