Antibiotic use near the end of life in aged care homes

L.Dowson 1, C. Marshall 2, N. D. Friedman 3, K. Buising 4, R. L. Stuart 5, D. C. M. Kong 6

1 National Centre for Antimicrobial Stewardship at The Peter Doherty Institute for Infections and Immunity; Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University; 381 Royal Parade, Parkville, VIC, 3052, leslie.dowson@monash.edu

2 National Centre for Antimicrobial Stewardship and Victorian Infectious Diseases Service at The Peter Doherty Institute for Infections and Immunity; Department of Medicine, University of Melbourne; Infection Prevention and Surveillance Service, The Royal Melbourne Hospital, 300 Grattan St, Parkville, VIC, 3050, caroline.marshall@mh.org.au

3 National Centre for Antimicrobial Stewardship at The Peter Doherty Institute for Infections and Immunity; School of Medicine, Deakin University; Department of General Medicine and Department of Infectious Diseases, Barwon Health; Ryrie St & Bellerine St, Geelong, VIC, 3220, deborahf@barwonhealth.org.au

4 National Centre for Antimicrobial Stewardship and Victorian Infectious Diseases Service at The Peter Doherty Institute for Infections and Immunity; Department of Medicine, University of Melbourne; 792 Elizabeth St, Melbourne, VIC, 3000, kirsty.buising@mh.org.au

5 National Centre for Antimicrobial Stewardship at The Peter Doherty Institute for Infections and Immunity; Department of Medicine, School of Clinical Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University; Monash Infectious Diseases and Infection Control and Epidemiology, Monash Health; 246 Clayton Rd, Clayton, VIC, 3168, rhonda.stuart@monashhealth.org

6National Centre for Antimicrobial Stewardship at The Peter Doherty Institute for Infections and Immunity; Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University; Pharmacy Department, Ballarat Health Services, 1 Drummond St N, Ballarat, VIC, 3350, david.kong@monash.edu

 

Inappropriate antibiotic treatment for residents with end-stage conditions has been identified as an area in need of antimicrobial stewardship (AMS) activities in Australian aged care homes (ACHs). In ACHs, health and treatment decisions are usually required near the end of life, including decisions about antibiotic therapy. However, implementing AMS in this area is difficult due to lack of firm evidence, conflicting evidence as to whether or not antibiotics benefit someone at the end of life, and opinions about how AMS activities in ACHs can be ethically undertaken when residents are nearing the end of life.

We have undertaken qualitative studies involving ACH health professionals to better understand how they perceive antibiotic use near the end of life, and have elicited major themes that can be addressed to support better decision-making and appropriate antibiotic use.

About the College

The ACIPC is the peak body for Infection Prevention and Control professionals in the Australasian region. Our stated vision is the prevention and control of infection in our communities. We commenced in January 2012 bringing together the various State and Territory infection control associations formerly in AICA (The Australian Infection Control Association) to support and encourage collaboration across Australasia.

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