Title |
Reducing inappropriate antibiotic prescribing in the residential care setting: current perspectives
|
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Published in |
Clinical Interventions in Aging, January 2014
|
DOI | 10.2147/cia.s46058 |
Pubmed ID | |
Authors |
Ching Jou Lim, David CM Kong, Rhonda L Stuart |
Abstract |
Residential aged care facilities are increasingly identified as having a high burden of infection, resulting in subsequent antibiotic use, compounded by the complexity of patient demographics and medical care. Of particular concern is the recent emergence of multidrug-resistant organisms among this vulnerable population. Accordingly, antimicrobial stewardship (AMS) programs have started to be introduced into the residential aged care facilities setting to promote judicious antimicrobial use. However, to successfully implement AMS programs, there are unique challenges pertaining to this resource-limited setting that need to be addressed. In this review, we summarize the epidemiology of infections in this population and review studies that explore antibiotic use and prescribing patterns. Specific attention is paid to issues relating to inappropriate or suboptimal antibiotic prescribing to guide future AMS interventions. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 3 | 19% |
South Africa | 1 | 6% |
Canada | 1 | 6% |
Unknown | 11 | 69% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 12 | 75% |
Scientists | 2 | 13% |
Practitioners (doctors, other healthcare professionals) | 2 | 13% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 2 | 1% |
Australia | 2 | 1% |
Unknown | 131 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 29 | 21% |
Researcher | 20 | 15% |
Student > Ph. D. Student | 14 | 10% |
Other | 9 | 7% |
Student > Bachelor | 8 | 6% |
Other | 27 | 20% |
Unknown | 28 | 21% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 42 | 31% |
Nursing and Health Professions | 18 | 13% |
Pharmacology, Toxicology and Pharmaceutical Science | 18 | 13% |
Agricultural and Biological Sciences | 4 | 3% |
Biochemistry, Genetics and Molecular Biology | 4 | 3% |
Other | 16 | 12% |
Unknown | 33 | 24% |