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Antibiotic Stewardship in European Nursing Homes: Experiences From the Netherlands, Norway, Poland, and Sweden

Journal article
Authors L. W. Van Buul
A. A. Monnier
Pär-Daniel Sundvall
P. Ulleryd
M. Godycki-Cwirko
A. Kowalczyk
M. Lindbaek
Cmpm Hertogh
Published in Journal of the American Medical Directors Association
Volume 21
Issue 1
Pages 34-40.e1
ISSN 1525-8610
Publication year 2020
Published at Institute of Medicine, School of Public Health and Community Medicine
Pages 34-40.e1
Language en
Keywords Antibiotic stewardship, nursing homes, Europe, resistance, prevalence, bacteria, Geriatrics & Gerontology
Subject categories Gerontology, specializing in Medical and Health Sciences, Geriatrics


Antibiotics are among the most widely prescribed drugs in long-term care facilities, which highlights the importance of antibiotic stewardship (ABS) in this setting. In this article, we describe the experiences with ABS in nursing homes (NHs) from the perspective of 4 European countries: the Netherlands, Norway, Poland, and Sweden. In these countries, a large variety of initiatives to develop and implement ABS in NHs have been introduced in recent years. Among these initiatives are national antibiotic prescribing surveillance systems, NH-specific prescribing guidelines, and national networks of healthcare institutions that exchange information and develop ABS policy. Several initiatives evolved as a result of political prioritization of antibiotic resistance, translated into national action plans. Experiences of the 4 countries with the presented initiatives may inspire other countries that aim to develop or improve ABS in the long-term care setting. (C) 2019 AMDA - The Society for Post-Acute and Long-Term Care Medicine.

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