Implementing Antimicrobial Stewardship Core Elements in Utah Nursing Homes.

IF 3.8 3区医学 Q2 INFECTIOUS DISEASES

American journal of infection control Pub Date : 2025-05-14 DOI:10.1016/j.ajic.2025.05.006

Tariq A Mosleh, April Clements, Devin Beard, Angela Weil, Christina Radloff, Charisse Schenk

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引用次数: 0

Abstract

Background: In 2017, the Centers for Medicare and Medicaid Services (CMS) required all nursing homes (NHs) to implement an Antimicrobial Stewardship Program (ASP) as part of their infection prevention and control program. The goal of this study is to assess the implementation of ASP in Utah NHs.

Material and methods: A cross-sectional survey based on the Centers for Disease Control and Prevention's (CDC) seven ASP core elements was sent to Utah NHs via REDCap (Research Electronic Data Capture).

Results: The response rate was 50% (n = 49). Most facilities (96%) reported leadership support and at least one facility policy to improve their ASP, however a quarter of respondents (22%) did not know who was accountable for the ASP and 33% of facilities did not have infectious disease experts. More than half (69%) of Utah facilities reported use of treatment protocols and algorithms to outline the minimum prescribing antibiotics criteria.

Discussion: Most Utah facilities reported leadership commitment to ASP. However, few facilities were partnered with a referral hospital, used the full range of reporting and monitoring tools, and many lacked patient education.

Conclusions: This evaluation highlighted strengths and areas for improvement in the implementation of AS core elements in Utah NHs.

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在犹他州养老院实施抗菌药物管理核心要素。

背景：2017年，医疗保险和医疗补助服务中心（CMS）要求所有养老院（NHs）实施抗菌药物管理计划（ASP），作为其感染预防和控制计划的一部分。本研究的目的是评估ASP在犹他州NHs的实施情况。材料和方法：基于疾病控制和预防中心（CDC）的7个ASP核心要素的横断面调查通过REDCap（研究电子数据捕获）发送给犹他州NHs。结果：有效率为50% （n = 49）。大多数设施（96%）报告了领导的支持和至少一项设施政策，以改善他们的ASP，然而，四分之一的受访者（22%）不知道谁对ASP负责，33%的设施没有传染病专家。犹他州半数以上（69%）的医疗机构报告使用治疗方案和算法来概述最低抗生素处方标准。讨论：犹他州的大多数设施报告了领导层对ASP的承诺。然而，很少有设施与转诊医院合作，使用全套报告和监测工具，许多设施缺乏患者教育。结论：该评估突出了犹他州NHs实施AS核心要素的优势和需要改进的领域。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of infection control 医学-传染病学

CiteScore

7.40

自引率

4.10%

发文量

479

审稿时长

24 days

期刊介绍： AJIC covers key topics and issues in infection control and epidemiology. Infection control professionals, including physicians, nurses, and epidemiologists, rely on AJIC for peer-reviewed articles covering clinical topics as well as original research. As the official publication of the Association for Professionals in Infection Control and Epidemiology (APIC)