Aged Care

Aged Care

Aged Care Home stream

Recent studies have shown a significant burden of infection and colonisation with antibiotic resistant bacteria among Aged Care Home (ACH) residents and frequent inappropriate receipt of antibiotics. The VICNISS Coordintating Centre has well established linkages and gives longstanding support to small rural hospitals that include such facilities. They have investigated surveillance methods in these setting, and described higher than international infection rates and antimicrobial use in Victorian facilities.

The researchers in this stream will to investigate the optimal way of collecting antimicrobial consumption, infection and susceptibility data in ACHs. The National Antimicrobial Prescribing Survey (NAPS) will be pilot tested in selected ACHs. These findings will be used to identify optimal interventions to improve antimicrobial stewardship in ACHs with further input from key stakeholders.

Ultimately this stream will identify the optimal approach to measure antimicrobial consumption and to obtain antibiotic susceptibilities for pathogens from individuals in aged care facilities, assessed the ability for the National Antimicrobial Prescribing Survey to be used broadly in the ACH setting to gather data on antimicrobial use, and identify and test interventions to optimise antimicrobial prescribing in ACHs.

Useful resources

Center for Disease Control and Prevention The Core Elements of Antibiotic Stewardship for Nursing Homes 

Stone ND, Ashraf MS, Calder J, Crnich CJ, Crossley K, Drinka PJ, et al. Surveillance Definitions of Infections in Long-Term Care Facilities: Revisiting the McGeer Criteria. Infect Control Hosp Epidemiol. 2012;33(10):965-77.

Journal articles about Australian Aged Care Homes 

Bennett NJ, Johnson SA, Richards MJ, Smith MA, Worth LJ. Infections in Australian Aged-Care Facilities: Evaluating the Impact of Revised McGeer Criteria for Surveillance of Urinary Tract Infections. Infect Control Hosp Epidemiol. 2016;37(5):610-2.

Lim CJ, Kong DC, Stuart RL. Reducing inappropriate antibiotic prescribing in the residential care setting: current perspectives. Clinical interventions in aging. 2014;9:165-77.

Lim CJ, Kwong M, Stuart RL, Buising KL, Friedman ND, Bennett N, et al. Antimicrobial stewardship in residential aged care facilities: need and readiness assessment. BMC infectious diseases. 2014;14:410.

Lim CJ, Kwong MW, Stuart RL, Buising KL, Friedman ND, Bennett NJ, et al. Antibiotic prescribing practice in residential aged care facilities--health care providers' perspectives. Med J Aust. 2014;201(2):98-102.

Stuart RL, Kotsanas D, Webb B, Vandergraaf S, Gillespie EE, Hogg GG, et al. Prevalence of antimicrobial-resistant organisms in residential aged care facilities. Med J Aust. 2011;195(9):530-3.

Stuart RL, Wilson J, Bellaard-Smith E, Brown R, Wright L, Vandergraaf S, et al. Antibiotic use and misuse in residential aged care facilities. Intern Med J. 2012;42(10):1145-9.

Stuart. R, Orr. E, Kotsanas D, Gillespie. E. A nurse-led antimicrobial stewardship intervention in two residential aged care facilities Healthcare Infection 2014.

Smith M, Atkins S, Worth L, Richards M, Bennett N. Infections and antimicrobial use in Australian residential aged care facilities: a comparison between local and international prevalence and practices. Australian health review. 2013;37(4):529-34.

Smith M, Bull A, Dunt D, Richards MJ, Wijesundara BS, Bennett NJ. Formative and process evaluation of a healthcare associated infection surveillance program in residential aged care facilities, Grampians region, Victoria. Healthcare Infection. 2012;17(2):64-9.

Smith M, Bull A, Richards MJ, Woodburn P, Bennett N. Infection rates in residential aged care facilities, Grampians region, Victoria, Australia Healthcare Infection 2011;16:116-20

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