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Measuring Antibiotic Appropriateness for Urinary Tract Infections in Nursing Home Residents

Published online by Cambridge University Press:  31 May 2017

Taniece Eure ,
Lisa L. LaPlace ,
Richard Melchreit ,
Meghan Maloney ,
Ruth Lynfield ,
Tory Whitten ,
Linn Warnke ,
Ghinwa Dumyati ,
Gail Quinlan  and
Cathleen Concannon
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Taniece Eure*
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Lisa L. LaPlace
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Richard Melchreit
Affiliation:
Connecticut Department of Public Health, Hartford, Connecticut
Meghan Maloney
Affiliation:
Connecticut Department of Public Health, Hartford, Connecticut
Ruth Lynfield
Affiliation:
Minnesota Department of Health, St Paul, Minnesota
Tory Whitten
Affiliation:
Minnesota Department of Health, St Paul, Minnesota
Linn Warnke
Affiliation:
Minnesota Department of Health, St Paul, Minnesota
Ghinwa Dumyati
Affiliation:
University of Rochester Medical Center and Rochester-NY EIP, Rochester, New York
Gail Quinlan
Affiliation:
University of Rochester Medical Center and Rochester-NY EIP, Rochester, New York
Cathleen Concannon
Affiliation:
University of Rochester Medical Center and Rochester-NY EIP, Rochester, New York
Deborah Thompson
Affiliation:
New Mexico Department of Health, Santa Fe, New Mexico.
Nimalie D. Stone
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
Nicola D. Thompson
Affiliation:
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
*
Address correspondence to Taniece Eure, MPH, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, 1600 Clifton Road MS A-16, Atlanta, GA 30329 (teure@cdc.gov).
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Abstract

We assessed the appropriateness of initiating antibiotics in 49 nursing home (NH) residents receiving antibiotics for urinary tract infection (UTI) using 3 published algorithms. Overall, 16 residents (32%) received prophylaxis, and among the 33 receiving treatment, the percentage of appropriate use ranged from 15% to 45%. Opportunities exist for improving UTI antibiotic prescribing in NH.

Infect Control Hosp Epidemiol 2017;38:998–1001

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 38 , Issue 8 , August 2017 , pp. 998 - 1001
Copyright
© 2017 by The Society for Healthcare Epidemiology of America. All rights reserved 

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Footnotes

PREVIOUS PRESENTATION: An abstract of this work, “Measuring Antibiotic Appropriateness for Urinary Tract Infection in Nursing Home Residents,” was presented in Atlanta, Georgia, on May 20, 2016, at the Society for Healthcare Epidemiologists of America Spring Conference.

References

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