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Opportunities to Improve Antimicrobial Use in US Nursing Homes

Opportunities to Improve Antimicrobial Use in US Nursing Homes Opinion EDITORIAL Christopher J. Crnich, MD, PhD; Preeti Malani, MD, MSJ Inappropriate use of antibiotic therapy is a major driver collection using electronic health and medication administra- of adverse effects related to medications and antibiotic tion records is an approach that may make capturing informa- resistance in nursing homes. Despite formal calls for the tion about antibiotic use in nursing homes more efficient, but 2 5 this approach is not yet ready for implementation. enhancement of prescribing practices, along with improve- Even then, ments in structure and pro- designing these systems to capture information about the ap- cess, antibiotic stewardship propriateness of antibiotic use in nursing homes will prove chal- Related article page 1286 in nursing homes remains lenging. Consequently, cross-sectional surveys like the one suboptimal. Measuring antibiotic use in nursing homes and used by Thompson et al will be essential to better character- comparing observed patterns with relevant benchmarks is a ize inappropriate use of antibiotics if meaningful progress core component of antibiotic stewardship. However, to date, in antibiotic stewardship is to be achieved. nationally representative data to which nursing homes can The high frequency of UTI treatment, as well as broad- benchmark have been lacking. spectrum and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Opportunities to Improve Antimicrobial Use in US Nursing Homes

JAMA , Volume 325 (13) – Apr 6, 2021

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Publisher
American Medical Association
Copyright
Copyright 2021 American Medical Association. All Rights Reserved.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2021.3258
Publisher site
See Article on Publisher Site

Abstract

Opinion EDITORIAL Christopher J. Crnich, MD, PhD; Preeti Malani, MD, MSJ Inappropriate use of antibiotic therapy is a major driver collection using electronic health and medication administra- of adverse effects related to medications and antibiotic tion records is an approach that may make capturing informa- resistance in nursing homes. Despite formal calls for the tion about antibiotic use in nursing homes more efficient, but 2 5 this approach is not yet ready for implementation. enhancement of prescribing practices, along with improve- Even then, ments in structure and pro- designing these systems to capture information about the ap- cess, antibiotic stewardship propriateness of antibiotic use in nursing homes will prove chal- Related article page 1286 in nursing homes remains lenging. Consequently, cross-sectional surveys like the one suboptimal. Measuring antibiotic use in nursing homes and used by Thompson et al will be essential to better character- comparing observed patterns with relevant benchmarks is a ize inappropriate use of antibiotics if meaningful progress core component of antibiotic stewardship. However, to date, in antibiotic stewardship is to be achieved. nationally representative data to which nursing homes can The high frequency of UTI treatment, as well as broad- benchmark have been lacking. spectrum and

Journal

JAMAAmerican Medical Association

Published: Apr 6, 2021

References

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