Antimicrobial use in long-term-care facilities

Lindsay E. Nicolle, David W. Bentley, Richard Garibaldi, Ellen G. Neuhaus, Philip W. Smith

Research output: Contribution to journalReview article

184 Scopus citations

Abstract

There is intense antimicrobial use in long-term-care facilities (LTCFs), and studies repeatedly document that much of this use is inappropriate. The current crisis in antimicrobial resistance, which encompasses the LTCF heightens concerns of antimicrobial use. Attempts to improve antimicrobial use in the LTCF are complicated by characteristics of the patient population, limited availability of diagnostic tests, and the virtual absence of relevant clinical trials. This position paper recommends approaches to management of common infections in LTCF patients and proposes minimal standards for an antimicrobial review program. In developing these recommendations, the position paper acknowledges the unique aspects of provision of care in the LTCF.

Original languageEnglish (US)
Article number04321
Pages (from-to)537-545
Number of pages9
JournalInfection Control and Hospital Epidemiology
Volume21
Issue number8
DOIs
StatePublished - Aug 1 2000

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ASJC Scopus subject areas

  • Epidemiology
  • Microbiology (medical)
  • Infectious Diseases

Cite this

Nicolle, L. E., Bentley, D. W., Garibaldi, R., Neuhaus, E. G., & Smith, P. W. (2000). Antimicrobial use in long-term-care facilities. Infection Control and Hospital Epidemiology, 21(8), 537-545. [04321]. https://doi.org/10.1086/501798