Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-26T06:58:24.853Z Has data issue: false hasContentIssue false

Facility-Level Correlates of Antimicrobial Use in Nursing Homes

Published online by Cambridge University Press:  02 January 2015

Mark Loeb*
Affiliation:
Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton and the Regional Laboratory Medicine Program, Toronto Medical Laboratories, Toronto, Ontario, Canada
Allison McGeer
Affiliation:
Department of Microbiology, Toronto Medical Laboratories and Mount Sinai Hospital and the University of Toronto, Toronto, Ontario, Canada
Andrew Simor
Affiliation:
Department of Microbiology, Sunnybrook and Women's College Health Sciences Centre and the University of Toronto, Ontario, Canada
Stephen D. Walter
Affiliation:
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada
Suzanne Bradley
Affiliation:
Divisions of Geriatric Medicine and Infectious Diseases, Department of Internal Medicine, Veterans'Affairs Health Systems, and the University of Michigan Medical School, Ann Arbor, Michigan
Donald E. Low
Affiliation:
Department of Microbiology, Toronto Medical Laboratories and Mount Sinai Hospital and the University of Toronto, Toronto, Ontario, Canada
Lorraine Moss
Affiliation:
Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada
*
Henderson General Hospital, Hamilton, Ontario, Canada L8V1C3

Abstract

We assessed the contribution of facility-Ievel variables to antimicrobial use in a cohort of 50 nursing homes and found that antimicrobial use was significantly correlated with the percentage of nursing home residents with feeding tubes, the number of healthcare aides, and the country of origin of the facility.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2004

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Nicolle, LE, Bentley, D, Garibaldi, R, Neuhaus, E, Smith, P, SHEA Long-Term Care Committee. Antimicrobial use in long-term-care facilities. Infect Control Hosp Epidemiol 1996;17:119128.Google Scholar
2.Loeb, M, Craven, S, McGeer, A, et al.Risk factors for antimicrobial resistance in nursing homes. Am J Epidemiol 2003;157:4047.Google Scholar
3.Strausbaugh, LJ, Joseph, C. Epidemiology and prevention of infections in home health care. In: Mayhall, CG, ed. Hospital Epidemiology and Infection Control. Baltimore: Williams & Wilkins; 1996:11511170.Google Scholar
4.Mylotte, JM. Antimicrobial prescribing in long-term care facilities: prospective evaluation of potential antimicrobial use and cost indicators. Am J Infect Control 1999;27:1019.Google Scholar
5.Loeb, M, Simor, AE, Walter, S, et al.Antibiotic use in Ontario facilities that provide chronic care. J Gen Intern Med 2001;16:376383.Google Scholar
6.Merlo, J, Wessling, A, Melander, A. Comparison of dose standard units for drug utilization studies. Eur J Clin Pharmacol 1996;50:2730.Google Scholar
7.Langmore, SE, Skarupski, KA, Park, PS, Fries, BE. Predictors of aspiration pneumonia in nursing home residents. Dysphagia 2002;17:298307.Google Scholar