MARC details
| 000 -LEADER |
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| fixed length control field |
02553nam a22003737a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
210628s20212021 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
0733-4648 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1177/07334648211018299 [doi] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
34075829 |
| 245 ## - TITLE STATEMENT |
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| Title |
Antimicrobial Stewardship Interventions to Optimize Treatment of Infections in Nursing Home Residents: A Systematic Review and Meta-Analysis. |
| 251 ## - Source |
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| Source |
Journal of Applied Gerontology. :7334648211018299, 2021 Jun 02 |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
J Appl Gerontol. :7334648211018299, 2021 Jun 02 |
| 253 ## - Journal Name |
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| Journal name |
Journal of applied gerontology : the official journal of the Southern Gerontological Society |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2021 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
|---|
| Manufacturer |
FY2021 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
|---|
| Publication date |
2021 Jun 02 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
aheadofprint |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2021-06-28 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Effects of antibiotic stewardship program (ASP) interventions to optimize antibiotic use for infections in nursing home (NH) residents remain unclear. The aim of this systematic review and meta-analysis was to assess ASPs in NHs and their effects on antibiotic use, multi-drug-resistant organisms, antibiotic prescribing practices, and resident mortality. Following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, we conducted a systematic review and meta-analysis using five databases (1988-2020). Nineteen articles were included, 10 met the criteria for quantitative synthesis. Inappropriate antibiotic use decreased following ASP intervention in eight studies with a pooled decrease of 13.8% (95% confidence interval [CI]: [4.7, 23.0]; Cochran's Q = 166,837.8, p < .001, I2 = 99.9%) across studies. Decrease in inappropriate antibiotic use was highest in studies that examined antibiotic use for urinary tract infection (UTI). Education and antibiotic stewardship algorithms for UTI were the most effective interventions. Evidence surrounding ASPs in NH is weak, with recommendations suited for UTIs. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Library |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Nursing |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Aliyu, Sainfer |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Heimlich, S Layla |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
|---|
| Local Authors |
Ifill, Joanne |
| 790 ## - Authors |
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| All authors |
Aliyu S, Heimlich SL, Ifill J, Smaldone A, Travers JL |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1177/07334648211018299">https://dx.doi.org/10.1177/07334648211018299</a> |
| Public note |
https://dx.doi.org/10.1177/07334648211018299 |
| 858 ## - ORCID |
|---|
| ORCID text |
Aliyu, Sainfer |
| Orcid |
<a href="https://orcid.org/0000-0002-9904-1798">https://orcid.org/0000-0002-9904-1798</a> |
| Name |
https://orcid.org/0000-0002-9904-1798 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Koha item type |
Journal Article |
| Item type description |
Article |
