Tennessee Department of Health, Andrew Johnson Tower, 3.417C, 710 James Robertson Parkway, Nashville, TN 37243, USA.
Geriatric Research Education and Clinical Center (GRECC); Specialty Care Center of Innovation at the VA Northeast Ohio Healthcare System, Cleveland, OH, USA; Division of Infectious Diseases and HIV Medicine, Department of Medicine, Case Western Reserve University School of Medicine, 10900 Euclid Avenue, Cleveland, OH 44106, USA; Department of Population and Quantitative Health Sciences, Case Western Reserve University School of Medicine, 10900 Euclid Avenue, Cleveland, OH 44106, USA.
Infect Dis Clin North Am. 2020 Mar;34(1):129-143. doi: 10.1016/j.idc.2019.10.007.
Antimicrobial stewardship is a collaborative venture and antimicrobial stewardship in long-term care (LTC) settings is no exception. There are many barriers to implementing effective antimicrobial stewardship programs in LTC settings, including constrained financial resources, limited access to physicians and pharmacists with antimicrobial stewardship training, minimal on-site infectious syndrome diagnostics and laboratory expertise, and high rates of staff turnover. This article suggests that collaboration at the level of health care facilities and systems, with public health departments, with laboratory partners, and among personnel, including nursing staff, prescribers, and pharmacists, can lead to effective antimicrobial stewardship programs in LTC settings.
抗菌药物管理是一项协作性工作，长期护理（LTC）环境中的抗菌药物管理也不例外。在 LTC 环境中实施有效的抗菌药物管理计划存在许多障碍，包括有限的财务资源、获得具有抗菌药物管理培训的医生和药剂师的机会有限、现场感染综合征诊断和实验室专业知识有限以及员工 turnover 率高。本文认为，医疗机构和系统层面的合作，与公共卫生部门的合作，与实验室合作伙伴的合作，以及包括护理人员、处方者和药剂师在内的人员之间的合作，可以在 LTC 环境中实现有效的抗菌药物管理计划。
