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Review
. 2017 Nov 1;18(11):913-920.
doi: 10.1016/j.jamda.2017.07.018. Epub 2017 Sep 19.

Template for an Antibiotic Stewardship Policy for Post-Acute and Long-Term Care Settings

Robin L P Jump  1 , Swati Gaur  2 , Morgan J Katz  3 , Christopher J Crnich  4 , Ghinwa Dumyati  5 , Muhammad S Ashraf  6 , Elizabeth Frentzel  7 , Steven J Schweon  8 , Philip Sloane  9 , David Nace  10 ; Infection Advisory Committee for AMDA—The Society of Post-Acute and Long-Term Care Medicine
Affiliations
Review

Template for an Antibiotic Stewardship Policy for Post-Acute and Long-Term Care Settings

Robin L P Jump et al. J Am Med Dir Assoc. .

Abstract

In response to a rising concern for multidrug resistance and Clostridium difficile infections, the Centers for Medicare and Medicaid services (CMS) will require all long-term care (LTC) facilities to establish an antibiotic stewardship program by November 2017. Thus far, limited evidence describes implementation of antibiotic stewardship in LTC facilities, mostly in academic- or hospital-affiliated settings. To support compliance with CMS requirements and aid facilities in establishing a stewardship program, the Infection Advisory Committee at AMDA-The Society for Post-Acute and Long-Term Care Medicine, has developed an antibiotic stewardship policy template tailored to the LTC setting. The intent of this policy, which can be adapted by individual facilities, is to help LTC facilities implement an antibiotic stewardship policy that will meet or exceed CMS requirements. We also briefly discuss implementation of an antibiotic stewardship program in LTC settings, including a list of free resources to support those efforts.

Keywords: Antimicrobial stewardship; Centers for Medicare and Medicaid Services; infection prevention and control; nursing homes; policy.

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Conflict of interest statement

Conflict of Interest

Dr. Jump discloses a research grant from Steris. Drs. Jump and Gaur Co-Chair AMDA--The Society for Post-Acute and Long-Term Care Medicine’s Infections Advisory Committee. All other authors report no other potential conflicts of interest related to the content of this article.

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