Nursing Home Infections
Publication Date: December 8, 2020
Key Points
Key Points
- Antibiotics are among the most common medications prescribed in nursing homes.
- The annual prevalence of antibiotic use in residents of nursing homes ranges from 47% to 79%. More than half of antibiotic courses initiated in nursing home settings are unnecessary or prescribed inappropriately (wrong drug, dose, or duration).
- Inappropriate antibiotic use is associated with a variety of negative consequences including Clostridioides difficile (formerly Clostridium difficile) infection, adverse drug effects, drug-drug interactions, and antimicrobial resistance.
- In response to this problem, public health authorities have called for efforts to improve the quality of antibiotic prescribing in nursing homes.
- The guidance1 is intended to reflect an assessment of the strength of association between bacterial infections and geriatric manifestations and should not be used as the basis for excluding a diagnosis of respiratory viral pathogens.
Management
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Hypotension The authors recommend t...
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Delirium The authors recommend that clinician...
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