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      Antimicrobial stewardship in long-term care facilities.

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          Abstract

          Although antimicrobial stewardship has been shown to improve microbiologic susceptibility patterns, decrease drug toxicities, and lower overall drug costs in the inpatient setting, there are few studies assessing programs in the long-term care (LTC) setting. Implementing antimicrobial stewardship programs in LTC settings can be challenging as the LTC setting houses a unique population of frail and older adults with several preexisting conditions and multiple risk factors for colonization with multidrug-resistant organisms. Antimicrobial stewardship has an important role in decreasing inappropriate antibiotic use, encouraging targeted treatment of specific disease states, and limiting the untoward effects and costs of antimicrobials in this vulnerable population.

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          Author and article information

          Journal
          Infect. Dis. Clin. North Am.
          Infectious disease clinics of North America
          1557-9824
          0891-5520
          Jun 2014
          : 28
          : 2
          Affiliations
          [1 ] Division of Infectious Diseases, Johns Hopkins Bayview Medical Center, 5200 Eastern Avenue, MFL Center Tower, 3rd Floor, Baltimore, MD 21224, USA. Electronic address: srhee9@jhmi.edu.
          [2 ] Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, 1600 Clifton Road Northeast, MS:A-31, Atlanta, GA 30333, USA.
          Article
          S0891-5520(14)00005-1
          10.1016/j.idc.2014.01.001
          24857390
          0c8dbb0d-aa0c-4b7a-b0c9-0916ca804ecc
          Copyright © 2014 Elsevier Inc. All rights reserved.
          History

          Antimicrobial resistance,Antimicrobial stewardship,Elderly,Infection prevention,Long-term care

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