Template for an Antibiotic Stewardship Policy for Post-Acute and Long-Term Care Settings

被引：40

作者：

Jump, Robin L. P. ^{[1
,2
,3
,4
]}

Gaur, Swati ^{[5
]}

Katz, Morgan J. ^{[6
]}

Crnich, Christopher J. ^{[7
,8
]}

Dumyati, Ghinwa ^{[9
,10
]}

Ashraf, Muhammad S. ^{[11
]}

Frentzel, Elizabeth ^{[12
]}

Schweon, Steven J. ^{[13
]}

Sloane, Philip ^{[14
]}

Nace, David ^{[15
]}

机构：

[1] Louis Stokes Cleveland Vet Affairs Med Ctr VAMC, GRECC, Specialty Care Ctr Innovat, 111C W,10701 East Blvd, Cleveland, OH USA

[2] Louis Stokes Cleveland Vet Affairs Med Ctr VAMC, Infect Dis Sect, 10701 East Blvd, Cleveland, OH USA

[3] Case Western Reserve Univ, Dept Med, Div Infect Dis & HIV Med, Cleveland, OH 44106 USA

[4] Case Western Reserve Univ, Dept Populat & Quantitat Hlth Sci, Cleveland, OH 44106 USA

[5] New Horizons Nursing Facil, Gainesville, GA USA

[6] Johns Hopkins Univ, Sch Med, Div Infect Dis, Dept Med, Baltimore, MD 21205 USA

[7] Univ Wisconsin, Dept Med, Sch Med & Publ Hlth, Madison, WI USA

[8] William S Middleton VA Hosp, Dept Med, Madison, WI USA

[9] Univ Rochester, Med Ctr, Infect Dis Div, Rochester, NY 14642 USA

[10] Univ Rochester, Med Ctr, Ctr Community Hlth, Rochester, NY 14642 USA

[11] Univ Nebraska, Med Ctr, Dept Internal Med, Div Infect Dis, Omaha, NE USA

[12] Amer Inst Res, Chapel Hill, NC USA

[13] Steven J Schweon LLC, Saylorsburg, PA USA

[14] Univ N Carolina, Sch Med, Dept Family Med, Chapel Hill, NC USA

[15] Univ Pittsburgh, Sch Med, Dept Med, Div Geriatr Med, Pittsburgh, PA 15213 USA

来源：

JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION | 2017年 / 18卷 / 11期

关键词：

Antimicrobial stewardship; policy; Centers for Medicare and Medicaid Services; nursing homes; infection prevention and control; RESISTANT STAPHYLOCOCCUS-AUREUS; INFECTIOUS-DISEASES-SOCIETY; CLINICAL-PRACTICE GUIDELINES; NURSING-HOME RESIDENTS; CLOSTRIDIUM-DIFFICILE; ANTIMICROBIAL STEWARDSHIP; FACILITIES; RISK; ACQUISITION; PREVENTION;

D O I：

10.1016/j.jamda.2017.07.018

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

In response to a rising concern for multidrug resistance and Clostridium difficile infections, the Centers for Medicare and Medicaid services (CMS) will require all long-term care (LTC) facilities to establish an antibiotic stewardship program by November 2017. Thus far, limited evidence describes implementation of antibiotic stewardship in LTC facilities, mostly in academic-or hospital-affiliated settings. To support compliance with CMS requirements and aid facilities in establishing a stewardship program, the Infection Advisory Committee at AMDA-The Society for Post-Acute and Long-Term Care Medicine, has developed an antibiotic stewardship policy template tailored to the LTC setting. The intent of this policy, which can be adapted by individual facilities, is to help LTC facilities implement an antibiotic stewardship policy that will meet or exceed CMS requirements. We also briefly discuss implementation of an antibiotic stewardship program in LTC settings, including a list of free resources to support those efforts. Published by Elsevier Inc. on behalf of AMDA - The Society for Post-Acute and Long-Term Care Medicine.

引用

页码：913 / 920

页数：8

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