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

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Practical Suggestions for Evaluation of Nursing Home Residents with Non-Localizing Signs or Symptoms

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Isolated Symptoms that Should NOT Prompt Further Evaluation for Infection

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Source

...owe TA, et al. (2020). Reliability of non-localizi...