Antimicrobial Stewardship in Long Term Care

Antimicrobial stewardship in long term care facilities involves setting commitments and actions to optimize antibiotic therapy while minimizing the emergence of antibiotic resistance and other adverse effects.

Studies have shown that 40-75% of the antibiotic courses prescribed in long term care facilities are unnecessary or inappropriate, leading to significant risks from antibiotic overuse.  Any actions taken to improve antibiotic use promotes better outcomes for residents in long term care settings.

An antimicrobial stewardship program (ASP) is an effective strategy for limiting the excessive use of antibiotics. Establishing an ASP requires the implementation of infection prevention and control guidelines, education and awareness of antimicrobial use regulations and collection of surveillance data to provide feedback.

NCCID links to materials produced by various organizations to promote antimicrobial stewardship in long term care facilities. These materials include steps for implementing antimicrobial stewardship programs and evidence based guidelines for clinical assessments and treatment.

AMS Programs in LTC facilities

The following links have useful information on implementing and sustaining antimicrobial stewardship programs in long term care facilities:

Diagnosis & Treatment Guidelines

The following resources offer useful information on diagnosis and treatment guidelines: