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Prevalence of Antimicrobial Use and Opportunities to Improve Prescribing Practices in U.S. Nursing Homes.
Thompson, Nicola D; LaPlace, Lisa; Epstein, Lauren; Thompson, Deborah; Dumyati, Ghinwa; Concannon, Cathleen; Quinlan, Gail; Witten, Tory; Warnke, Linn; Lynfield, Ruth; Maloney, Meghan; Melchreit, Richard; Stone, Nimalie D.
Afiliação
  • Thompson ND; Centers for Disease Control and Prevention, Atlanta, GA. Electronic address: ndthompson@cdc.gov.
  • LaPlace L; Centers for Disease Control and Prevention, Atlanta, GA.
  • Epstein L; Centers for Disease Control and Prevention, Atlanta, GA.
  • Thompson D; New Mexico Emerging Infections Program, New Mexico Department of Health, Santa Fe, NM.
  • Dumyati G; University of Rochester, Rochester, NY; Emerging Infections Program, Rochester, NY.
  • Concannon C; Emerging Infections Program, Rochester, NY.
  • Quinlan G; Emerging Infections Program, Rochester, NY.
  • Witten T; Minnesota Emerging Infections Program, Minnesota Department of Health, Saint Paul, MN.
  • Warnke L; Minnesota Emerging Infections Program, Minnesota Department of Health, Saint Paul, MN.
  • Lynfield R; Minnesota Emerging Infections Program, Minnesota Department of Health, Saint Paul, MN.
  • Maloney M; Connecticut Emerging Infections Program, Connecticut Department of Public Health, Hartford, CT.
  • Melchreit R; Connecticut Emerging Infections Program, Connecticut Department of Public Health, Hartford, CT.
  • Stone ND; Centers for Disease Control and Prevention, Atlanta, GA.
J Am Med Dir Assoc ; 17(12): 1151-1153, 2016 12 01.
Article em En | MEDLINE | ID: mdl-27751803
ABSTRACT

OBJECTIVES:

To describe the prevalence and epidemiology of antimicrobial use (AU) in nursing home residents.

DESIGN:

One-day point prevalence survey. SETTING AND

PARTICIPANTS:

Nine nursing homes in four states; 1,272 eligible residents. MEASUREMENT Frequency of antimicrobials prescribed, drug name, start date, duration, route, rationale, and treatment site. AU prevalence per 100 residents overall and by resident characteristic.

RESULTS:

AU 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.

CONCLUSION:

Opportunities to improve AU documentation and prescribing exist in nursing homes.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Prescrições de Medicamentos / Padrões de Prática Médica / Melhoria de Qualidade / Anti-Infecciosos / Casas de Saúde Tipo de estudo: Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Região como assunto: America do norte Idioma: En Revista: J Am Med Dir Assoc Assunto da revista: HISTORIA DA MEDICINA / MEDICINA Ano de publicação: 2016 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Prescrições de Medicamentos / Padrões de Prática Médica / Melhoria de Qualidade / Anti-Infecciosos / Casas de Saúde Tipo de estudo: Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Região como assunto: America do norte Idioma: En Revista: J Am Med Dir Assoc Assunto da revista: HISTORIA DA MEDICINA / MEDICINA Ano de publicação: 2016 Tipo de documento: Article