Prescribing for older people in the long-term care environment is particularly challenging. Residents are usually frail and have multiple comorbidities and limited life expectancy. However, the literature is replete with examples of inappropriate prescribing, including polypharmacy and undertreatment. Furthermore, medication review is not adequately implemented, resulting in medicines being used for longer than required. This is a particular problem with antibiotic prescribing because continued use may lead to the development of antimicrobial resistance.
Hughes CM, Tunney MM. Improving Prescribing of Antibiotics in Long-term Care: Comment on “Prolonged Antibiotic Treatment in Long-term Care”. JAMA Intern Med. 2013;173(8):682–683. doi:10.1001/jamainternmed.2013.4077
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