scholarly journals Another Setting for Stewardship: High Rate of Unnecessary Antimicrobial Use in a Veterans Affairs Long-Term Care Facility

2013 ◽  
Vol 61 (2) ◽  
pp. 289-290 ◽  
Author(s):  
Emily P. Peron ◽  
Amy A. Hirsch ◽  
Lucy A. Jury ◽  
Robin L. P. Jump ◽  
Curtis J. Donskey
Keyword(s):  
Long Term Care ◽  
Care Facility ◽  
Veterans Affairs ◽  
High Rate ◽  
Antimicrobial Use ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility

Clostridium difficile Infection in a Department of Veterans Affairs Long-Term Care Facility

2011 ◽  
Vol 32 (5) ◽  
pp. 513-515 ◽  
Author(s):  
Dubert M. Guerrero ◽  
Michelle M. Nerandzic ◽  
Lucy A. Jury ◽  
Shelley Chang ◽  
Robin L. Jump ◽  
...  
Keyword(s):  
Clostridium Difficile ◽  
Long Term Care ◽  
Medical Center ◽  
Care Facility ◽  
Healthcare Facility ◽  
Veterans Affairs ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility

In a Veterans Affairs medical center, 39% of healthcare facility–onset, healthcare facility-associated Clostridium difficile infections had their onset in the affiliated long-term care facility (LTCF). Eighty-five percent of LTCF-onset patients had been transferred from the hospital within the past month. Delays in diagnosis and treatment were common for LTCF-onset patients.

Respiratory Syncytial Virus Outbreak in a Veterans Affairs Long-term Care Facility

2020 ◽  
Vol 28 (4) ◽  
pp. 200-203
Author(s):  
Nancy Barrett ◽  
Lisa Bailey ◽  
Florence Ford ◽  
Monique Thorne ◽  
Nancy Azab ◽  
...  
Keyword(s):  
Respiratory Syncytial Virus ◽  
Long Term Care ◽  
Care Facility ◽  
Veterans Affairs ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
Syncytial Virus

Elimination of Position-Change Alarms in an Alzheimer’s and Dementia Long-Term Care Facility

2011 ◽  
Vol 26 (8) ◽  
pp. 599-605 ◽  
Author(s):  
Katrina Bressler ◽  
Roberta E.Redfern ◽  
Megan Brown
Keyword(s):  
Health Care ◽  
Long Term Care ◽  
Care Facility ◽  
High Rate ◽  
False Alarms ◽  
Position Change ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility

In a long-term care facility, whose residents have been diagnosed with Alzheimer’s disease or dementia, falls are a particularly prominent issue. Technology in health care has continued to evolve and play a larger role in how we care for our patients, even in preventing falls. However, overreliance on these types of technologies may have detrimental effects. In our facility, it was felt that staff reliance on position-change alarms was inappropriate due to the high rate of false alarms associated with these devices. We took a tiered approach to removing position-change alarms from our facility, monitoring the fall incidence rate for a period before, during, and after the elimination of these alarms. After discontinuing their use, we found a decrease in the rate of falls, and a decrease in the percentage of our residents who fell. Staff has easily adapted and reports a calmer, more pleasant environment.

scholarly journals Risk Factors for Colonization with Yeast Species in a Veterans Affairs Long-term Care Facility

1998 ◽  
Vol 46 (7) ◽  
pp. 849-853 ◽  
Author(s):  
Sara A. Hedderwick ◽  
Jim Y. Wan ◽  
Suzanne F. Bradley ◽  
Jon A. Sangeorzan ◽  
Margaret S. Terpenning ◽  
...  
Keyword(s):  
Risk Factors ◽  
Long Term Care ◽  
Yeast Species ◽  
Care Facility ◽  
Veterans Affairs ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility

An Educational Intervention to Improve Antimicrobial Use in a Hospital-Based Long-Term Care Facility

2007 ◽  
Vol 55 (8) ◽  
pp. 1236-1242 ◽  
Author(s):  
David N. Schwartz ◽  
Homer Abiad ◽  
Patricia L. DeMarais ◽  
Emilian Armeanu ◽  
William E. Trick ◽  
...  
Keyword(s):  
Educational Intervention ◽  
Long Term Care ◽  
Care Facility ◽  
Antimicrobial Use ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility

scholarly journals Effective Antimicrobial Stewardship in a Long-Term Care Facility through an Infectious Disease Consultation Service: Keeping a LID on Antibiotic Use

2012 ◽  
Vol 33 (12) ◽  
pp. 1185-1192 ◽  
Author(s):  
Robin L. P. Jump ◽  
Danielle M. Olds ◽  
Nasim Seifi ◽  
Georgios Kypriotakis ◽  
Lucy A. Jury ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Antimicrobial Stewardship ◽  
Long Term Care ◽  
Care Facility ◽  
Antimicrobial Use ◽  
Consultation Service ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility

Design.We introduced a long-term care facility (LTCF) infectious disease (ID) consultation service (LID service) that provides on-site consultations to residents of a Veterans Affairs (VA) LTCF. We determined the impact of the LID service on antimicrobial use and Clostridium difficile infections at the LTCF.Setting.A 160-bed VA LTCF.Methods.Systemic antimicrobial use and positive C. difficile tests at the LTCF were compared for the 36 months before and the 18 months after the initiation of the ID consultation service through segmented regression analysis of an interrupted time series.Results.Relative to that in the preintervention period, total systemic antibiotic administration decreased by 30% (P<.001), with significant reductions in both oral (32%; P<.001) and intravenous (25%; P = .008) agents. The greatest reductions were seen for tetracyclines (64%; P<.001), clindamycin (61%; P<.001), sulfamethoxazole/trimethoprim (38%; P<.001), fluoroquinolones (38%; P<.001), and β lactam/β-lactamase inhibitor combinations (28%; P<.001). The rate of positive C. difficile tests at the LTCF declined in the postintervention period relative to preintervention rates (P = .04).Conclusions.Implementation of an LTCF ID service led to a significant reduction in total antimicrobial use. Bringing providers with ID expertise to the LTCF represents a new and effective means to achieve antimicrobial stewardship.

Sign in / Sign up

Export Citation Format

Share Document