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Antimicrobial Stewardship in Rhode Island Long-Term Care Facilities: Current Standings and Future Opportunities

Published online by Cambridge University Press:  17 May 2016

Haley J. Morrill ,
Leonard A. Mermel ,
Rosa R. Baier ,
Nicole Alexander-Scott ,
David Dosa ,
Sara Kavoosifar ,
Rebecca Reece  and
Kerry L. LaPlante
Haley J. Morrill
Affiliation:
Infectious Diseases Research Program, Providence Veterans Affairs Medical Center, Providence, Rhode Island College of Pharmacy, University of Rhode Island, Kingston, Rhode Island Center of Innovation in Long-Term Support Services, Providence Veterans Affairs Medical Center, Providence, Rhode Island
Leonard A. Mermel
Affiliation:
College of Pharmacy, University of Rhode Island, Kingston, Rhode Island Alpert Medical School of Brown University, Providence, Rhode Island Department of Epidemiology and Infection Control, Rhode Island Hospital, Providence, Rhode Island
Rosa R. Baier
Affiliation:
Center for Long-Term Care Quality & Innovation, Brown University School of Public Health, Providence, Rhode Island Department of Health Services, Policy & Practice, Brown University School of Public Health, Providence, Rhode Island
Nicole Alexander-Scott
Affiliation:
Alpert Medical School of Brown University, Providence, Rhode Island Division of Preparedness, Response, Infectious Diseases, and Emergency Medical Services, Rhode Island Department of Health, Providence, Rhode Island Center for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, Rhode Island
David Dosa
Affiliation:
Center of Innovation in Long-Term Support Services, Providence Veterans Affairs Medical Center, Providence, Rhode Island Center for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, Rhode Island
Sara Kavoosifar
Affiliation:
Master of Public Health Program, Brown University School of Public Health, Providence, Rhode Island.
Rebecca Reece
Affiliation:
Alpert Medical School of Brown University, Providence, Rhode Island Division of Preparedness, Response, Infectious Diseases, and Emergency Medical Services, Rhode Island Department of Health, Providence, Rhode Island
Kerry L. LaPlante*
Affiliation:
Infectious Diseases Research Program, Providence Veterans Affairs Medical Center, Providence, Rhode Island College of Pharmacy, University of Rhode Island, Kingston, Rhode Island Center of Innovation in Long-Term Support Services, Providence Veterans Affairs Medical Center, Providence, Rhode Island Alpert Medical School of Brown University, Providence, Rhode Island
*
Address correspondence to Kerry L. LaPlante, PharmD, University of Rhode Island, College of Pharmacy, 7 Greenhouse Rd, Ste 295A, Kingston, RI 02881 ([email protected]).
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Abstract

Our survey of antimicrobial stewardship practices among Rhode Island long-term care facilities demonstrated opportunities to develop formal programs. Results suggest infection preventionists are largely responsible for ensuring appropriate antibiotic use in long-term care facilities and there is a need for increased interdisciplinary access to individuals with antimicrobial stewardship expertise.

Infect Control Hosp Epidemiol 2016;37:979–982

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 37 , Issue 8 , August 2016 , pp. 979 - 982
Copyright
© 2016 by The Society for Healthcare Epidemiology of America. All rights reserved 

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Footnotes

Presented in part: IDWeek 2015; San Diego, California; October 8, 2015.

References

REFERENCES

1. The core elements of antibiotic stewardship for nursing homes. Centers for Disease Control and Prevention website. http://www.cdc.gov/longtermcare/index.html. Published 2015. Accessed September 20, 2015.Google Scholar
2. Proposed rule: Medicare and Medicaid Programs; reform of requirements for long-term care facilities. Centers for Medicare and Medicaid Services website. https://www.federalregister.gov/articles/2015/07/16/2015-17207/medicare-and-medicaid-programs-reform-of-requirements-for-long-term-care-facilities-table_of_contents. Published 2015. Accessed November 26, 2015.Google Scholar
3. Clinical outcome goal: infections. Advancing Excellence in America’s Nursing Homes Campaign website. https://www.nhqualitycampaign.org/goalDetail.aspx?g=inf. Accessed November 26, 2014.Google Scholar
4. Core elements of hospital antibiotic stewardship programs. Centers for Disease Control and Prevention website. http://www.cdc.gov/getsmart/healthcare/implementation/core-elements.html. Published 2014. Accessed November 26, 2014.Google Scholar
5. Malani, AN, Brennan, BM, Collins, CD, Finks, J, Pogue, JM, Kaye, KS. Antimicrobial stewardship practices in Michigan long-term care facilities. Infect Control Hosp Epidemiol 2016;37:236–237.Google Scholar
6. Van Schooneveld, T, Miller, H, Sayles, H, Watkins, K, Smith, PW. Survey of antimicrobial stewardship practices in Nebraska long-term care facilities. Infect Control Hosp Epidemiol 2011;32:732–734.Google Scholar
7. Yang, M, Vleck, K, Bellantoni, M, Sood, G. Telephone survey of infection-control and antibiotic stewardship practices in long-term care facilities in Maryland [published online February 2, 2016]. J Am Med Dir Assoc. pii: S1525-8610(15)00777-X.Google Scholar
8. Dellit, TH, Owens, RC, McGowan, JE Jr, et al. Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship. Clin Infect Dis 2007;44:159–177.Google Scholar
9. Morrill, HJ, Caffrey, AR, Jump, RL, Dosa, D, LaPlante, KL. Antimicrobial stewardship in long-term care facilities: a call to action. J Am Med Dir Assoc 2016;17:183.e1–183.e16.Google Scholar
10. Jump, RL, Olds, DM, Seifi, N, et al. Effective antimicrobial stewardship in a long-term care facility through an infectious disease consultation service: keeping a LID on antibiotic use. Infect Control Hosp Epidemiol 2012;33:1185–1192.Google Scholar