Reducing inappropriate antibiotic prescribing in the residential care setting: current perspectives.
Reducing inappropriate antibiotic prescribing in the residential care setting: current perspectives.
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DOI：
10.2147/cia.s46058
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发表时间：
2014
影响因子：
3.6
通讯作者：
Stuart RL
中科院分区：
文献类型：
--
作者：
Lim CJ;Kong DC;Stuart RL
越来越多的人认为，居住式老年护理设施的感染负担很高，导致随后使用抗生素，再加上患者人口统计和医疗护理的复杂性。特别令人关切的是，最近在这一脆弱群体中出现了耐多药生物体。因此，抗菌药物管理（AMS）计划已开始引入住宅老年护理设施设置，以促进明智的抗菌药物使用。然而，要成功地实施AMS计划，需要解决与资源有限的环境有关的独特挑战。在这篇综述中，我们总结了这一人群中感染的流行病学，并回顾了探索抗生素使用和处方模式的研究。特别注意与不适当或次优抗生素处方有关的问题，以指导未来的AMS干预措施。
Residential aged care facilities are increasingly identified as having a high burden of infection, resulting in subsequent antibiotic use, compounded by the complexity of patient demographics and medical care. Of particular concern is the recent emergence of multidrug-resistant organisms among this vulnerable population. Accordingly, antimicrobial stewardship (AMS) programs have started to be introduced into the residential aged care facilities setting to promote judicious antimicrobial use. However, to successfully implement AMS programs, there are unique challenges pertaining to this resource-limited setting that need to be addressed. In this review, we summarize the epidemiology of infections in this population and review studies that explore antibiotic use and prescribing patterns. Specific attention is paid to issues relating to inappropriate or suboptimal antibiotic prescribing to guide future AMS interventions.