Template for an Antibiotic Stewardship Policy for Post-Acute and Long-Term Care Settings

摘要

In response to a rising concern for multi-drug resistance and Clostridium difficile infections, the Centers for Medicare & Medicaid services (CMS) will require all long-term care facilities to establish an antibiotic stewardship program by November 2017. Thus far, limited evidence describes implementation of antibiotic stewardship in long-term care facilities, mostly in academic- or hospital-affiliated settings. To support compliance with CMS requirements and aid facilities in establishing a stewardship program, the Infection Advisory Committee at AMDA—The Society for Post-Acute and Long-Term Care Medicine, has developed an antibiotic stewardship policy template tailored to the long-term care setting. The intent of this policy, which can be adapted by individual facilities, is to help long-term care facilities implement an antibiotic stewardship policy that will meet or exceed CMS requirements. We also briefly discuss implementation of an antibiotic stewardship program in long-term care settings, including a list of free resources to support those efforts.