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.

doi:10.1016/j.jamda.2016.08.013

i

Prevalence of Antimicrobial Use and Opportunities to Improve Prescribing Practices in U.S. Nursing Homes

Supporting Files

12 01 2016
By Thompson, Nicola D. ; LaPlace, Lisa ; Epstein, Lauren ; ...

File Language:

English

Details

Alternative Title:

J Am Med Dir Assoc
Personal Author:

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.
Description:

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.
Subjects:

Adult Aged Aged, 80 And Over Anti-Infective Agents Drug Prescriptions Female Health Care Surveys Humans Male Middle Aged Nursing Homes Practice Patterns, Physicians' Quality Improvement United States Urinary Tract Infections Young Adult
Keywords:

Antibiotic Antimicrobial Use Chlorination Household Water Treatment Nursing Home Prescribing Safe Water Storage Surveillance
Source:

J Am Med Dir Assoc. 17(12):1151-1153
Pubmed ID:

27751803
Pubmed Central ID:

PMC6556772
Document Type:

Journal Article
Funding:

CC999999/Intramural CDC HHSUnited States/
Volume:

17
Issue:

12
Collection(s):

CDC Public Access
Main Document Checksum:

urn:sha256:319e69e9d97860cfeeb18aa298f2706814a124a146314c74de0102ffacd693ab
Download URL:

https://stacks.cdc.gov/view/cdc/79132/cdc_79132_DS1.pdf
File Type:

[PDF - 345.30 KB ]

File Language:

English

ON THIS PAGE

Details Supporting Files

CDC STACKS serves as an archival repository of CDC-published products including scientific findings, journal articles, guidelines, recommendations, or other public health information authored or co-authored by CDC or funded partners.

As a repository, CDC STACKS retains documents in their original published format to ensure public access to scientific information.