scholarly journals Antimicrobial prescribing in long-term care facilities: a nationwide point-prevalence study, Slovenia, 2016

2018 ◽  
Vol 23 (46) ◽  
Author(s):  
Dora Stepan ◽  
Lea Ušaj ◽  
Marija Petek Šter ◽  
Marjetka Smolinger Galun ◽  
Hermina Smole ◽  
...  

Residents in long-term care are at high risk of infections because of their old age and many related health problems that lead to frequent antibiotic prescribing. The aim of the study was to assess antibiotic use in Slovenian long-term care facilities (LTCFs). The point-prevalence study was conducted between April and June 2016. Online questionnaires were sent to all Slovenian LTCFs. Eighty (68.4%) of the 117 LTCFs contacted, caring for 13,032 residents (70.6% of all Slovenian LTCF residents), responded to the survey. On the day of the study, the mean antibiotic prevalence per LTCF was 2.4% (95% confidence interval: 1.94–2.66). Most (70.2%) of the residents taking antibiotics were female. Most residents were being treated for respiratory tract (42.7%) or urinary tract (33.3%) infections. Co-amoxiclav and fluoroquinolones were the most frequently prescribed antibiotics (41.0% and 22.3% respectively). Microbiological tests were performed for 5.2% of residents receiving antibiotics. Forty nine (19.8%) residents receiving antibiotics were colonised with multidrug-resistant bacteria (MDR). Antibiotic use in Slovenian LTCFs is not very high, but most prescribed antibiotics are broad-spectrum. Together with low use of microbiological testing and high prevalence of colonisation with MDR bacteria the situation is worrisome and warrants the introduction of antimicrobial stewardship interventions.

2020 ◽  
Vol 48 (10) ◽  
pp. 1144-1147
Author(s):  
Eva Leitner ◽  
Elisabeth Schreiner ◽  
Maria Neuhold ◽  
Michael Bozic ◽  
Christian Pux ◽  
...  

2009 ◽  
Vol 71 (4) ◽  
pp. 385-387 ◽  
Author(s):  
K. Kanellakopoulou ◽  
V. Grammelis ◽  
F. Baziaka ◽  
A. Volonaki ◽  
M. Gika ◽  
...  

Infection ◽  
2012 ◽  
Vol 41 (1) ◽  
pp. 1-8 ◽  
Author(s):  
J. Wójkowska-Mach ◽  
B. Gryglewska ◽  
J. Czekaj ◽  
P. Adamski ◽  
T. Grodzicki ◽  
...  

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.


2014 ◽  
Vol 23 (Sup6) ◽  
pp. S4-S11 ◽  
Author(s):  
Ma'en Aljezawi ◽  
Mohammad Al Qadire ◽  
Ahmad Tubaishat

2019 ◽  
Vol 74 (5) ◽  
pp. 1447-1451 ◽  
Author(s):  
Tracey Thornley ◽  
Diane Ashiru-Oredope ◽  
Andrew Normington ◽  
Elizabeth Beech ◽  
Philip Howard

Abstract Background Antimicrobial resistance (AMR) is a major public health problem. Elderly residents in long-term-care facilities (LTCFs) are frequently prescribed antibiotics, particularly for urinary tract infections. Optimizing appropriate antibiotic use in this vulnerable population requires close collaboration between NHS healthcare providers and LTCF providers. Objectives Our aim was to identify and quantify antibiotic prescribing in elderly residents in UK LTCFs. This is part of a wider programme of work to understand opportunities for pharmacy teams in the community to support residents and carers. Methods This was a retrospective longitudinal cohort study. Data were extracted from a national pharmacy chain database of prescriptions dispensed for elderly residents in UK LTCFs over 12 months (November 2016–October 2017). Results Data were analysed for 341536 residents in LTCFs across the four UK nations, from which a total of 544796 antibiotic prescriptions were dispensed for 167002 residents. The proportion of residents prescribed at least one antibiotic over the 12 month period varied by LTCF, by month and by country. Conclusions Whilst national data sets on antibiotic prescribing are available for hospitals and primary care, this is the first report on antibiotic prescribing for LTCF residents across all four UK nations, and the largest reported data set in this setting. Half of LTCF residents were prescribed at least one antibiotic over the 12 months, suggesting that there is an opportunity to optimize antibiotic use in this vulnerable population to minimize the risk of AMR and treatment failure. Pharmacy teams are well placed to support prudent antibiotic prescribing and improved antimicrobial stewardship in this population.


2015 ◽  
Vol 71 (2) ◽  
pp. 348-352 ◽  
Author(s):  
Patricia Ruiz-Garbajosa ◽  
Marta Hernández-García ◽  
Lorena Beatobe ◽  
Marta Tato ◽  
María Isabel Méndez ◽  
...  

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