Antibiotic Stewardship

Concurrent Education Session - 60 minutes

3400 - Antibiotic Stewardship in Long-Term Care

Friday, June 16
1:30 PM - 2:30 PM
Location: Oregon Convention Center, E 141-144

This session will focus on the establishment of an antibiotic stewardship program in the LTC setting utilizing the CDC’s Core Elements for Antibiotic Stewardship in Nursing Homes. Nursing homes are considered the next frontier in antibiotic resistance due to the large number of antibiotics that are prescribed for this population. Seventy percent of nursing home residents receive one or more courses of antibiotics per year and antibiotics account for approximately 40 percent of the drugs given in nursing homes. In addition, it is estimated that 25 to 75 percent of antibiotic prescriptions are inappropriate. Besides the likelihood of developing increased resistance, this population is very susceptible for adverse drug reactions due to polypharmacy and the development of Clostridium difficile. In the Centers for Medicare & Medicaid Services (CMS) July 2015 proposed rule changes, CMS called for long-term care (LTC) facilities to establish antibiotic stewardship programs that include antibiotic use protocols and systems for monitoring antibiotic use. During the presentation, specific examples of possible implementation measures for each of the seven core elements will be shared, along with outcomes based on the experience of facilities within Genesis HealthCare. Genesis HealthCare is one of the nation’s largest skilled nursing and rehabilitation therapy providers. Genesis has more than 500 skilled nursing centers and assisted/senior living communities located in 34 states across the nation. The target audience is infection preventionists and other disciplines working in LTC responsible for implementation of an antibiotic stewardship program.

Learning Objectives:

Linda Behan

Director of Infection Prevention and Control
Genesis HealthCare
Kennett Square, Pennsylvania

Linda Behan has worked in long-term care since 1996 and has held various positions, including director of nursing, senior clinical education specialist, and infection preventionist for the Northeast Division of Genesis HealthCare. Currently she is corporate director of infection prevention and control. She has served on the Infection Prevention and Control Practice Council of Genesis HealthCare for six years and as a chairperson for the last three years. The council is responsible for policy/procedure and education development for the company. She attended EPI1 and EPI2 and has been certified as CIC for the past ten years. As senior clinical education specialist and in her current role, she’s presented various topics to a wide range of audiences.


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Ossama Rasslan

Head,Infectious Diseases Research and Infection Control Unit, Egyptian Society for Infection Control
Ain Shams Faculty of Medicine

Dr. Rasslan is Dean, Arab Institute of Continuing Professional Development (AICPD), Arab Medical Union. He is Professor of Medical Microbiology, Immunology and Infection Control and
Head, Infectious Diseases Research and Infection Control Unit, Ain Shams Faculty of Medicine, Cairo, Egypt.


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3400 - Antibiotic Stewardship in Long-Term Care

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