Stone, Patricia W. 2017. Integration of Infection Management and Palliative Care in Nursing Homes: An Understudied Issue. Research in Gerontological Nursing, Vol. 10, Issue. 5, p. 199.
Hamano, Jun and Tokuda, Yasuharu 2017. Changes in vital signs as predictors of bacterial infection in home care: a multi-center prospective cohort study. Postgraduate Medicine, Vol. 129, Issue. 2, p. 283.
Laudisio, Alice Marinosci, Felice Gemma, Antonella Bartoli, Isaura Rossi Montenegro, Nicola and Incalzi, Raffaele Antonelli 2017. The Burden of Comorbidity Is Associated with Antibiotic Resistance Among Institutionalized Elderly with Urinary Infection: A Retrospective Cohort Study in a Single Italian Nursing Home Between 2009 and 2014. Microbial Drug Resistance, Vol. 23, Issue. 4, p. 500.
Parsons, Carole and van der Steen, Jenny T. 2017. Antimicrobial Use in Patients with Dementia: Current Concerns and Future Recommendations. CNS Drugs, Vol. 31, Issue. 6, p. 433.
Garcia, Robert and Spitzer, Eric D. 2017. Promoting appropriate urine culture management to improve health care outcomes and the accuracy of catheter-associated urinary tract infections. American Journal of Infection Control, Vol. 45, Issue. 10, p. 1143.
Atramont, Alice Bonnet-Zamponi, Dominique Bourdel-Marchasson, Isabelle Tangre, Isabelle Fagot-Campagna, Anne and Tuppin, Philippe 2017. Health status and drug use 1 year before and 1 year after skilled nursing home admission during the first quarter of 2013 in France: a study based on the French National Health Insurance Information System. European Journal of Clinical Pharmacology,
Eure, Taniece LaPlace, Lisa L. Melchreit, Richard Maloney, Meghan Lynfield, Ruth Whitten, Tory Warnke, Linn Dumyati, Ghinwa Quinlan, Gail Concannon, Cathleen Thompson, Deborah Stone, Nimalie D. and Thompson, Nicola D. 2017. Measuring Antibiotic Appropriateness for Urinary Tract Infections in Nursing Home Residents. Infection Control & Hospital Epidemiology, Vol. 38, Issue. 08, p. 998.
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Kistler, Christine E. Zimmerman, Sheryl Scales, Kezia Ward, Kimberly Weber, David Reed, David McClester, Mallory and Sloane, Philip D. 2017. The Antibiotic Prescribing Pathway for Presumed Urinary Tract Infections in Nursing Home Residents. Journal of the American Geriatrics Society, Vol. 65, Issue. 8, p. 1719.
Wilson, Brigid M. Shick, Sue Carter, Rebecca R. Heath, Barbara Higgins, Patricia A. Sychla, Basia Olds, Danielle M. and Jump, Robin L.P. 2017. An online course improves nurses' awareness of their role as antimicrobial stewards in nursing homes. American Journal of Infection Control, Vol. 45, Issue. 5, p. 466.
Roukens, Monique Verhoef, Linda Stobberingh, Ellen and Natsch, Stephanie 2017. Surveillance of antimicrobial use in Dutch long-term care facilities. Journal of Antimicrobial Chemotherapy, p. dkw581.
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Bradley, Suzanne F. 2016. Antimicrobial Stewardship and Infection Prevention in Long-Term Care Settings: New Strategies to Prevent Resistant Organisms. Current Geriatrics Reports, Vol. 5, Issue. 1, p. 16.
Mylotte, Joseph M. 2016. Antimicrobial Stewardship in Long-Term Care: Metrics and Risk Adjustment. Journal of the American Medical Directors Association, Vol. 17, Issue. 7, p. 672.e13.
Batina, Nataliya G. Crnich, Christoper J. Anderson, David F. and Döpfer, Dörte 2016. Models to predict prevalence and transition dynamics of methicillin-resistant Staphylococcus aureus in community nursing homes. American Journal of Infection Control, Vol. 44, Issue. 5, p. 507.
Kidd, François Dubourg, Dominique Heller, Francis and Frippiat, Frédéric 2016. Antimicrobial stewardship in long-term care facilities in Belgium: a questionnaire-based survey of nursing homes to evaluate initiatives and future developments. Antimicrobial Resistance & Infection Control, Vol. 5, Issue. 1,
Adler, Amos Friedman, N. Deborah and Marchaim, Dror 2016. Multidrug-Resistant Gram-Negative Bacilli. Infectious Disease Clinics of North America, Vol. 30, Issue. 4, p. 967.
Heath, Barbara Bernhardt, Jaime Michalski, Thomas J. Crnich, Christopher J. Moehring, Rebekah Schmader, Kenneth E. Olds, Danielle Higgins, Patricia A. and Jump, Robin L.P. 2016. Results of a Veterans Affairs employee education program on antimicrobial stewardship for older adults. American Journal of Infection Control, Vol. 44, Issue. 3, p. 349.
Morrill, Haley J. Caffrey, Aisling R. Jump, Robin L.P. Dosa, David and LaPlante, Kerry L. 2016. Antimicrobial Stewardship in Long-Term Care Facilities: A Call to Action. Journal of the American Medical Directors Association, Vol. 17, Issue. 2, p. 183.e1.
There is intense antimicrobial use in long-term-care facilities (LTCFs), 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 the virtual absence of relevant clinical trials. This position paper recommends approaches to management of common infections in LTCF patients and proposes minimal standards for an anti-microbial review program. In developing these recommendations, the position paper acknowledges the unique aspects of provision of care in the LTCF.
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