Monday, 21 July 2014

Why are antibiotics prescribed inappropriately in aged care facilities?

SPHPM's A/Prof Allen Cheng has co-authored a study which looks at why poor antibiotic prescribing is common in residential aged care facilities. According to the paper, widespread and inappropriate antibiotic use in residential aged care facilities has been widely reported. This is especially concerning given emerging evidence of antibiotic resistance in aged care facilities. 
The study found that an important concern from GPs, nurses and pharmacists was the lack of onsite doctors to provide immediate clinical assessment. Consequently, antibiotics were commonly prescribed by phone order, especially for minor or recurrent infections. Additionally, most GPs and nurses felt that resident frailty was an important factor in early initiation of antibiotic treatment, and pressure from family members was identified to influence antibiotic prescribing. Often there were unrealistic expectations of antibiotics being prescribed for minor symptoms or to avert hospitalisation. Several GPs also felt institutional pressure to use antibiotics in order to avoid legal consequences and sometimes to prolong a resident’s life inappropriately, with most nursing staff admitting to overreporting symptoms due to fear of litigation. 

1 comment:

  1. It is very Informative Post..... I Like this Post.... Thanks for Sharing this Informative Post with us.....

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