Antibiotic prescribing in nursing homes in an area with low prevalence of antibiotic resistance: Compliance with national guidelines
| Autor: | Mark Fagan, Dag Berild, Morten Lindbæk, Marthe T. Maehlen |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty medicine.drug_class Urology Antibiotics Drug resistance Infections Antibiotic prescribing Compliance (psychology) Antibiotic resistance Respite care medicine Humans Practice Patterns Physicians' Intensive care medicine Retrospective Studies Aged 80 and over Geriatrics Respiratory tract infections Norway business.industry Public Health Environmental and Occupational Health Drug Resistance Microbial Retrospective cohort study Anti-Bacterial Agents Nursing Homes Ciprofloxacin Practice Guidelines as Topic Original Article Female Guideline Adherence Nursing homes business medicine.drug |
| Zdroj: | Scandinavian Journal of Primary Health Care. 30:10-15 |
| ISSN: | 1502-7724 0281-3432 |
| Popis: | Objective. To examine antibiotic prescribing in nursing homes and determine to what degree the prescribing was in accordance with the national guidelines for antibiotic prescribing. Design. Retrospective examination of patients’ records who were prescribed antibiotics in the period 1 March 2007 to 28 February 2008. Setting and patients. Patients residing in the nursing homes of Arendal, Norway. Main outcome measures. Choice of antibiotic in respect of the recommendations in the national guidelines for antibiotic prescribing. Results. A total of 714 antibiotic courses were prescribed to 327 patients yielding a prevalence of 6.6%. Compliant prescribing was 77% for urinary tract infections (UTI), 79% for respiratory tract infections (RTI), and 76% for skin and soft tissue infections (SSTI). Ciprofloxacin was responsible for 63% of non-compliant prescribing. On the respite wards there was a higher rate of total prescribing, non-compliant prescribing, and prescribing by physicians employed at the local hospital. Conclusion. Guidelines for antibiotic use must be implemented actively and efforts to improve antibiotic prescribing in nursing homes must be aimed at both nursing home and hospital physicians. |
| Databáze: | OpenAIRE |
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