Antibiotic Stewardship in European Nursing Homes: Experiences From the Netherlands, Norway, Poland, and Sweden.


Journal

Journal of the American Medical Directors Association
ISSN: 1538-9375
Titre abrégé: J Am Med Dir Assoc
Pays: United States
ID NLM: 100893243

Informations de publication

Date de publication:
01 2020
Historique:
received: 02 07 2019
revised: 07 10 2019
accepted: 07 10 2019
pubmed: 4 12 2019
medline: 24 6 2021
entrez: 4 12 2019
Statut: ppublish

Résumé

Antibiotics are among the most widely prescribed drugs in long-term care facilities, which highlights the importance of antibiotic stewardship (ABS) in this setting. In this article, we describe the experiences with ABS in nursing homes (NHs) from the perspective of 4 European countries: the Netherlands, Norway, Poland, and Sweden. In these countries, a large variety of initiatives to develop and implement ABS in NHs have been introduced in recent years. Among these initiatives are national antibiotic prescribing surveillance systems, NH-specific prescribing guidelines, and national networks of healthcare institutions that exchange information and develop ABS policy. Several initiatives evolved as a result of political prioritization of antibiotic resistance, translated into national action plans. Experiences of the 4 countries with the presented initiatives may inspire other countries that aim to develop or improve ABS in the long-term care setting.

Identifiants

pubmed: 31791900
pii: S1525-8610(19)30736-4
doi: 10.1016/j.jamda.2019.10.005
pii:
doi:

Substances chimiques

Anti-Bacterial Agents 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

34-40.e1

Informations de copyright

Copyright © 2019 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

Auteurs

Laura W Van Buul (LW)

Department of General Practice and Old Age Medicine, Amsterdam Public Health Research Institute, Amsterdam University Medical Center, Amsterdam, the Netherlands. Electronic address: L.vanbuul@amsterdamumc.nl.

Annelie A Monnier (AA)

Department of General Practice and Old Age Medicine, Amsterdam Public Health Research Institute, Amsterdam University Medical Center, Amsterdam, the Netherlands.

Pär-Daniel Sundvall (PD)

Region Västra Götaland, Research and Development Primary Health Care, Research and Development Center Södra Älvsborg, Borås, Sweden; Department of Public Health and Community Medicine/Primary Health Care, Institute of Medicine, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden; Regional Strama, Region Västra Götaland, Sweden.

Peter Ulleryd (P)

Regional Strama, Region Västra Götaland, Sweden; Department of Communicable Disease Control and Prevention, Region Västra Götaland, Sweden.

Maciek Godycki-Cwirko (M)

Center for Family and Community Medicine, Medical University of Lodz, Lodz, Poland; Division of Public Health, Faculty of Medical Sciences, Medical University of Lodz, Lodz, Poland.

Anna Kowalczyk (A)

Center for Family and Community Medicine, Medical University of Lodz, Lodz, Poland.

Morten Lindbaek (M)

Antibiotic Center for Primary Care, Department of General Practice, Institute for Health and Society, University of Oslo, Oslo, Norway.

Cees M P M Hertogh (CMPM)

Department of General Practice and Old Age Medicine, Amsterdam Public Health Research Institute, Amsterdam University Medical Center, Amsterdam, the Netherlands.

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