Proper use of Antibiotics can Prevent Resident Harm in Long-Term Care Facilities
HARRISBURG, Pa., Sept. 25, 2017/PRNewswire-USNewswire/ -- The improper use of antibiotics in long-term care facilities (LTCFs), specifically for the treatment of urinary tract infections (UTIs), can increase the risk of resident harm and contribute to the rapid emergence of antibiotic-resistant bacteria.
"Antibiotic-resistant organisms are not only a threat to the health of patients and residents, they're threat to everyone," said Dr. Ellen S. Deutsch, medical director for the Pennsylvania Patient Safety Authority.
"Antibiotics have saved the lives of millions of people, and now their effectiveness is under assault," said Deutsch. "The misdiagnosis of UTIs in LTCFs, which leads to the misuse and overuse of antibiotics, contributes to antimicrobial-resistance."
Antibiotics are the most commonly prescribed medication in LTCFs; however, they are prescribed incorrectly up to 75% of the time, according to national statistics. UTIs represent the most common bacterial infection in LTCFs, and due to the frequency of their misdiagnosis, largely contribute to the overuse and misuse of antibiotics.
From April 2014 through September 2016, Pennsylvania LTCFs reported 13,680 UTIs to the Authority. In examining antibiotic prescribing practices, Authority analysts found deviance from national practice guidelines for treating UTIs and suboptimal use of antibiotics.
Common misperceptions may result in inappropriate treatment, overuse of broad-spectrum antibiotics, and failure to review or change antibiotics following laboratory test results.
"Antibiotic resistance and other complications are a significant problem, and defeating this problem will take widespread and sustained effort," said Deutsch. "The appropriate management of UTIs and possible UTIs is an important piece of this large puzzle."
In the Authority's September 2017Pennsylvania Patient Safety Advisory article, "Optimal Use of Antibiotics for Urinary Tract Infections in Long-Term Care Facilities: Successful Strategies Prevent Resident Harm," the Authority provides a comprehensive list of risk reduction strategies. Accompanying the article is the "Living Branches Urinary Tract Infection (UTI) Evaluation Guideline," a UTI evaluation tool adapted from the Pennsylvania Medical Directors Association (PMDA). Utilization of both the risk reduction strategies and the UTI evaluation tool may help facilities properly manage UTIs and implement a solid antimicrobial stewardship plan.
Treating Hyperkalemia: Avoid Additional Harm When Using Insulin and Dextrose Hyperkalemia is a common, potentially life-threatening electrolyte disturbance encountered in hospitalized patients. Treatment of hyperkalemia with insulin and dextrose, without implementing clear protocols and error-reduction strategies, can lead to hypoglycemia and other patient harm.
Promote a Culture of Safety with Good Catch Reports A hospital good catch program can be an effective means to improve patient safety. Recognizing and rewarding staff can encourage good catch submissions and provide more opportunities to improve patient safety.
Data Snapshot: Dislodged Tubes and Lines Feeding tubes, intravascular catheters, and other tubes and lines are routinely and safely used in healthcare, but tubes or lines that become dislodged can have fatal consequences, depending upon the type of tube or line used and how quickly the dislodgement is recognized and treated.
Workarounds: Trash or Treasure? An enlightened understanding of workarounds can help healthcare facilities appreciate that workarounds are symptoms of a real or perceived workflow obstacle, and value the information that workarounds provide.
For more information about the Authority, patient safety topics, Advisory articles, and safety tips for patients, please visit patientsafety.pa.gov.
The Authority's mission is to improve the quality of healthcare in Pennsylvania by collecting and analyzing patient safety information, developing solutions to patient safety issues, and sharing this information through education and collaboration. Its vision is safe healthcare for all patients.
The "Global Cell Counting Market: Analysis By Product, By Application, By End-User, By Region Size, Trends and Forecast to 2029" report has been added to ResearchAndMarkets.com's offering.
The global cell counting market was valued at US$9.98...
Learning Ally, a national nonprofit working with U.S. K12 schools to strengthen reading outcomes, has announced the dates of its ninth Spotlight on Dyslexia virtual conference as June 5th and 6th, 2024.
Spotlight on Dyslexia has become one of the...
Chronic wounds can generate unpleasant smells. Commonly referred to as wound malodor, these unwanted aromas stem from things like necrotic tissue and bacteria living within a wound. Odor management is important in maintaining a high quality of life...
Staffing Industry Analysts announced its 2024 Best Staffing Firms to Work For list this week, honoring Omaha-based healthcare company Fusion as a winner in the category of staffing firms with more than 500 employees.
SIA's Best Staffing Firms to...
In a landmark move, Greenlight Commercial Funding (GCF) has announced its support for Audacity Zone Developments, INC. through an $11 million Series A Preferred Equity Offering. This underscores the company's unwavering commitment to fostering...
A healthy lifestyle consists of multiple good habits and activities. Quality sleep and consistent exercise are critical factors in keeping the body healthy. So is nutrition. A well-balanced diet (including both food and supplements) helps give the...