Antibiotic Resistance in Long-Term Care Facilities

1991 ◽  
Vol 12 (4) ◽  
pp. 245-250 ◽  
Author(s):  
Joseph F. John ◽  
Bruce S. Ribner
2000 ◽  
Vol 21 (10) ◽  
pp. 680-683 ◽  
Author(s):  
Mark Loeb

AbstractThe extensive use of antibiotics in long-term–care facilities has led to increasing concern about the potential for the development of antibiotic resistance. Relatively little is known, however, about the quantitative relation between antibiotic use and resistance in this population. A better understanding of the underlying factors that account for variance in antibiotic use, unexplained by detected infections, is needed. To optimize antibiotic use, evidence-based standards for empirical antibiotic prescribing need to be developed. Limitations in current diagnostic testing for infection in residents of long-term–care facilities pose a substantial challenge to developing such standards.


1999 ◽  
Vol 20 (05) ◽  
pp. 362-366 ◽  
Author(s):  
Suzanne F. Bradley

AbstractThe prevalence of antibiotic-resistant bacteria in the long-term–care setting and the risk to nursing home residents is still unknown. Few studies have been done in community-based nursing homes, and most have focused on colonization rather than infection rates. Concerns about methicillin-resistantStaphylococcus aureusand vancomycin-resistant enterococci have been expressed most often, while relatively scant attention has been paid to the problem of antibiotic resistance in gram-negative bacilli. Antibiotic resistance precautions need to be developed for nursing homes that are simple, effective, inexpensive, and recognize the unique rehabilitative and long-term custodial missions of chronic-care facilities.


2006 ◽  
Author(s):  
Jeremy Sharp ◽  
Kate L. Martin ◽  
Kate Martin

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