A national survey of infection control and antimicrobial stewardship structures in Irish long-term care facilities

作者：Donlon Sheila^*; Roche Fiona; Byrne Helen; Dowling Siobhan; Cotter Meaghan; Fitzpatrick Fidelma

来源：American Journal of Infection Control, 2013, 41(6): 554-557.

DOI：10.1016/j.ajic.2012.06.010

• Infection control
• Antibiotic stewardship
• Long-term care facilities

Background: Information on infection prevention and control (IPC) and antimicrobial stewardship activities in Irish long-term care facilities (LTCFs) is limited. %26lt;br%26gt;Methods: A survey detailing IPC and antimicrobial stewardship activities, including staffing and bed capacity, was circulated to Irish LTCFs. %26lt;br%26gt;Results: Sixty-nine LTCFs (61 public, 8 private) were surveyed, 56 (81%) of which had an IPC practitioner. Thirty-five (51%) LTCFs had an IPC committee that met on average 5 times (range, 1-10) during the previous year. LTCFs with IPC practitioners based solely in the facility (n = 17) were more likely to have an IPC committee (P = .027). Antimicrobial guidelines were available in 28% (n = 19) and 16% (n = 11) had an antimicrobial stewardship committee in place. Medical care was provided by general practitioners in 51% (n = 35), by physicians employed by the LTCFs in 35% (n = 24), or by both in 14% (n = 10). Medical care and activities were coordinated in 45% (n = 31) of LTCFs. These LTCFs were more likely to have an IPC committee (P %26lt; .001), medical staff training (P %26lt; .001), and antimicrobial guidelines (P = .005) in place. %26lt;br%26gt;Conclusion: There are significant gaps in Irish LTCFs%26apos; IPC and antibiotic stewardship programs and governance structures, highlighting the need for specific LTCF national initiatives.

• 出版日期2013-6