Hospital Team Helps Reduce Fluoroquinolone Use, C. difficile Rate at SNF

July 15, 2016 | Aging Services Risk, Quality, & Safety Guidance

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​By creating a multifaceted campaign, a hospital antimicrobial stewardship team helped an unaffiliated skilled nursing facility (SNF) reduce its use of antibiotics, particularly fluoroquinolones, and Clostridium difficile rate, reports a study published June 16, 2016, in the Annals of Long-Term Care. Components of the campaign included development of an antibiogram showing urinary pathogen sensitivities; in-service education for providers on treating infections of the urinary tract, respiratory tract, and skin and soft tissue; education and creation of pamphlets for family members regarding the risks of antimicrobial overuse; and a 24-hour telephone hotline that connected SNF staff with the hospital antimicrobial stewardship team. The mean defined daily dose per 1,000 resident-days was calculated before and after the intervention. Rates of antimicrobial treatment of urinary tract infections and respiratory tract infections decreased by 6% each, while the rate of antimicrobial treatment of skin and soft tissue infections increased by 11%.

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