A nurse-led antimicrobial stewardship intervention in two residential aged care facilities
Rhonda L. Stuart A B C D , Elizabeth Orr B , Despina Kotsanas A and Elizabeth E. Gillespie BA Monash Infectious Diseases, Monash Health, Clayton, Vic. 3168, Australia.
B Infection Prevention and Epidemiology, Monash Health, Clayton, Vic. 3168, Australia.
C Department of Medicine, Monash University, Clayton, Vic. 3168, Australia.
D Corresponding author. Email: rhonda.stuart@monashhealth.org
Healthcare Infection 20(1) 4-6 https://doi.org/10.1071/HI14016
Submitted: 29 May 2014 Accepted: 2 July 2014 Published: 24 July 2014
Journal Compilation © Australasian College for Infection Prevention and Control 2015
Abstract
The prevention and control of multi-resistant organisms (MRO) in residential aged care facilities (RACF) has significant implications for health services. The use of broad-spectrum antibiotics is associated with the development of MRO and therefore antimicrobial stewardship is a key initiative in decreasing development and spread of these organisms. This pilot study aims to assess the role of the infection control clinical nurse consultant in the antimicrobial stewardship team in two RACFs.
References
[1] Ben-Ami R, Schwaber MJ, Navon-Venezia S, Schwartz D, Giladi M, Chmelnitsky I, et al Influx of extended-spectrum β-lactamase-producing Enterobacteriaceae into the hospital. Clin Infect Dis 2006; 42 925–34.| Influx of extended-spectrum β-lactamase-producing Enterobacteriaceae into the hospital.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD28Xjtlelsro%3D&md5=804356ea83ac18fdddceef4cfb6b8639CAS | 16511754PubMed |
[2] Moro M, Jans B, Cookson B, Fabry J. The burden of healthcare-associated infections in European long-term care facilities. Infect Control Hosp Epidemiol 2010; 31 S59–S62.
| 20929373PubMed |
[3] Lim CJ, Kong DCM, Stuart RL. Reducing inappropriate antibiotic prescribing in the residential care setting: current perspectives. Clin Interv Aging 2014; 9 165–77.
| 24477218PubMed |
[4] O’Fallon E, Pop-Vicas A, D’Agata E. The emerging threat of multidrug-resistant Gram-negative organisms in long-term care facilities. J Gerontol A Biol Sci Med Sci 2009; 64A 138–41.
| The emerging threat of multidrug-resistant Gram-negative organisms in long-term care facilities.Crossref | GoogleScholarGoogle Scholar |
[5] Pop-Vicas A, Mitchell SL, Kandel R, Schreiber R, D’Agata EMC. Multidrug-resistant Gram-negative bacteria in a long-term care facility: prevalence and risk factors. J Am Geriatr Soc 2008; 56 1276–80.
| Multidrug-resistant Gram-negative bacteria in a long-term care facility: prevalence and risk factors.Crossref | GoogleScholarGoogle Scholar | 18557965PubMed |
[6] Katz PR, Beam TR, Brand F, Boyce K. Antibiotic use in the nursing home. Physician practice patterns. Arch Intern Med 1990; 150 1465–8.
| Antibiotic use in the nursing home. Physician practice patterns.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK3czhsVKjtw%3D%3D&md5=2831eb44dc9cb3973c106492a587d14dCAS | 2369244PubMed |
[7] Loeb M, Simor AE, Landry L, McArthur M, Duffy J, Kwan D, et al Antibiotic use in Ontario facilities that provide chronic care. J Gen Intern Med 2001; 16 376–83.
| Antibiotic use in Ontario facilities that provide chronic care.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3MzntlOrtg%3D%3D&md5=2604412472ecb50df3870c493e550c15CAS | 11422634PubMed |
[8] Stuart RL, Wilson J, Bellaard-Smith E, Brown R, Wright L, Vandergraaf S, et al Antibiotic use and misuse in residential aged care facilities. Intern Med J 2012; 42 1145–9.
| Antibiotic use and misuse in residential aged care facilities.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BC38rhvFaguw%3D%3D&md5=b16e55ffd08fafea2dd3a532377a62bcCAS | 22472087PubMed |
[9] McGeer A, Campbell B, Emori TG, Hierholzer W, Jackson M, Nicolle L, et al Definitions of infection for surveillance in long-term care facilities. Am J Infect Control 1991; 19 1–7.
| Definitions of infection for surveillance in long-term care facilities.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK3M3hsVSmuw%3D%3D&md5=910c5f4dba2bc63511ea2a3ad6e75855CAS | 1902352PubMed |
[10] Stone ND, Ashraf MS, Calder J, Crnich C, Crossley K, Drinka P, et al Surveillance definitions of infections in long-term care facilities: revisiting the McGeer criteria. Infect Control Hosp Epidemiol 2012; 33 965–77.
| Surveillance definitions of infections in long-term care facilities: revisiting the McGeer criteria.Crossref | GoogleScholarGoogle Scholar | 22961014PubMed |