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  • A multifaceted intervention reduced antimicrobial prescriptions for suspected urinary tract infections in nursing home residents

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Quality improvement
A multifaceted intervention reduced antimicrobial prescriptions for suspected urinary tract infections in nursing home residents

https://doi.org/10.1136/ebn.9.2.59

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    Loeb M, Brazil K, Lohfeld L, et al. Effect of a multifaceted intervention on number of antimicrobial prescriptions for suspected urinary tract infections in residents of nursing homes: cluster randomised controlled trial. BMJ 2005;331:669.OpenUrlAbstract/FREE Full Text

    Q Does a multifaceted intervention supporting the use of diagnostic and treatment algorithms reduce antimicrobial prescriptions for suspected urinary tract infections (UTIs) in nursing home residents?

    METHODS

    Embedded ImageDesign:

    clustered randomised controlled trial.

    Embedded ImageAllocation:

    concealed.

    Embedded ImageBlinding:

    blinded (outcome assessors).

    Embedded ImageFollow up period:

    12 months.

    Embedded ImageSetting:

    16 nursing homes in Ontario, Canada and 8 in Idaho, USA.

    Embedded ImagePatients:

    4217 residents of 24 free standing, community based nursing homes that had ⩾100 residents, no stated policies for diagnosis or treatment of UTIs, and agreed to refrain from introducing new management strategies for antimicrobial use or clinical pathways for UTIs during the 12 month study. Nursing homes directly associated with tertiary care centres were excluded. …

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    Footnotes

    • For correspondence: Dr M Loeb, McMaster University, Hamilton, Ontario, Canada. loebm{at}mcmaster.ca

    • Source of funding: Agency for Healthcare Research and Quality.