Implementing antimicrobial stewardship core elements in Utah nursing homes - 13/08/25
, April Clements, BSN, Devin Beard, MPH, Angela Weil, MSN, Christina Radloff, MS, Charisse Schenk, MPHRésumé |
Background |
In 2017, the Centers for Medicare and Medicaid Services (CMS) required all nursing homes (NHs) to implement an Antimicrobial Stewardship Program (ASP) as part of their infection prevention and control program. The goal of this study is to assess the implementation of ASP in Utah NHs.
Methods |
A cross-sectional survey based on the Centers for Disease Control and Prevention’s (CDC) 7 ASP core elements was sent to Utah NHs via REDCap (Research Electronic Data Capture).
Results |
The response rate was 50% (n=49). Most facilities (96%) reported leadership support and at least one facility policy to improve their ASP, however, a quarter of respondents (22%) did not know who was accountable for the ASP and 33% of facilities did not have infectious disease experts. More than half (69%) of Utah facilities reported use of treatment protocols and algorithms to outline the minimum prescribing antibiotics criteria.
Discussion |
Most Utah facilities reported leadership commitment to ASP. However, few facilities were partnered with a referral hospital, used the full range of reporting and monitoring tools, and many lacked patient education.
Conclusions |
This evaluation highlighted strengths and areas for improvement in the implementation of AS core elements in Utah NHs.
Le texte complet de cet article est disponible en PDF.Highlights |
• | This study explores ASP core element use and implementation in Utah nursing homes. |
• | One-third of NHs lacked antibiotic prescribing protocols for common cases. |
• | Only 24% had a hospital ASP partner; 67% had access to stewardship support. |
• | 22% of NHs lacked a staff lead for ASP efforts despite leadership support. |
• | Drug expertise was least used; more access to experts and tools is needed. |
Key Words : NHs, ASP
Plan
| Conflicts of interest: None to report. |
|
| Funding/support: This work was supported by the Centers for Disease Control and Prevention’s (CDC) Strengthening HAI/AR Programs (SHARP) grant (Grant NU50CK000536). |
Vol 53 - N° 9
P. 938-942 - septembre 2025 Retour au numéro
Article précédent
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