TY - JOUR
T1 - A syndrome-based approach to antimicrobial stewardship in an Arizona skilled nursing facility—Moving the needle through quality improvement
AU - Patterson, Peter P.
AU - Ellingson, Katherine D.
AU - Backus, Danielle
AU - Schmitz, Emily
AU - Matesan, Mary
N1 - Publisher Copyright:
© 2020
PY - 2020/12
Y1 - 2020/12
N2 - In 2015, an Arizona skilled nursing facility implemented an antibiotic stewardship protocol targeting unnecessary prescribing for suspect urinary tract infection. The protocol emphasized auditing of culturing and prescribing practices, feedback to prescribers, engagement of clinical staff, and educational in-services. Between Quarter 4 of 2014 (baseline) and Quarter 1 of 2017, urine culturing, days of antibiotic therapy for suspect urinary tract infection, and Clostridiodes difficile infections per 1,000 resident-days decreased by >50% with no urosepsis events.
AB - In 2015, an Arizona skilled nursing facility implemented an antibiotic stewardship protocol targeting unnecessary prescribing for suspect urinary tract infection. The protocol emphasized auditing of culturing and prescribing practices, feedback to prescribers, engagement of clinical staff, and educational in-services. Between Quarter 4 of 2014 (baseline) and Quarter 1 of 2017, urine culturing, days of antibiotic therapy for suspect urinary tract infection, and Clostridiodes difficile infections per 1,000 resident-days decreased by >50% with no urosepsis events.
KW - Antibacterial agents
KW - Antimicrobial resistance
KW - Long-term care
UR - http://www.scopus.com/inward/record.url?scp=85094612561&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85094612561&partnerID=8YFLogxK
U2 - 10.1016/j.ajic.2020.07.038
DO - 10.1016/j.ajic.2020.07.038
M3 - Article
C2 - 32763349
AN - SCOPUS:85094612561
SN - 0196-6553
VL - 48
SP - 1537
EP - 1539
JO - American Journal of Infection Control
JF - American Journal of Infection Control
IS - 12
ER -