Medical Providers

Physicians, nurse practitioners, and physician assistants make diagnoses and order treatments. If you provide medical care to nursing home residents, you may have learned that best practice was to prescribe antibiotics “just in case they might help to prevent infection,” “to prevent sepsis,” or for similar reasons. This represented defensive medicine and has contributed to the high and rising rate or resistant, difficult to treat infections we now see in nursing homes.

Because of the many negative effects of overprescribing, “best practice” has shifted to advocating antibiotics “only when needed” and NOT routinely for the many situations that in the past led to unnecessary overprescribing. This approach is called antibiotic stewardship.

In actual nursing home practice there are many factors that make antibiotic stewardship challenging. This website provides (and over time will add more) resources to help medical care providers better understand both the science and the practicalities of antibiotic stewardship, and apply it in their everyday practice.

These include:

  • The following downloadable audiocast case discussions of challenging antibiotic stewardship problems for nursing home clinicians:
      1. Controversies in Management of Nursing Home Infections: A Round Table Discussion [1 hour CME available]
      2. Ten Tough Cases in Diagnosis and Management of Nursing Home Infections [1 hour CME available]

Note: To download MP3s, right click on ‘Download..’ and select ‘Save Link As….”

Click here to register for your CME Credits

  • The following downloadable resources on nursing home infections:

Rational Approach to Suspected Urinary Infection in Nursing Homes

General Guidelines For Urine Testing

Twelve Clinical Situations in Long-Term Care for Which Antibiotics are Often Prescribed but Rarely Necessary

AHRQ Antibiotic Stewardship Guide

CDC Core Elements of Antibiotic Stewardship

Minnesota Department of Health Antibiotic Stewardship Toolkit

Nebraska Antimicrobial Stewardship Assessment and Promotion Program

  • The following video on colonization versus infection: