A Multifaceted Antimicrobial Stewardship Program for the Treatment of Uncomplicated Cystitis in Nursing Home Residents | Zendy

David A. Nace | Zendy; Joseph T. Hanlon | Zendy; Christopher J. Crnich | Zendy; Paul J. Drinka | Zendy; Steven J. Schweon | Zendy; Gülsüm Anderson | Zendy; Subashan Perera | Zendy

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A Multifaceted Antimicrobial Stewardship Program for the Treatment of Uncomplicated Cystitis in Nursing Home Residents

Author(s) -

David A. Nace,

Joseph T. Hanlon,

Christopher J. Crnich,

Paul J. Drinka,

Steven J. Schweon,

Gülsüm Anderson,

Subashan Perera

Publication year - 2020

Publication title -

jama internal medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 5.14

H-Index - 342

eISSN - 2168-6114

pISSN - 2168-6106

DOI - 10.1001/jamainternmed.2020.1256

Subject(s) - medicine , antimicrobial stewardship , antimicrobial , stewardship (theology) , nursing , medline , nursing homes , intensive care medicine , family medicine , antibiotics , microbiology and biotechnology , antibiotic resistance , biology , politics , political science , law

Urinary tract infections are the most common infections in nursing home residents. However, most antibiotic use is for unlikely cystitis (ie, nonspecific symptoms and positive culture results secondary to asymptomatic bacteriuria or a urine sample improperly collected for culture) that is unnecessary and inappropriate. This antibiotic use is associated with an increased risk of antimicrobial resistance, adverse drug events, and Clostridioides difficile (formerly Clostridium difficile) infections.

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