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Reducing inappropriate antibiotic prescribing in the residential care setting: current perspectives

Authors Lim CJ, Kong DCM, Stuart RL

Received 29 October 2013

Accepted for publication 22 November 2013

Published 13 January 2014 Volume 2014:9 Pages 165—177

DOI https://doi.org/10.2147/CIA.S46058

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 4

Ching Jou Lim,1 David CM Kong,1 Rhonda L Stuart2,3

1Centre for Medicine Use and Safety, Monash University, Parkville, VIC, Australia; 2Monash Infectious Diseases, Monash Health, Clayton, VIC, Australia; 3Department of Medicine, Monash University, Clayton, VIC, Australia

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.

Keywords: residential aged care, health care-associated infection, surveillance, multidrug-resistant, antibiotic prescribing, antimicrobial stewardship

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