Evidence map›Paper›PMID 26316294›Full record

ReviewDrugs & aging2015

Optimizing Antibiotic Stewardship in Nursing Homes: A Narrative Review and Recommendations for Improvement.

Christopher J Crnich, Robin Jump, Barbara Trautner, Philip D Sloane, Lona Mody

Abstract readReview
In one paragraph

Review in Drugs & aging, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed.

  1. Trial
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  10. Infection control in long term care institutions for the elderly: A reflection document on the situation in Spain.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2023
    Review
  11. Article
  12. Review
  13. Article
  14. Carbapenem-ResistantClinical interventions in aging · 2023
    Article
  15. Feasibility of a Nursing Home Antibiotic Stewardship Intervention.Journal of the American Medical Directors Association · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Christopher J CrnichSchool of Medicine and Public Health, University of Wisconsin, 1685 Highland Avenue, MFCB 5217, Madison, WI, 53705, USA. cjc@medicine.wisc.edu.
Robin JumpGeriatric Research, Education and Clinical Center, Division of Internal Medicine, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH, USA.
Barbara TrautnerSection of Infectious Diseases, Department of Medicine, Baylor College of Medicine, Houston, TX, USA.
Philip D SloaneCecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Lona ModyDivision of Geriatric and Palliative Care Medicine, University of Michigan, Ann Arbor, MI, USA.

Funding

Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
Research Education CoreP30AG024824 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Neil Alexander · 2004 to 2026
$29.2M
Individually tailored lighting system to improve sleep in older adultsR01AG042602 · NIA · RENSSELAER POLYTECHNIC INSTITUTE · PI FIGUEIRO, MARIANA GROSS · 2012 to 2016
$2.7M
Alzheimers Medical Advisor: A Symptom and Sign Management Toolkit for CaregiversR01NR014199 · NINR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SLOANE, PHILIP D · 2012 to 2016
$2.5M
Daily Mouth Care to Prevent Pneumonia in Nursing Homes: A Systems-Level ApproachR01HS022298 · AHRQ · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ZIMMERMAN, SHERYL · 2013 to 2017
$2.5M
Pathway from Functional Disability to Antimicrobial Resistance in Nursing HomesR01AG041780 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MODY, LONA · 2013 to 2017
$1.8M
Targeted Infection Prevention (TIP) Program in Nursing HomesR01AG032298 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MODY, LONA · 2009 to 2013
$1.7M
Infection Management and Antibiotic Stewardship in Nursing HomesR18HS022846 · AHRQ · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SLOANE, PHILIP D · 2014 to 2016
$1.5M
Building a Novel Antibiotic Stewardship intervention for nursing homesR18HS022465 · AHRQ · UNIVERSITY OF WISCONSIN-MADISON · PI CRNICH, CHRISTOPHER J · 2014 to 2016
$1.5M
Preventing Infections and Antimicrobial Resistance in the Aging Population: Translational Research and Training ProgramK24AG050685 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Lona Mody · 2015 to 2026
$1.4M
Modifying Contact Precautions for MRSA in Extended CareR18HS019979 · AHRQ · UNIVERSITY OF MARYLAND BALTIMORE · PI ROGHMANN, MARY-CLAIRE · 2011 to 2013
$1.4M
Geriatric Symptom Protocols for Improved Triage in Offices and Assisted LivingR41NR015200 · NINR · KEONA HEALTH, INC. · PI OAKKAR, OAKKAR · 2014 to 2014
$225k
AHRQ HHS HHSA290201000025IAHRQ HHS R01 HS022298AHRQ HHS R01HS22298AHRQ HHS R18 HS019979AHRQ HHS R18HS019979AHRQ HHS R18 HS022465AHRQ HHS R18HS022465AHRQ HHS R18 HS022846AHRQ HHS R18HS022846NCATS NIH HHS UL1 TR000439NCATS NIH HHS UL1TR000439NIA NIH HHS K24 AG050685NIA NIH HHS P30 AG024824NIA NIH HHS R01 AG032298NIA NIH HHS R01AG032298NIA NIH HHS R01 AG041780NIA NIH HHS R01AG041780NIA NIH HHS R01 AG042602NIA NIH HHS R01AG042602NINR NIH HHS R01 NR014199NINR NIH HHS R01NR014199NINR NIH HHS R41 NR015200NINR NIH HHS R41NR015200
6 · The paper itself

Abstract

The emerging crisis in antibiotic resistance and concern that we now sit on the precipice of a post-antibiotic era have given rise to advocacy at the highest levels for widespread adoption of programmes that promote judicious use of antibiotics. These antibiotic stewardship programmes, which seek to optimize antibiotic choice when clinically indicated and discourage antibiotic use when clinically unnecessary, are being implemented in an increasing number of acute care facilities, but their adoption has been slower in nursing homes. The antibiotic prescribing process in nursing homes is fundamentally different from that observed in hospital and clinic settings, with formidable challenges to implementation of effective antibiotic stewardship. Nevertheless, an emerging body of research points towards ways to improve antibiotic prescribing practices in nursing homes. This review summarizes the findings of this research and presents ways in which antibiotic stewardship can be implemented and optimized in the nursing home setting.

Indexed as

Anti-Bacterial AgentsDrug Resistance, MicrobialHumansNursing HomesAnti-Bacterial Agents

Identifiers

PMID26316294
PMCPMC4579247

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.