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
...nagement
...hat Should Prompt Further Evaluation for...
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...The authors recommend that clinicians define hyp...
...erglycemia Individualized approach. The author...
...The authors recommend that clinicians us...
Practical Suggestions for Evaluation of Nursing Home Residents with Non-Localizing Signs or Symptoms
...tions for Evaluation of Nursing Home R...
...AHaving trouble viewing table? Expand...
...g trouble viewing table? Expand New...
Isolated Symptoms that Should NOT Prompt Further Evaluation for Infection
...ymptoms that Should NOT Prompt Further Evaluat...
...ges Exclusive of Delirium The authors r...
...unctional Decline The authors do N...
...ls The authors do NOT recommend that clinicia...
...The authors do NOT recommend that...
Source
...urce1 Rowe TA, et al. (2020). Reliability of...