Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-22T23:16:05.160Z Has data issue: false hasContentIssue false
  • English
  • Français

Implementation of antimicrobial stewardship and infection prevention and control practices in long-term care facilities—Pennsylvania, 2017

Published online by Cambridge University Press:  15 April 2019

Nkuchia M. M’ikanatha Open the ORCID record for Nkuchia M. M’ikanatha [Opens in a new window] ,
Sameh W. Boktor Open the ORCID record for Sameh W. Boktor [Opens in a new window] ,
Arlene Seid ,
Allen R Kunselman  and
Jennifer H. Han
Nkuchia M. M’ikanatha*
Affiliation:
Pennsylvania Department of Health, Harrisburg, Pennsylvania
Sameh W. Boktor
Affiliation:
Pennsylvania Department of Health, Harrisburg, Pennsylvania
Arlene Seid
Affiliation:
Pennsylvania Department of Health, Harrisburg, Pennsylvania
Allen R Kunselman
Affiliation:
Department of Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania
Jennifer H. Han
Affiliation:
Division of Infectious Diseases, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
*
Author for correspondence: Nkuchia M. M’ikanatha, Email: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

In 2017, we surveyed long-term care facilities in Pennsylvania regarding antimicrobial stewardship and infection prevention and control (IPC) practices. Among 244 responding facilities, 93% had IPC programs and 47% had antimicrobial stewardship programs. There was significant variation in practices across facilities, and a number of program implementation challenges were identified.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 40 , Issue 6 , June 2019 , pp. 713 - 716
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved. 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

PREVIOUS PRESENTATION: Preliminary results of this study were presented at the International Conference on Emerging Infectious Diseases (ICEID) on August 28, 2018, in Atlanta, Georgia

References

Harris-Kojetin, L, Sengupta, M, Park-Lee, E, Valverde, R, Caffrey, C, Rome, V, Lendon, J. Long-term care providers and services users in the United States: data from the National Study of Long-Term Care Providers, 2013–2014. Vital Health Stat 3 2016;38:x–xii;1–105.Google Scholar
Dumyati, G, Stone, ND, Nace, DA, Crnich, CJ, Jump, RL. Challenges and strategies for prevention of multidrug-resistant organism transmission in nursing homes. Curr Infect Dis Rep 2017;19:18.CrossRefGoogle ScholarPubMed
Daneman, N, Gruneir, A, Newman, A, Fischer, HD, Bronskill, SE, Rochon, PA, Anderson, GM, Bell, CM. Antibiotic use in long-term care facilities. J Antimicrob Chemother 2011;66:2856–2863.CrossRefGoogle ScholarPubMed
CMS finalizes improvements in care, safety, and consumer protections for long-term care facility residents. Centers for Medicare and Medicaid Services website. https://www.cms.gov/newsroom/press-releases/cms-finalizes-improvements-care-safety-and-consumer-protections-long-term-care-facility-residents. Published 2016. Accessed November 12, 2018.Google Scholar
New antimicrobial stewardship standard. The Joint Commission website. https://www.jointcommission.org/assets/1/6/New_Antimicrobial_Stewardship_Standard.pdf. Published 2016. Accessed August 7, 2018.Google Scholar
The core elements of antibiotic stewardship for nursing homes. Centers for Disease Control and Prevention website. https://www.cdc.gov/longtermcare/pdfs/core-elements-antibiotic-stewardship.pdf. Published 2015. Accessed September 25, 2018.Google Scholar
Infection prevention and control assessment tool for long-term care facilities. Centers for Disease Control and Prevention website. https://www.cdc.gov/infectioncontrol/pdf/ICAR/LTCF.pdf. Published 2016. Accessed September 25, 2018.Google Scholar
Harris, PA, Taylor, R, Thielke, R, Payne, J, Gonzalez, N, Conde, JG. Research Electronic Data Capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 2009;42:377–381.CrossRefGoogle ScholarPubMed
Barlam, TF, Cosgrove, SE, Abbo, LM, et al. Implementing an antibiotic stewardship program: guidelines by the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America. Clin Infect Dis 2016;62:e51–e77.CrossRefGoogle Scholar
Kullar, R, Yang, H, Grein, J, Murthy, R. A roadmap to implementing antimicrobial stewardship principles in long-term care facilities (LTCFs): collaboration between an acute-care hospital and LTCFs. Clin Infect Dis 2018;66:1304–1312.CrossRefGoogle ScholarPubMed