Login / Signup

Reliability of nonlocalizing signs and symptoms as indicators of the presence of infection in nursing-home residents.

Theresa A RoweRobin L P JumpBjørg Marit AndersenDavid B BanachKristina A BryantSarah B DoernbergMark LoebDaniel J MorganAndrew M MorrisRekha K MurthyDavid A NaceChristopher J Crnich
Published in: Infection control and hospital epidemiology (2020)
Antibiotics are among the most common medications prescribed in nursing homes. The annual prevalence of antibiotic use in residents of nursing homes ranges from 47% to 79%, and more than half of antibiotic courses initiated in nursing-home settings are unnecessary or prescribed inappropriately (wrong drug, dose, or duration). Inappropriate antibiotic use is associated with a variety of negative consequences including Clostridioides difficile infection (CDI), adverse drug effects, drug-drug interactions, and antimicrobial resistance. In response to this problem, public health authorities have called for efforts to improve the quality of antibiotic prescribing in nursing homes.
Keyphrases
  • adverse drug
  • antimicrobial resistance
  • public health
  • electronic health record
  • clostridium difficile
  • emergency department
  • drug induced
  • risk factors
  • quality improvement
  • primary care
  • sleep quality
  • global health