Improvements in Antibiotic Appropriateness for Cystitis in Older Nursing Home Residents: A Quality Improvement Study With Randomized Assignment.

ABSTRACT:

Objective

To determine the impact of an educational quality improvement initiative on the appropriateness of antibiotic prescribing restricted to uncomplicated cystitis in older noncatheterized nursing home residents.

Design

Quality improvement study with randomized assignment.

Settings and participants

Twenty-five nursing homes in United States were randomized to the intervention or usual care group by strata that included state, urban/rural status, bed size, and geographic separation.

Methods

A 12-month trial of a low-intensity multifaceted antimicrobial stewardship intervention focused on uncomplicated cystitis in nursing home residents vs usual care. The outcome was the modified Medication Appropriateness Index as assessed by a blinded geriatric clinical ph

SUBMITTER: Hanlon JT 

PROVIDER: S-EPMC8020117 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature