title: Survey of infection control and antimicrobial stewardship practices in Australian residential aged-care facilities.
abstract: This study assessed infection prevention and antimicrobial stewardship (AMS) practices in Australian residential aged-care facilities (RACF). Two hundred and sixty-five surveys (15.6%) were completed with all states represented and the majority (177 (67.3%)) privately run. Only 30.6% RACF had infection control trained staff on site. Few facilities had AMS policies, only 14% had antimicrobial prescribing restrictions. Most facilities offered vaccination to residents (influenza vaccination rates >75% in 73% of facilities), but pneumococcal vaccination was poor.
authors.affiliation: Department of Infectious Diseases, Monash Health, Melbourne, Australia.|Department Medicine, Monash University, Melbourne, Australia.
authors.forename: R L
authors.initials: RL
authors.lastname: Stuart
authors.affiliation: Department of Infectious Diseases, Royal Melbourne Hospital, Melbourne, Australia.|Department Medicine, University of Melbourne, Melbourne, Australia.
authors.forename: C
authors.initials: C
authors.lastname: Marshall
authors.affiliation: Department of Infectious Diseases, Monash Health, Melbourne, Australia.
authors.forename: E
authors.initials: E
authors.lastname: Orr
authors.affiliation: VICNISS Coordinating Centre, Melbourne, Australia.
authors.forename: N
authors.initials: N
authors.lastname: Bennett
authors.affiliation: Department Infectious Disease, Barwon Health, Geelong, Victoria, Australia.|Department of Medicine, Deakin University, Geelong, Victoria, Australia.
authors.forename: E
authors.initials: E
authors.lastname: Athan
authors.affiliation: Department Infectious Disease, Barwon Health, Geelong, Victoria, Australia.|Department of Medicine, Deakin University, Geelong, Victoria, Australia.
authors.forename: D
authors.initials: D
authors.lastname: Friedman
authors.affiliation: Hands-On Infection Control, Perth, Western Australia, Australia.
authors.forename: M
authors.initials: M
authors.lastname: Reilly
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001315:Australia / Q000453:epidemiology; D004196:Disease Outbreaks / Q000517:prevention & control / Q000706:statistics & numerical data; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data; D019538:Health Care Surveys; D006707:Homes for the Aged / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D017053:Infection Control / Q000592:standards*; D007251:Influenza, Human / Q000453:epidemiology / Q000517:prevention & control*; D008297:Male; D011018:Pneumonia, Pneumococcal / Q000453:epidemiology / Q000517:prevention & control*; D011159:Population Surveillance; D017410:Practice Guidelines as Topic; D058996:Quality Improvement; D012112:Residential Facilities / Q000592:standards* / Q000706:statistics & numerical data; D014611:Vaccination / Q000706:statistics & numerical data*; D035862:Vulnerable Populations
chemical_list: D000900:Anti-Bacterial Agents
keywords: antibiotic stewardship; infection control; residential care