25% of nursing homes do not have comprehensive antibiotic stewardship policies

Despite a federal push to require nursing homes to establish antibiotic stewardship programs, about 25 percent have policies that are not comprehensive, according to a study published in the American Journal of Infection Control.

The CDC released recommendations to improve antibiotic-prescribing practices in nursing homes in 2015. It also released a resource to help nursing homes begin or expand antibiotic stewardship activities.

Researchers conducted a nationally representative survey of 861 nursing homes in 2018. They examined the comprehensiveness of antibiotic stewardship programs.

They found:

● 33.2 percent of nursing homes had comprehensive antibiotic stewardship program policies
● 41.1 percent had moderately comprehensive antibiotic stewardship program policies
● 25.6 percent did not have comprehensive antibiotic stewardship program policies

Additionally, comprehensive antibiotic stewardship programs were associated with involvement in quality innovation network and quality improvement organization activities.

More articles on post-acute care:
California nursing homes must consult patient or rep for psychiatric drugs, end-of-life care
New York cites nursing home for violations after resident death
Patients at high risk in transition from hospital to long-term care, study finds

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