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Antibiotic Use in Long-Term–Care Facilities: Many Unanswered Questions

Published online by Cambridge University Press:  02 January 2015

Mark Loeb
Mark Loeb*
Affiliation:
Division of Medical Microbiology and Infectious Diseases, Departments of Pathology, Medicine, and Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada
*
Hamilton Health Sciences Corporation, Henderson Site, 711 Concession St, Hamilton, Ontario L8V 1C3, Canada
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Abstract

The extensive use of antibiotics in long-term–care facilities has led to increasing concern about the potential for the development of antibiotic resistance. Relatively little is known, however, about the quantitative relation between antibiotic use and resistance in this population. A better understanding of the underlying factors that account for variance in antibiotic use, unexplained by detected infections, is needed. To optimize antibiotic use, evidence-based standards for empirical antibiotic prescribing need to be developed. Limitations in current diagnostic testing for infection in residents of long-term–care facilities pose a substantial challenge to developing such standards.

Type
Topics in Long-Term Care
Information
Infection Control & Hospital Epidemiology , Volume 21 , Issue 10 , October 2000 , pp. 680 - 683
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2000

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