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

Ching Jou Lim, David Chee Ming Kong, Rhonda Lee Stuart

Research output: Contribution to journalArticleResearchpeer-review

53 Citations (Scopus)

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.
Original languageEnglish
Pages (from-to)165 - 177
Number of pages13
JournalClinical Interventions in Aging
Volume9
DOIs
Publication statusPublished - 2014

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