Journal
INFECTIOUS DISEASE CLINICS OF NORTH AMERICA
Volume 34, Issue 1, Pages 129-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.idc.2019.10.007
Keywords
Antimicrobial stewardship; Long-term care facilities; Collaboration; Antibiotic resistance; Clostridioides difficile
Categories
Funding
- Cleveland Geriatric Research Education and Clinical Center (GRECC)
- Specialty Care Center of Innovation at the VA Northeast Ohio Healthcare System
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Antimicrobial stewardship is a collaborative venture and antimicrobial stewardship in long-term care (LTC) settings is no exception. There are many barriers to implementing effective antimicrobial stewardship programs in LTC settings, including constrained financial resources, limited access to physicians and pharmacists with antimicrobial stewardship training, minimal on-site infectious syndrome diagnostics and laboratory expertise, and high rates of staff turnover. This article suggests that collaboration at the level of health care facilities and systems, with public health departments, with laboratory partners, and among personnel, including nursing staff, prescribers, and pharmacists, can lead to effective antimicrobial stewardship programs in LTC settings.
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