Antimicrobial use in long-term-care facilities
Antimicrobial use in long-term-care facilities
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DOI：
10.1086/501798
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发表时间：
2000-08-01
影响因子：
4.5
通讯作者：
Smith, PW
中科院分区：
文献类型：
--
作者：
Nicolle, LE;Bentley, DW;Smith, PW
在长期护理机构（LTCF）中有大量的抗菌药物使用，研究反复证明这种使用是不适当的。当前的抗菌素耐药性危机，包括LTCF，加剧了对抗菌素使用的担忧。在LTCF中改善抗菌药物使用的尝试由于患者人群的特征、诊断测试的有限可用性以及实际上缺乏相关临床试验而变得复杂。本意见书推荐了LTCF患者常见感染的管理方法，并提出了抗菌药物审查计划的最低标准。在制定这些建议时，该立场文件承认LTCF提供护理的独特方面（感染控制医院流行病学2000;21：537-545）。
There is intense antimicrobial use in long-term-care facilities (LTCFs), and studies repeatedly document that much of this use is inappropriate. The current crisis in antimicrobial resistance, which encompasses the LTCF, heightens concerns of antimicrobial use. Attempts to improve antimicrobial use in the LTCF are complicated by characteristics of the patient population, limited availability of diagnostic tests, and the virtual absence of relevant clinical trials. This position paper recommends approaches to management of common infections in LTCF patients and proposes minimal standards for an antimicrobial review program. In developing these recommendations, the position paper acknowledges the unique aspects of provision of care in the LTCF (Infect Control Hosp Epidemiol 2000;21:537-545).