+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Implementing Antimicrobial Stewardship in Long-term Care Settings: An Integrative Review Using a Human Factors Approach



Implementing Antimicrobial Stewardship in Long-term Care Settings: An Integrative Review Using a Human Factors Approach



Clinical Infectious Diseases 65(11): 1943-1951



Implementing effective antimicrobial stewardship in long-term care facilities (LTCFs) is associated with challenges distinct from those faced by hospitals. LTCFs generally care for elderly populations who are vulnerable to infection, have prescribers who are often off-site, and have limited access to timely diagnostic testing. Identification of feasible interventions in LTCFs is important, particularly given the new requirement for stewardship programs by the Centers for Medicare and Medicaid Services (CMS). In this integrative review, we analyzed published evidence in the context of a human factors engineering approach as well as educational interventions to understand aspects of multimodal interventions associated with the implementation of successful stewardship programs in LTCFs. The outcomes indicate that effective antimicrobial stewardship in long-term care is supported by incorporating multidisciplinary education, tools integrated into the workflow of nurses and prescribers that facilitate review of antibiotic use, and involvement of infectious disease consultants.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 059841443

Download citation: RISBibTeXText

PMID: 29020290

DOI: 10.1093/cid/cix566


Related references

Antimicrobial Stewardship Programs in Long-Term Care Settings: A Meta-Analysis and Systematic Review. Journal of the American Geriatrics Society 67(2): 392-399, 2018

Antimicrobial resistance and stewardship in long-term care settings. Future Microbiology 8(8): 1011-1025, 2014

Participatory action research in antimicrobial stewardship: a novel approach to improving antimicrobial prescribing in hospitals and long-term care facilities. Journal of Antimicrobial ChemoTherapy 69(7): 1734-1741, 2015

A Roadmap to Implementing Antimicrobial Stewardship Principles in Long-term Care Facilities (LTCFs): Collaboration Between an Acute-Care Hospital and LTCFs. Clinical Infectious Diseases 66(8): 1304-1312, 2017

Antibiotic prescribing upon discharge from the hospital to long-term care facilities: Implications for antimicrobial stewardship requirements in post-acute settings. Infection Control and Hospital Epidemiology 2018: 1-6, 2018

Implementing an incontinence program in long-term care settings. A multidisciplinary approach. Journal of Gerontological Nursing 25(6): 47-52, 1999

The impact of emotional intelligence in health care professionals on caring behaviour towards patients in clinical and long-term care settings: Findings from an integrative review. International Journal of Nursing Studies 80: 106-117, 2018

The impact of emotional intelligence in health care professionals on caring behaviour towards patients in clinical and long-term care settings: Findings from an integrative review. International Journal of Nursing Studies 80: 106-117, 2018

Feasibility of Antimicrobial Stewardship (AMS) in Critical Care Settings: A Multidisciplinary Approach Strategy. Medical Sciences 6(2), 2018

Antimicrobial consumption and impact of antimicrobial stewardship programmes in long-term care facilities. Clinical Microbiology and Infection 2018, 2018

Social-Professional Networks in Long-Term Care Settings With People With Dementia: An Approach to Better Care? A Systematic Review. Journal of the American Medical Directors Association 17(2): 183.E17-27, 2016

Antimicrobial Stewardship in Long-Term Care Facilities. Rhode Island Medical Journal 101(5): 42-44, 2018

Antibiotic Use and Need for Antimicrobial Stewardship in Long-Term Care. Canadian Journal of Hospital Pharmacy 68(6): 445-449, 2015

Antimicrobial stewardship in long-term care facilities. Infectious Disease Clinics of North America 28(2): 237-246, 2015

Implementing an antibiotic stewardship program at a long-term acute care hospital in Detroit, Michigan. American Journal of Infection Control 45(12): E157-E160, 2017