So, I have this song from Disney's animated film "Frozen" stuck in my head. The part of the song that goes, "Let it go, let it go ..." See, that's how I feel about urine cultures.
While antibiotics play an important role in improving patient health, some drugs are unnecessarily or inappropriately prescribed and we are seeing an increase in antibiotic resistance in the treatment of issues like urinary tract infections, diarrheal diseases and staph infections.
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Long-term care providers should take pride in their antipsychotic reduction efforts, and certainly should work hard to meet the new goals announced Friday. But it should not escape their notice that just a day earlier, the White House released an ambitious national plan for addressing antibiotic resistant infections. The plan suggests that a facility's antibiotic stewardship is about to join its antipsychotics rate as a defining feature of quality in the eyes of the government.
Coping with the complicated management of infectious diseases is among the many challenges facing long-term care facilities today. Residents with multiple comorbidities often are prescribed broad-spectrum antibiotics and it seems as though methicillin-resistant Staphylococcus aureus (MRSA) and other (increasingly) drug-resistant bugs are everywhere. Outbreaks are common, ranging from norovirus and influenza to Clostridium difficile and scabies.
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A new study contradicts widely held assumptions about how Clostridium difficile infection occurs, which may lead long-term care providers to step up control measures.