Nursing Home Infections
Publication Date: December 9, 2020
Key Points
Key Points
- Antibiotics are among the most common medications prescribed in nursing homes.
- The annual prevalence of antibiotic use in residents of nursing homes ranges from 47% to 79%. More than half of antibiotic courses initiated in nursing home settings are unnecessary or prescribed inappropriately (wrong drug, dose, or duration).
- Inappropriate antibiotic use is associated with a variety of negative consequences including Clostridioides difficile (formerly Clostridium difficile) infection, adverse drug effects, drug-drug interactions, and antimicrobial resistance.
- In response to this problem, public health authorities have called for efforts to improve the quality of antibiotic prescribing in nursing homes.
- The guidance1 is intended to reflect an assessment of the strength of association between bacterial infections and geriatric manifestations and should not be used as the basis for excluding a diagnosis of respiratory viral pathogens.
Management
Ma...
...Symptoms That Should Promp...
...he authors recommend that criteria set f...
...he authors recommend that clinicians use the follo...
...ion The authors recommend that clinicians de...
...lycemia Individualized approach. The a...
...m The authors recommend that clinici...
Practical Suggestions for Evaluation of Nursing Home Residents with Non-Localizing Signs or Symptoms
...Practical Su...
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...e BHaving trouble viewing table? Expand...
Isolated Symptoms that Should NOT Prompt Further Evaluation for Infection
...Isolated Sympt...
...anges Exclusive of Delirium The auth...
...Decline The authors do NOT recommend that cl...
...thors do NOT recommend that clinicians eval...
...The authors do NOT recommend tha...
Source
Source1 Rowe TA, et al. (2020). Reliabili...