Characteristics of nursing homes with comprehensive antibiotic stewardship programs: Results of a national survey
Characteristics of nursing homes with comprehensive antibiotic stewardship programs: Results of a national survey
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DOI：
10.1016/j.ajic.2019.07.015
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发表时间：
2020-01-01
影响因子：
4.9
通讯作者：
Agarwal, Mansi
中科院分区：
文献类型：
--
作者：
Fu, Caroline J.;Mantell, Elise;Agarwal, Mansi
背景：由于抗生素的大量使用和不良事件风险的增加，疗养院（NH）的抗生素管理是一个高度优先事项。更新的医疗保险和医疗补助服务中心法规要求NH建立抗生素管理计划（ASP）。这项研究描述了目前的状态NH ASPs.Methods：在2018年进行了全国代表性的调查。ASP的全面性、感染预防员（IP）培训、质量创新网络-质量改进组织（QIN-QIO）活动的参与情况以及设施和员工特征采用加权描述性统计和多项式回归模型进行分析。在861名NHS中，33.2%（6-7名）有“全面”ASP政策，41.1%（4-5名）有“中等全面”ASP政策，25.6%（
Background: Antibiotic stewardship in nursing homes (NHs) is a high priority owing to intense antibiotic use and increased risk of adverse events. Updated Centers for Medicare and Medicaid Services regulations required NHs to establish antibiotic stewardship programs (ASPs). This study describes the current state of NH ASPs.Methods: A nationally representative survey of NHs was conducted in 2018. ASP comprehensiveness, infection preventionist (IP) training, participation in Quality Innovation Network-Quality Improvement Organization (QIN-QIO) activities, and facility and staff characteristics were analyzed using weighted descriptive statistics and multinomial regression models.Results: Of 861 NHs, 33.2% (6-7) had "comprehensive" ASP policies, 41.1% (4-5) had "moderately comprehensive" ASP policies, and 25.6% (