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Potential utility of pharmacy data to measure antibiotic use in nursing homes

  • Sarah Kabbani (a1), Danielle L. Palms (a1), Monina Bartoces (a1), Joseph Marek (a2), Nimalie D. Stone (a1), Lauri A. Hicks (a1) and Robin L.P. Jump (a3) (a4)...


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Author for correspondence: Sarah Kabbani, E-mail:


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1. Gurwitz, JH, Field, TS, Judge, J, Rochon, P, Harrold, LR, Cadoret, C, et al. The incidence of adverse drug events in two large academic long-term care facilities. Am J Med 2005;118:251258.
2. Lim, CJ, Kong, DC, Stuart, RL. Reducing inappropriate antibiotic prescribing in the residential care setting: current perspectives. Clin Intervention Aging 2014;9:165177.
3. Nicolle, LE, Bentley, DW, Garibaldi, R, Neuhaus, EG, Smith, PW. Antimicrobial use in long-term-care facilities. SHEA Long-Term-Care Committee. Infect Control Hosp Epidemiol 2000;21:537545.
4.State Operations Manual, Appendix PP—Guidance to Surveyors for Long Term Care Facilities 2017. Centers for Medicare and Medicaid Services website. Published 2017. Accessed April 5, 2019.
5. Mylotte, JM. Antimicrobial stewardship in long-term care: metrics and risk adjustment. J Am Med Directors Assoc 2016;17:672.e13e18.
6. Core Elements of Antibiotic Stewardship for Nursing Homes. Centers for Disease Control and Prevention website. Published 2015. Accessed April 5, 2019.
7. CMS Review of Current Standards of Practice for Long-Term Care Pharmacy Services. Centers for Medicare and Medicaid Services website. Published 2004. Accessed April 5, 2009.
8. Drinka, PJ, Gauerke, C, Le, D. Antimicrobial use and methicillin-resistant Staphylococcus aureus in a large nursing home. J Am Med Directors Assoc 2004;5:256258.
9. Daneman, N, Gruneir, A, Bronskill, SE, et al. Prolonged antibiotic treatment in long-term care: role of the prescriber. JAMA Intern Med 2013;173:673682.
10. Daneman, N, Campitelli, MA, Giannakeas, V, et al. Influences on the start, selection and duration of treatment with antibiotics in long-term care facilities. CMAJ 2017;189:E851E860.


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