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Antimicrobial Use in Long-Term–Care Facilities

Published online by Cambridge University Press:  02 January 2015

L.E. Nicolle ,
D. Bentley ,
R. Garibaldi ,
E. Neuhaus ,
P. Smith  and
SHEA Long-Term–Care Committee
L.E. Nicolle*
Affiliation:
Long-Term–Care Committee, Society for Healthcare Epidemiology of America
D. Bentley*
Affiliation:
Long-Term–Care Committee, Society for Healthcare Epidemiology of America
R. Garibaldi*
Affiliation:
Long-Term–Care Committee, Society for Healthcare Epidemiology of America
E. Neuhaus*
Affiliation:
Long-Term–Care Committee, Society for Healthcare Epidemiology of America
P. Smith*
Affiliation:
Long-Term–Care Committee, Society for Healthcare Epidemiology of America
*
Society for Healthcare Epidemiology of America, 875 Kings Hwy, Woodbury, NJ 08096-3172
Society for Healthcare Epidemiology of America, 875 Kings Hwy, Woodbury, NJ 08096-3172
Society for Healthcare Epidemiology of America, 875 Kings Hwy, Woodbury, NJ 08096-3172
Society for Healthcare Epidemiology of America, 875 Kings Hwy, Woodbury, NJ 08096-3172
Society for Healthcare Epidemiology of America, 875 Kings Hwy, Woodbury, NJ 08096-3172
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Abstract

There is intense antimicrobial use in long-term–care facilities (LTCF), and studies repeatedly document that much of this use is inappropriate. The current crisis in antimicrobial resistance, which encompasses the LTCF, heightens concerns of antimicrobial use. Attempts to improve antimicrobial use in the LTCF are complicated by characteristics of the patient population, limited availability of diagnostic tests, and virtual absence of relevant clinical trials. This article recommends approaches to management of common LTCF infections and proposes minimal standards for an antimicrobial review program. In developing these recommendations, the article acknowledges the unique aspects of provision of care in the LTCF.

Type
SHEA Position Paper
Information
Infection Control & Hospital Epidemiology , Volume 17 , Issue 2 , February 1996 , pp. 119 - 128
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1996

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