Reliability of nonlocalizing signs and symptoms as indicators of the presence of infection in nursing-home residents

Theresa A. Rowe; Robin L.P. Jump; Bjorg Marit Andersen; David B. Banach; Kristina A. Bryant; Sarah B. Doernberg; Mark Loeb; Daniel J. Morgan; Andrew M. Morris; Rekha K. Murthy; David A. Nace; Christopher J. Crnich

doi:10.1017/ice.2020.1282

Reliability of nonlocalizing signs and symptoms as indicators of the presence of infection in nursing-home residents

Theresa A. Rowe
, Robin L.P. Jump
, Bjorg Marit Andersen
, David B. Banach
, Kristina A. Bryant
, Sarah B. Doernberg
, Mark Loeb
, Daniel J. Morgan
, Andrew M. Morris
, Rekha K. Murthy
, David A. Nace
, Christopher J. Crnich

Research output: Contribution to journal › Article › peer-review

30 Scopus citations

Abstract

Antibiotics are among the most common medications prescribed in nursing homes. The annual prevalence of antibiotic use in residents of nursing homes ranges from 47% to 79%, and more than half of antibiotic courses initiated in nursing-home settings are unnecessary or prescribed inappropriately (wrong drug, dose, or duration). Inappropriate antibiotic use is associated with a variety of negative consequences including Clostridioides difficile infection (CDI), adverse drug effects, drug-drug interactions, and antimicrobial resistance. In response to this problem, public health authorities have called for efforts to improve the quality of antibiotic prescribing in nursing homes.

Original language	English
Pages (from-to)	417-426
Number of pages	10
Journal	Infection Control and Hospital Epidemiology
Volume	43
Issue number	4
DOIs	https://doi.org/10.1017/ice.2020.1282
State	Published - 9 Apr 2022
Externally published	Yes

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10.1017/ice.2020.1282

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Rowe, T. A., Jump, R. L. P., Andersen, B. M., Banach, D. B., Bryant, K. A., Doernberg, S. B., Loeb, M., Morgan, D. J., Morris, A. M., Murthy, R. K., Nace, D. A., & Crnich, C. J. (2022). Reliability of nonlocalizing signs and symptoms as indicators of the presence of infection in nursing-home residents. Infection Control and Hospital Epidemiology, 43(4), 417-426. https://doi.org/10.1017/ice.2020.1282

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title = "Reliability of nonlocalizing signs and symptoms as indicators of the presence of infection in nursing-home residents",

abstract = "Antibiotics are among the most common medications prescribed in nursing homes. The annual prevalence of antibiotic use in residents of nursing homes ranges from 47\% to 79\%, and more than half of antibiotic courses initiated in nursing-home settings are unnecessary or prescribed inappropriately (wrong drug, dose, or duration). Inappropriate antibiotic use is associated with a variety of negative consequences including Clostridioides difficile infection (CDI), adverse drug effects, drug-drug interactions, and antimicrobial resistance. In response to this problem, public health authorities have called for efforts to improve the quality of antibiotic prescribing in nursing homes.",

author = "Rowe, \{Theresa A.\} and Jump, \{Robin L.P.\} and Andersen, \{Bjorg Marit\} and Banach, \{David B.\} and Bryant, \{Kristina A.\} and Doernberg, \{Sarah B.\} and Mark Loeb and Morgan, \{Daniel J.\} and Morris, \{Andrew M.\} and Murthy, \{Rekha K.\} and Nace, \{David A.\} and Crnich, \{Christopher J.\}",

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day = "9",

doi = "10.1017/ice.2020.1282",

language = "English",

volume = "43",

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journal = "Infection Control and Hospital Epidemiology",

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Rowe, TA, Jump, RLP, Andersen, BM, Banach, DB, Bryant, KA, Doernberg, SB, Loeb, M, Morgan, DJ, Morris, AM, Murthy, RK, Nace, DA & Crnich, CJ 2022, 'Reliability of nonlocalizing signs and symptoms as indicators of the presence of infection in nursing-home residents', Infection Control and Hospital Epidemiology, vol. 43, no. 4, pp. 417-426. https://doi.org/10.1017/ice.2020.1282

TY - JOUR

T1 - Reliability of nonlocalizing signs and symptoms as indicators of the presence of infection in nursing-home residents

AU - Rowe, Theresa A.

AU - Jump, Robin L.P.

AU - Andersen, Bjorg Marit

AU - Banach, David B.

AU - Bryant, Kristina A.

AU - Doernberg, Sarah B.

AU - Loeb, Mark

AU - Morgan, Daniel J.

AU - Morris, Andrew M.

AU - Murthy, Rekha K.

AU - Nace, David A.

AU - Crnich, Christopher J.

PY - 2022/4/9

Y1 - 2022/4/9

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AB - Antibiotics are among the most common medications prescribed in nursing homes. The annual prevalence of antibiotic use in residents of nursing homes ranges from 47% to 79%, and more than half of antibiotic courses initiated in nursing-home settings are unnecessary or prescribed inappropriately (wrong drug, dose, or duration). Inappropriate antibiotic use is associated with a variety of negative consequences including Clostridioides difficile infection (CDI), adverse drug effects, drug-drug interactions, and antimicrobial resistance. In response to this problem, public health authorities have called for efforts to improve the quality of antibiotic prescribing in nursing homes.

UR - https://www.scopus.com/pages/publications/85097411312

U2 - 10.1017/ice.2020.1282

DO - 10.1017/ice.2020.1282

M3 - Article

C2 - 33292915

AN - SCOPUS:85097411312

SN - 0899-823X

VL - 43

SP - 417

EP - 426

JO - Infection Control and Hospital Epidemiology

JF - Infection Control and Hospital Epidemiology

IS - 4

ER -

Reliability of nonlocalizing signs and symptoms as indicators of the presence of infection in nursing-home residents

Abstract

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