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April 6, 2021

Opportunities to Improve Antimicrobial Use in US Nursing Homes

Author Affiliations
  • 1University of Wisconsin School of Medicine and Public Health, Madison
  • 2William S. Middleton Memorial VA Hospital, Madison, Wisconsin
  • 3University of Michigan School of Medicine, Ann Arbor
  • 4Associate Editor, JAMA
JAMA. 2021;325(13):1259-1260. doi:10.1001/jama.2021.3258

Inappropriate use of antibiotic therapy is a major driver of adverse effects related to medications and antibiotic resistance in nursing homes.1 Despite formal calls for the enhancement of prescribing practices,2 along with improvements in structure and process, antibiotic stewardship in nursing homes remains suboptimal. Measuring antibiotic use in nursing homes and comparing observed patterns with relevant benchmarks is a core component of antibiotic stewardship. However, to date, nationally representative data to which nursing homes can benchmark have been lacking.

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