Antibiotic Stewardship for Older Adults in Ambulatory Care Settings: Addressing an Unmet Challenge
Year: 2019
Type: review
Abstract: Inappropriate antibiotic use is common in older adults (aged >65 y), and they are particularly vulnerable to serious antibiotic-associated adverse effects such as cardiac arrhythmias, delirium, aortic dissection, drug-drug interactions, and Clostridioides difficile. Antibiotic prescribing improvement efforts in older adults have been primarily focused on inpatient and long-term care settings. However, the ambulatory care setting is where the vast majority of antibiotic prescribing to older adults occurs. To help improve the clinical care of older adults, we review drivers of antibiotic prescribing in this population, explore systems aspects of ambulatory care that can create barriers to optimal antibiotic use, discuss existing stewardship interventions, and provide guidance on priority areas for future inquiry. J Am Geriatr Soc 68:244-249, 2020.
DOI: 10.1111/jgs.16256
Institutions: University of Wisconsin–Madison, Johns Hopkins University, Johns Hopkins Medicine, William S. Middleton Memorial Veterans Hospital, VA Northeast Ohio Healthcare System, Case Western Reserve University, University of California, Los Angeles, VA Greater Los Angeles Healthcare System, Greater Los Angeles Geriatric Research Education and Clinical Center
Language: English
Subfield: Applied Microbiology and Biotechnology
Field: Immunology and Microbiology
Domain: Life Sciences
Open Access status: green
Award: G1339256580
OpenAlex ID: W2990872049