Development of minimum criteria for the initiation of antibiotics in residents of long-term-care facilities: Results of a consensus conference

被引：279

作者：

Loeb, M

Bentley, DW

Bradley, S

Crossley, K

Garibaldi, R

Gantz, N

McGeer, A

Muder, RR

Mylotte, J

Nicolle, LE

Nurse, B

Paton, S

Simor, AE

Smith, P

Strausbaugh, L

机构：

[1] McMaster Univ, Div Infect Dis & Med Microbiol, Hamilton, ON, Canada

[2] Hamilton Civ Hosp, Hamilton, ON, Canada

[3] St Louis Univ, Sch Med, Dept Internal Med, St Louis, MO USA

[4] St Louis Vet Affairs VA Med Ctr, Ctr Geriatr Res Educ & Clin, St Louis, MO USA

[5] VA Med Ctr, GRECC, Ann Arbor, MI USA

[6] VA Med Ctr, Educ Serv, Minneapolis, MN USA

[7] Polyclin Med Ctr, Dept Med, Harrisburg, PA USA

[8] Univ Connecticut, Ctr Hlth, Dept Med, Farmington, CT USA

[9] Mt Sinai Hosp, Dept Infect Control, Toronto, ON M5G 1X5, Canada

[10] Univ Toronto, Toronto, ON, Canada

[11] Univ Pittsburgh, Med Ctr, VA Pittsburgh Healthcare Syst, Pittsburgh, PA 15260 USA

[12] Erie Cty Med Ctr, Buffalo, NY USA

[13] Univ Manitoba, Dept Med, Hlth Sci Ctr, Winnipeg, MB R3T 2N2, Canada

[14] Hosp Special Care, New Britain, CT USA

[15] Hlth Canada, Lab Ctr Dis Prevent & Control, Ottawa, ON K1A 0L2, Canada

[16] Sunnybrook & Womens Coll, Hlth Sci Ctr, Toronto, ON, Canada

[17] Univ Toronto, Toronto, ON, Canada

[18] Univ Nebraska, Med Ctr, Omaha, NE USA

[19] Portland VA Med Ctr, Portland, OR USA

来源：

INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY | 2001年 / 22卷 / 02期

关键词：

D O I：

10.1086/501875

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Establishing a clinical diagnosis of infection in residents of long-term-care facilities (LTCFs) is difficult. As a result, deciding when to initiate antibiotics can be particularly challenging. This article describes the establishment of minimum criteria for the initiation of antibiotics in residents of LTCFs. Experts in this area were invited to participate in a consensus conference. Using a modified delphi approach, a questionnaire and selected relevant articles were sent to participants who were asked to rank individual signs and symptoms with respect to their relative importance. Using the results of the weighting by participants, a modification of the nominal group process was used to achieve consensus. Criteria for initiating antibiotics for skin and soft-tissue infections, respiratory infections, urinary infections, and fever where the focus of infection is unknown were developed.

引用

页码：120 / 124

页数：5

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