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Measuring Antibiotic Appropriateness for Urinary Tract Infections in Nursing Home Residents.

Taniece Eure, Lisa L LaPlace, Richard Melchreit, Meghan Maloney, Ruth Lynfield, Tory Whitten, Linn Warnke, Ghinwa Dumyati, Gail Quinlan, Cathleen Concannon, Deborah Thompson, Nimalie D Stone, Nicola D Thompson
Infection Control and Hospital Epidemiology 2017 August
We assessed the appropriateness of initiating antibiotics in 49 nursing home (NH) residents receiving antibiotics for urinary tract infection (UTI) using 3 published algorithms. Overall, 16 residents (32%) received prophylaxis, and among the 33 receiving treatment, the percentage of appropriate use ranged from 15% to 45%. Opportunities exist for improving UTI antibiotic prescribing in NH. Infect Control Hosp Epidemiol 2017;38:998-1001.

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