Antibiotic stewardship programs in long-term care facilities

Philip W. Smith, Kristin Watkins, Hannah Miller, Trevor VanSchooneveld

Research output: Contribution to journalReview articlepeer-review

14 Scopus citations


Antibiotic stewardship programs (ASPs) are relatively new in long-term care (LTC) facilities, but they are important to control antibiotic overuse and antibiotic resistance. A stepwise approach to ASPs is recommended. The initial steps are those that are the least costly and intrusive, including passive monitoring of antimicrobial usage and resistance, and educating LTC providers. If additional steps are required, LTC facilities may employ measures that direct the prescribing practices of providers, such as by implementing guidelines. Alternatively, the program may intervene once the antibiotic has been prescribed, such as by putting measures in place so that real-time feedback is provided for antibiotic cases. Finally, the facility may opt for an antimicrobial appropriateness review, but this approach is expensive, because expert review of individual cases is required, and has the limitation of being subjective.

Original languageEnglish (US)
Pages (from-to)20-25
Number of pages6
JournalAnnals of Long-Term Care
Issue number4
StatePublished - Apr 2011

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology


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