ArticleAmerican journal of infection control2020
Characteristics of nursing homes with comprehensive antibiotic stewardship programs: Results of a national survey.
Article in American journal of infection control, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- How do aged-care staff feel about antimicrobial stewardship? A systematic review of staff attitudes in long-term residential aged-care.Antimicrobial resistance and infection control · 2022Pooled it
- Education and regular Feedback for Antimicrobial Stewardship in nursing homes: EduFAST study protocol.Frontiers in medicine · 2026Article
- Antibiotic stewardship practices at community living centers for veterans.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026Article
- Barriers to the implementation of antimicrobial stewardship programmes in long-term care facilities: a scoping review.The Journal of antimicrobial chemotherapy · 2024Article
- The association of nursing home infection preventionists' training and credentialing with resident COVID 19 deaths.Journal of the American Geriatrics Society · 2024Observational
- Nursing home residents' experiences and perceptions of antibiotic use: A qualitative descriptive study.American journal of infection control · 2023Article
- Nursing Home Antibiotic Stewardship Policy and Antibiotics Use: 2013-2017.Journal of the American Medical Directors Association · 2022Article
- Coronavirus disease 2019 (COVID-19) research agenda for healthcare epidemiology.Infection control and hospital epidemiology · 2022Article
- Article
- Longitudinal survey of antibiotic stewardship practices in Wisconsin nursing homes, before and after a policy change.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2022Article
- The Role of Regional and State Initiatives in Nursing Home Advance Care Planning Policies.The American journal of hospice & palliative care · 2021Article
- Antibiotic stewardship in French nursing homes: a 2019 regional survey.JAC-antimicrobial resistance · 2021Article
- Predictors of potentially suboptimal treatment of urinary tract infections in long-term care facilities.The Journal of hospital infection · 2021Article
- The impact of health care provider relationships and communication dynamics on urinary tract infection management and antibiotic utilization for long-term care facility residents treated in the emergency department: A qualitative study.American journal of infection control · 2021Article
- White Paper: Bridging the gap between surveillance data and antimicrobial stewardship in long-term care facilities-practical guidance from the JPIAMR ARCH and COMBACTE-MAGNET EPI-Net networks.The Journal of antimicrobial chemotherapy · 2020Review
- Association of Timely Goals of Care Discussions with Hospitalizations Due to Infections in Nursing Homes.Palliative medicine reportsArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundAntibiotic stewardship in nursing homes (NHs) is a high priority owing to intense antibiotic use and increased risk of adverse events. Updated Centers for Medicare and Medicaid Services regulations required NHs to establish antibiotic stewardship programs (ASPs). This study describes the current state of NH ASPs.
methodsA nationally representative survey of NHs was conducted in 2018. ASP comprehensiveness, infection preventionist (IP) training, participation in Quality Innovation Network-Quality Improvement Organization (QIN-QIO) activities, and facility and staff characteristics were analyzed using weighted descriptive statistics and multinomial regression models.
resultsOf 861 NHs, 33.2% (6-7) had "comprehensive" ASP policies, 41.1% (4-5) had "moderately comprehensive" ASP policies, and 25.6% (≤ 3) had "not comprehensive" ASP policies. Data collection on antibiotic use was most reported (91.4%), and restricting use of specific antibiotics was least reported (19.0%). Comprehensive ASPs were associated with QIN-QIO involvement; moderate and comprehensive ASPs were associated with IP training and high occupancy. DISCUSSION: Immediately following Centers for Medicare and Medicaid Services regulation changes, a majority of NHs had moderately comprehensive or comprehensive ASPs. Rates for each policy and infection control-trained IPs increased from previous studies.
conclusionsNH ASPs are becoming more comprehensive. Infection control training and partnerships with QIN-QIOs can support NHs to increase ASP comprehensiveness.
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