Reducing unnecessary urine culturing and antibiotic overprescribing in long-term care: a before-and-after analysis

KA Brown, A Chambers, S MacFarlane… - … Open Access Journal, 2019 - cmajopen.ca
Background: Antibiotic use in long-term care homes is highly variable. High rates of
antibiotic use are associated with antibiotic resistance and Clostridium difficile infection. We …

[HTML][HTML] Implementation of an antimicrobial stewardship program targeting residents with urinary tract infections in three community long-term care facilities: a quasi …

SB Doernberg, V Dudas, KK Trivedi - Antimicrobial Resistance and …, 2015 - Springer
Background Asymptomatic bacteriuria in the elderly commonly results in antibiotic
administration and, in turn, contributes to antimicrobial resistance, adverse drug events, and …

The Urine-culturing Cascade: Variation in Nursing Home Urine Culturing and Association With Antibiotic Use and Clostridiodes difficile Infection

KA Brown, N Daneman, KL Schwartz… - Clinical Infectious …, 2020 - academic.oup.com
Background Rates of antibiotic use vary widely across nursing homes and cannot be
explained by resident characteristics. Antibiotic prescribing for a presumed urinary tract …

Reducing inappropriate antibiotics for urinary tract infections in long-term care: A replication study

D Cooper, M McFarland, F Petrilli… - Journal of Nursing Care …, 2019 - journals.lww.com
Background: Nursing home providers face challenges in urinary tract infection assessment
and treatment, often prescribing unnecessary antibiotics for asymptomatic bacteriuria, a …

Impact of changes in urine culture ordering practice on antimicrobial utilization in intensive care units at an academic medical center

M Sarg, GE Waldrop, MA Beier, EL Heil… - infection control & …, 2016 - cambridge.org
OBJECTIVETo assess antimicrobial utilization before and after a change in urine culture
ordering practice in adult intensive care units (ICUs) whereby urine cultures were only …

Antibiotic use in long-term care facilities

N Daneman, A Gruneir, A Newman… - Journal of …, 2011 - academic.oup.com
Objectives Evaluation and optimization of antibiotic use (antibiotic stewardship) is being
increasingly promoted as a means to reduce antibiotic resistance, adverse events, treatment …

[HTML][HTML] Optimizing antibiotics in residents of nursing homes: protocol of a randomized trial

M Loeb, K Brazil, L Lohfeld, A McGeer, A Simor… - BMC health services …, 2002 - Springer
Background Antibiotics are frequently prescribed for older adults who reside in long-term
care facilities. A substantial proportion of antibiotic use in this setting is inappropriate …

Sustained reduction in inappropriate treatment of asymptomatic bacteriuria in a long-term care facility through an educational intervention

TF Zabarsky, AK Sethi, CJ Donskey - American journal of infection control, 2008 - Elsevier
BACKGROUND: In long-term care facilities, treatment of asymptomatic bacteriuria (ASB) is
common. However, randomized, controlled trials suggest that such treatment offers no …

Urine culture testing in community nursing homes: gateway to antibiotic overprescribing

PD Sloane, CE Kistler, D Reed, DJ Weber… - infection control & …, 2017 - cambridge.org
OBJECTIVETo describe current practice around urine testing and identify factors leading to
overtreatment of asymptomatic bacteriuria in community nursing homes (NHs) …

[HTML][HTML] Impact of a decision-making aid for suspected urinary tract infections on antibiotic overuse in nursing homes

DK McMaughan, O Nwaiwu, H Zhao, E Frentzel… - BMC geriatrics, 2016 - Springer
Background Antibiotics are highly utilized in nursing homes. The aim of the study was to test
the effectiveness of a decision-making aid for urinary tract infection management on …