The Centers for Disease Control and Prevention (CDC) has released The Core Elements of Antibiotic Stewardship for Nursing Homes adapts the CDC Core Elements of Hospital Antibiotic Stewardship into practical ways to initiate or expand antibiotic stewardship activities in nursing homes. The program seeks to improve antibiotic prescribing practices and reduce their inappropriate use. Antibiotics are the most frequently prescribed medications in nursing homes. Up to 75 percent of antibiotics prescribed in nursing homes are given incorrectly, according to the CDC.
Nursing homes are encouraged to work in a step-wise fashion, implementing one or two activities to start and gradually adding new strategies from each element over time. Any action taken to improve antibiotic use is expected to reduce adverse events, prevent emergence of resistance, and lead to better outcomes for residents in this setting.