Knowledge, beliefs, and confidence regarding infections and antimicrobial stewardship: A survey of Veterans Affairs providers who care for older adults - 27/02/15
Doi : 10.1016/j.ajic.2014.11.017
Robin L.P. Jump, MD, PhD a, b, ⁎ 
, Barbara Heath, MSN a, Christopher J. Crnich, MD, PhD c, Rebekah Moehring, MD, MPH d, Kenneth E. Schmader, MD d, Danielle Olds, RN, PhD e, f, Patricia A. Higgins, PhD, RN a, b
, Barbara Heath, MSN a, Christopher J. Crnich, MD, PhD c, Rebekah Moehring, MD, MPH d, Kenneth E. Schmader, MD d, Danielle Olds, RN, PhD e, f, Patricia A. Higgins, PhD, RN a, b a Geriatric Research Education and Clinical Center, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, OH
b Division of Infectious Diseases and HIV Medicine, Department of Medicine, Case Western Reserve University, Cleveland, OH
c Geriatric Research Education and Clinical Center, William Middleton Memorial Veterans Hospital and Division of Infectious Disease, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI
d Geriatric Research Education and Clinical Center, Durham Veterans Affairs Medical Center and Division of Geriatrics, Department of Medicine, Duke University, Durham, NC
e Quality Scholars Program, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, OH
f Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH
∗Address correspondence to Robin L.P. Jump, MD, PhD, Geriatric Research Education and Clinical Center 111C(W), Louis Stokes Cleveland VA Medical Center, 10701 East Blvd, Cleveland, OH 44106.
Abstract |
We conducted an anonymous survey of providers who care for older adults from 10 Veterans Affairs long-term-care facilities to assess their knowledge, beliefs, and confidence toward treating infections and antimicrobial stewardship. The average score on 5 questions assessing knowledge was 3.6 out of 5.0 (95% confidence interval, 3.3-3.9), which supports a need for education regarding the care of older adults with infections.
Le texte complet de cet article est disponible en PDF.Highlights |
• | We surveyed 71 providers from 10 Veterans Affairs centers with long-term-care facilities |
• | The questions asked about infections and antimicrobial stewardship for older adults |
• | Only 66% of providers answered ≥ 4 out of 5 knowledge questions correctly |
• | Providers also indicated more confidence to narrow or stop antibiotics |
• | Education about infections in older adults should promote antimicrobial stewardship |
Key Words : Antibiotic resistance, Long-term care, Nursing homes, VA Community Living Center
Plan
| Financial support: This work was supported by the Veterans Affairs healthcare system (T-21 Non-Institutional Alternative to Long-Term Care Grant (G541-3) to RJ, BH, CC, KS, RM and PH), the National Institutes of Health (R03-AG040722 to RJ) and Geriatric Research Education and Clinical Centers (GRECC) in Veterans Integrated Service Networks (VISNs) 10 (RJ, BH, PH), 6 (KS, RM) and 12 (CC). RJ gratefully acknowledges the T. Franklin Williams Scholarship with funding provided by Atlantic Philanthropies, Inc., the John A. Hartford Foundation, the Association of Specialty Professors, the Infectious Diseases Society of America and the National Foundation for Infectious Diseases. |
|
| Conflicts of interest: None to report. |
© 2015
Publié par Elsevier Masson SAS.
Vol 43 - N° 3
P. 298-300 - mars 2015 Retour au numéro
Article précédent
- Impact of the first hand sanitizing relay world record on compliance with hand hygiene in a hospital
- Wing Hong Seto, Benjamin J. Cowling, Christina W.Y. Cheung, Cindy Y.Y. Wong, Patricia T.Y. Ching, Didier Pittet, Raymond C.I. Chen
- Seek and you shall find: Prevalence of Clostridium difficile in Wuhan, China
- Jodi Galaydick, Yaqing Xu, Lisa Sun, Emily Landon, Stephen G. Weber, Daiyan Sun, Junying Zhou, Renslow Sherer
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?