Members of the Society’s Infection Advisory Committee will point out why Antimicrobial Stewardship Programs (ASPs) are needed in PA/LTC settings. This will be achieved by reviewing data elements reflecting current overuse and misuse of antibiotic in nursing homes. Upcoming skilled nursing facility regulations will be discussed to set the stage for an elevated medical directors role in assessing their facilities current antibiotic use policies and readiness to a formal ASP (Centers for Disease Control and Prevention [CDC] crosswalk).
Results of the past and ongoing nursing home ASPs will be reviewed. The strengths and limitations of these programs will be discussed to help nursing home practitioners and administrators identify the best approach for their nursing home. Information regarding the current resources to help improve antibiotic prescribing patterns in the nursing home (like use of various tool kits) will be provided. Recent data from the trials for application of these tool kits will also be presented.
The ultimate goal for this session will be to help the medical directors, other clinical practitioners, and nursing home administrators implement formal antimicrobial stewardship programs in the near future, based on the seven core elements described by the CDC and Prevention. After thorough review of these core elements, the simple and practical initial steps will be highlighted during the panel discussion.
Describe the need for antimicrobial stewardship program in PA/LTC settings including upcoming regulations.
Discuss effectiveness of previous and current nursing home antimicrobial stewardship programs and tool kits along with their strengths, and limitations.
Review available resources to optimize antibiotic use in PA/LTC settings including CDC core elements of antibiotic stewardship.
Demonstrate practical approaches towards developing a formal antimicrobial stewardship program in PA/LTC settings including role of the medical director.
Louis Stokes Cleveland VA Medical Center
MD FACP, CMD, CIC, CHCQM,
Chicago Internal Medicine Practice and Research (CIMPAR, SC)
Centers for Disease Control and Prevention
University of Nebraska Medical Center
Principal Research Scientist, Deputy Practice Area Director,
American Institutes for Research
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