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Antibiotic use in nursing homes

Get Smart About Antibiotics Week:

1.6 million people live in nursing homes. 27,000 nursing home residents have antibiotic–resistant infections

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Most common infections treated with antibiotics in nursing homes. Urinary Tract Infection 32%. Respiratory tract Infection 33%. Skin and Soft Tissue Infection 12%, Other 10%, Undocumented 13%.

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Antibiotics: Will they work when you really need them?

Antibiotic prescribing rates by state across the U.S. (2010/11)

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Resistance Doubles.  The antibiotic resistance percentage increases from 31% in 2006 to 58% in 2008.

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Delivering safe care for patients: all healthcare providers play a role

Good News/Bad News - Antibiotics prescribed for acute respiratory infections in kids younger than 15 years of age still acount for 58% of all antiiotics prescribed

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Risk of Death Antibiotic-resistant vs. non-resistant Klebsiella bacteria 48% of subjects have a risk of dying from antibiotic-resistant Klebsiella bacteria compared to 20% of subjects having a risk from dying from non-resistant Klebsiella bacteria

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Preserving Antibiotics for the Future

Antibiotic Development is Dwindling. The total number of New Antibacterial Agents declined from 16 in the 1983 to 1987 period to about 1 in the 2008 to 2012 period.

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Resistance anywhere is resistance everywhere

1.6 million people live in nursing homes. 27,000 nursing home residents have antibiotic–resistant infections

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Outpatient antibiotic use: U.S.A. compared to Europe (2004). Defined Daily Dose / 1,000 Inhabitants per day. United States: 24,900 Europe: 19,000 Goossens et al. CID 2007;44:1091

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