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Antibiotic Prescribing in United States Nursing Homes, 2013-2017.


ABSTRACT: In this national cohort of older adults residing long-term in US nursing homes between 2013 and 2017, we calculated period prevalence estimates for antibiotic prescribing, rates of prescribing, and days of therapy. Among 1 375 062 residents, 66.2% were prescribed at least 1 antibiotic during the nursing home stay. The most prevalent antibiotic classes were fluoroquinolones, sulfonamides and related agents, and first-generation cephalosporins. Levofloxacin, ciprofloxacin, and sulfamethoxazole-trimethoprim were the most prevalent antibiotics. These results can inform antibiotic stewardship interventions to reduce antibiotic overprescribing, improve appropriateness, and reduce related adverse outcomes in nursing homes.

SUBMITTER: Riester MR 

PROVIDER: S-EPMC10428191 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature

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Antibiotic Prescribing in United States Nursing Homes, 2013-2017.

Riester Melissa R MR   Deng Yalin Y   Zullo Andrew R AR  

The Journal of infectious diseases 20230801 4


In this national cohort of older adults residing long-term in US nursing homes between 2013 and 2017, we calculated period prevalence estimates for antibiotic prescribing, rates of prescribing, and days of therapy. Among 1 375 062 residents, 66.2% were prescribed at least 1 antibiotic during the nursing home stay. The most prevalent antibiotic classes were fluoroquinolones, sulfonamides and related agents, and first-generation cephalosporins. Levofloxacin, ciprofloxacin, and sulfamethoxazole-tri  ...[more]

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