Antimicrobial stewardship in long term care facilities: evidence based interventions, implementation tools, and impact metrics

2025/12/22 by Tristan T. Timbrook, Chelsea Campbell, Pamela Bailey · 1 voice
Medicine · Immunology and Microbiology · #Urinary Tract Infections Management #Antibiotic Use and Resistance #Infection Control in Healthcare

paper · pdf · doi:10.1017/ash.2025.10255

openalex publication_date 2025/12/22 · openalex created_date 2025/12/22 · openalex updated_date 2026/05/21

Abstract

While Centers for Medicare and Medicaid Services-mandated Antimicrobial Stewardship Programs are now in place across U.S. skilled nursing facilities, reported high rates of compliance may mask persistent gaps in clinical effectiveness. This review summarizes evidence-based antimicrobial stewardship interventions, their impact, and practical tools to support implementation. Resources from Centers for Disease Control and Prevention, Agency for Healthcare Research and Quality, other frameworks, and proposed metrics are highlighted to guide effective stewardship in resource-variable nursing home settings.

Citations

• Use of antibiotics in long-term care facilities for the elderly in Germany – point prevalence as a possible first step for data-based antibiotic stewardship

Discussions

• New review alert from @tttimbrook.bsky.social @pamipenem.bsky.social: We outline evidence-based #ASP interventions, implementation strategies, & practical tools for long-term care facilities. Reducing [bsky, 3 points, 0 comments]

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