BACKGROUND: High infection burden among the residential aged care facility (RACF) population has long been recognised; however, existing infection prevention effort is often limited to infection surveillance activity. There is a scarcity of evidence to guide antimicrobial stewardship in the Australian RACF setting. OBJECTIVE: This review summarises the current trends in antibiotic use and multi-drug resistant (MDR) organisms, challenges related to antibiotic prescribing and areas of suboptimal antibiotic prescribing for further improvement, particularly in the Australian RACF setting. DISCUSSION: There is widespread antibiotic prescribing in RACF, which may lead to the emergence of antibiotic resistance. Accordingly, there is an immediate need for judicious antibiotic use in this high-risk population to curb the rapid emergence of MDR organisms and other adverse consequences associated with inappropriate antibiotic use, as well as to reduce healthcare costs.
BACKGROUND:High infection burden among the residential aged care facility (RACF) population has long been recognised; however, existing infection prevention effort is often limited to infection surveillance activity. There is a scarcity of evidence to guide antimicrobial stewardship in the Australian RACF setting. OBJECTIVE: This review summarises the current trends in antibiotic use and multi-drug resistant (MDR) organisms, challenges related to antibiotic prescribing and areas of suboptimal antibiotic prescribing for further improvement, particularly in the Australian RACF setting. DISCUSSION: There is widespread antibiotic prescribing in RACF, which may lead to the emergence of antibiotic resistance. Accordingly, there is an immediate need for judicious antibiotic use in this high-risk population to curb the rapid emergence of MDR organisms and other adverse consequences associated with inappropriate antibiotic use, as well as to reduce healthcare costs.
Authors: Maha Mahmoud Alawi; Wail A Tashkandi; Mohamed A Basheikh; Faten M Warshan; Hazem Ahmed Ghobara; Rosemarie B Ramos; Mary Leilani Guiriba; Omar Ayob; Safiah Saad Janah; Anees Ahmad Sindi; Suheib Ali Abdulhamid Ahmed; Salah Dammnan; Esam Ibraheem Azhar; Ali A Rabaan; Salma Alnahdi; Maged Mohammed Bamahakesh Journal: Interdiscip Perspect Infect Dis Date: 2022-04-12
Authors: Natalia Krzyzaniak; Connor Forbes; Justin Clark; Anna Mae Scott; Chris Del Mar; Mina Bakhit Journal: Br J Gen Pract Date: 2022-05-06 Impact factor: 6.302
Authors: Janet K Sluggett; Samanta Lalic; Sarah M Hosking; Brett Ritchie; Jennifer McLoughlin; Terry Shortt; Leonie Robson; Tina Cooper; Kelly A Cairns; Jenni Ilomäki; Renuka Visvanathan; J Simon Bell Journal: Int J Environ Res Public Health Date: 2020-05-08 Impact factor: 3.390